- US Tech Solutions (May, OK)
- …collected to perform prior authorization for specialty medications. The clinical pharmacist will apply clinical knowledge to plan approved criteria ... The clinical pharmacist is an operation based... pharmacist availability could be required. **Experience:** + Prior authorization experience preferred. + Medicare Part… 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 (Denver, CO)
- Remote Pharmacist Clinical Review - 8am - 5pm CST Description Your main role will be utilizing your clinical skills to complete utilization management ... ANY state except for California and Virginia * Current pharmacist license in good standing with the State Board...or feedback to drive results. 4. Ability to make clinical decisions independently 5. Flexibility to change and resourceful… more
- UCLA Health (Los Angeles, CA)
- …and if needed coordinate with the prescribing provider to update orders per protocol prior to authorization submission. You will serve as the primary ambulatory ... in Oncology (required) + Prior Infusion Experience (preferred) + Prior Medical Benefit Authorization Experience (strongly preferred) + Epic experience… 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** Experience the HCA Healthcare difference ... each individual is recognized. 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)
- …worth of each individual is recognized. Submit your application for our Advanced Clinical Pharmacist opening with Methodist Hospital Atascosa today and find out ... 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
- CareOregon (Portland, OR)
- …services. + Develop and conduct retrospective drug use reviews. + Review medication prior authorization requests and appeals. + Develop and implement clinical ... Pharmacy Department functions including medication therapy management, DUR programs, medication prior authorization , and others. + Develop and conduct quality… more
- CVS Health (Woonsocket, RI)
- …programs are implemented correctly. Knowledge of utilization management interventions including prior authorization , step therapy, quantity limits, and Medicare ... - Demonstrated in-depth understanding of utilization management and formulary, including prior authorization , step therapy, quantity limits, and Traditional drug… 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
- VNS Health (Manhattan, NY)
- … clinical operations. + Participates in the decision making process for Prior Authorization processes related to pharmacy claims. + Responds to, researches ... OverviewProvides technical, analytic and clinical support related to the management of VNS...in New York State to Practice as a Registered Pharmacist required + Valid driver's license or NYS Non-Driver… more
- Independent Health (Buffalo, NY)
- … Clinical Review Pharmacist -Part-Time will be responsible for completing prior authorization reviews and assisting in formulary management, pharmacy and ... + Knowledge of all aspects of the prior authorization process. + Knowledge of clinical protocols, policies and procedures required to administer the pharmacy… more
- Centene Corporation (Olympia, WA)
- …plan design changes, and clinical programs to be initiated + Monitor prior authorization requests + Provide clinical support to internal departments ... the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified,… more
- Ochsner Health (New Orleans, LA)
- …Microsoft Office. **Job Duties** + Performs patient assessment and care. + Performs prior authorization and insurance resolution services. + Oversees the Patient ... Provides drug information to patients and healthcare providers. Works to resolve prior authorizations and all insurance billing on behalf of the patient and… more
- Ochsner Health (Baton Rouge, LA)
- …Microsoft Office. **Job Duties** + Performs patient assessment and care. + Performs prior authorization and insurance resolution services. + Oversees the Patient ... Provides drug information to patients and healthcare providers. Works to resolve prior authorizations and all insurance billing on behalf of the patient and… more
- CVS Health (Paramount, CA)
- …the pharmacy team in doing so, to resolve barriers to patient care, including prior authorization , formulary changes, copay concerns, etc. + Ensures the pharmacy ... to care and helping to improve patient outcomes through pharmacist delivered clinical care such as testing...D. degree required **Doctor of Pharmacy (PharmD) is preferred** ** Prior Relevant Work Experience** + 1 to 5 years… more
- Ardon (Portland, OR)
- …to work in a fast-paced environment. Knowledge of pharmacy benefit investigation, prior authorization support, and patient financial assistance connection. ... we continue to grow, we are seeking a Production Pharmacist Supervisor to join our award-winning specialty pharmacy team....barriers to care and provide patients with the education, clinical care and supportive services they need on their… more
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