- Elevance Health (Columbus, OH)
- ** Pharmacist Clinical - Prior Authorization ( Pharmacist Clinical )** _Location: Virtual with the ideal candidate living within 50 miles of one of ... our Elevance Health PulsePoint locations._ The ** Pharmacist Clinical ** is responsible for managing the... clinical support for therapeutic interventions. + Makes prior authorization determinations based upon formulary and… more
- CVS Health (Des Moines, IA)
- …indications and review clinical documentation in support of prior authorization reviews. You will also provide internal pharmacist support to the PA ... more personal, convenient and affordable. **Position Summary** As a clinical pharmacist , you will review Prior...and review clinical documentation in support of prior authorization reviews. The primary function of… more
- US Tech Solutions (May, OK)
- …collected to perform prior authorization for specialty medications. The clinical pharmacist will apply clinical knowledge to plan approved criteria ... hours pharmacist availability could be required. **Experience:** + Experience as a Prior Authorization Pharmacist is required. **Skills:** + Prior … more
- US Tech Solutions (New York, NY)
- …collected to perform prior authorization for specialty medications. The clinical pharmacist will apply clinical knowledge to plan approved criteria ... **Job Summary:** The clinical pharmacist is an operation based...phone calls and escalations from physicians or patients regarding Prior Authorization (50%) 4. Establishes and maintains… more
- Actalent (Oklahoma City, OK)
- Actalent is currently hiring for a Remote Prior Authorization Pharmacist ! *Oklahoma RPh License Required* Job Description: + Completes assigned daily cases ... practice specific to specialty pharmacy Qualifications: + 2+ years experience as a pharmacist in prior authorization or medication therapy management. Retail… more
- Ardon (Portland, OR)
- As we continue to grow, we are seeking a Clinical Pharmacist to join our award-winning specialty pharmacy team. About Ardon Health At Ardon, we are passionate ... experience in an elevated role. We are recruiting a Clinical Pharmacist to join our team of...in a fast-paced environment. Knowledge of pharmacy benefit investigation, prior authorization support, and patient financial assistance… more
- HCA Healthcare (San Antonio, TX)
- **Description** **Introduction** Do you have the career opportunities as a(an) Clinical Pharmacist Specialist BMT Onc you want with your current employer? We ... of colleagues. Do you want to work as a(an) Clinical Pharmacist Specialist BMT Onc where your...pharmacist in another state: Provide proof of the Authorization to Test (ATT) from the Texas State Board… more
- HCA Healthcare (San Antonio, TX)
- …integrity. We care like family! Jump-start your career as a(an) Transplant Clinical Pharmacist Specialist today with Methodist Hospital Specialty and Transplant. ... by location._** Come join our team as a(an) Transplant Clinical Pharmacist Specialist. We care for our...pharmacist in another state: Provide proof of the Authorization to Test (ATT) from the Texas State Board… more
- HCA Healthcare (Dallas, TX)
- **Description** ** Clinical Pharmacist Specialist BMT** **BMT Experience required** **PRN Position** **Introduction** Are you looking for a work environment where ... diversity and inclusion thrive? Submit your application for our Clinical Pharmacist Specialist BMT PRN opening with...pharmacist in another state: Provide proof of the Authorization to Test (ATT) from the Texas State Board… more
- HCA Healthcare (Nashville, TN)
- **Description** **Introduction** Do you have the PRN career opportunities as a(an) Clinical Pharmacist Specialist BMT Oncology PRN you want with your current ... of colleagues. Do you want to work as a(an) Clinical Pharmacist Specialist BMT Oncology PRN where...pharmacist in another state: Provide proof of the Authorization to Test (ATT) from the Texas State Board… more
- HCA Healthcare (Jourdanton, TX)
- **Description** **Introduction** Do you have the career opportunities as a(an) Clinical Pharmacist you want with your current employer? We have an exciting ... of colleagues. Do you want to work as a(an) Clinical Pharmacist where your passion for creating...pharmacist in another state: Provide proof of the Authorization to Test (ATT) from the Texas State Board… more
- Centene Corporation (Honolulu, HI)
- …Purpose:** Provide timely drug therapy for Medicaid health plan members by processing prior authorization and medical necessity requests + Review prior ... to the assigned pharmacy technicians + Develop and review guideline criteria for prior authorization and non-formulary drugs in support of Pharmacy and… more
- Healthfirst (NY)
- …Pharmacist with a state license in good standing. + Work experience conducting prior authorization reviews + Clinical knowledge of pharmaceuticals and ... **Duties & Responsibilities:** + Monitor and review prior authorization requests for medications +...units based on dosing, indication, weight, BMI and other clinical considerations + Develop clinical criteria and… more
- HCA Healthcare (San Antonio, TX)
- …environment where diversity and inclusion thrive? Submit your application for our Clinical Pharmacist Specialist Transplant opening with Methodist Hospital today ... benefits may vary by location._** We are seeking a(an) Clinical Pharmacist Specialist Transplant for our team...pharmacist in another state: Provide proof of the Authorization to Test (ATT) from the Texas State Board… more
- HCA Healthcare (Jourdanton, TX)
- …where diversity and inclusion thrive? Submit your application for our Advanced Clinical Pharmacist opening with Methodist Hospital Atascosa today and find ... may vary by location._** We are seeking a(an) Advanced Clinical Pharmacist for our team to ensure...pharmacist in another state: Provide proof of the Authorization to Test (ATT) from the Texas State Board… more
- Lucile Packard Children's Hospital Stanford (Palo Alto, CA)
- …As a member of a multidisciplinary health care team, the ambulatory clinical pharmacist provides distributive, clinical , consultative, and/or administrative ... pharmaceutical services. The clinical pharmacist selects, dispenses, drugs, medicines, and other therapeutic agents. Essential Functions The essential functions… more
- US Tech Solutions (May, OK)
- …availability could be required. (10%) **Experience:** + Minimum 1 year of experience in Prior Authorization & Medicare Part D although 2-5 years is preferred ... (20%) + Reviews cases in progress and provides a Clinical decision regarding Prior Authorizations, Tier Exceptions...**Skills:** + Prior Authorization + Medicare Part D **Education:**… more
- Geisinger (Wilkes-Barre, PA)
- …healthcare insurance company, physician's office and the pharmacy. + Assists with the Prior Authorization and approval process and the statement of medical ... patients and as well as developing and coordinating patient care within the clinical care team. This individual will coordinate the activities and lead resolution of… more
- Actalent (Kennett Square, PA)
- …of Pharmacy (PharmD) degree. + Order verification skills. + Experience with prior authorization processes. Additional Skills & Qualifications + Intermediate ... Job Title: Pharmacist Shift: 2nd Shift evenings Job Description We...Job Description We are seeking a dedicated and experienced Pharmacist to oversee prescription dispensing personnel and operations during… more
- Healthfirst (NY)
- …of Health, Centers for Medicare and Medicaid Services (CMS), Dept of Insurance]. + Perform prior authorization reviews as set forth by CMS and/or NYSDOH. Ensure ... Job Description **Duties and Responsibilities:** + Responsible for developing clinical criteria, medical policies for provider administered medications, review...prior authorization reviews are conducted in timeframes… more
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