- US Tech Solutions (May, OK)
- **Job Description:** + Responsible for reviewing and completing criteria based on prior authorization as per policy and procedure. **Responsibilities:** + This ... be responsible for: Reviewing and completing criteria based on prior authorization as per policy and procedure....required with at least two years experience as a pharmacist in Managed care environment. + Must have an… 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
- US Tech Solutions (May, OK)
- …hours pharmacist availability could be required. **Experience:** + Experience as a Prior Authorization Pharmacist is required. **Skills:** + Prior ... role that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply… more
- US Tech Solutions (May, OK)
- …conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply clinical ... and after hours pharmacist availability could be required. **Experience:** + Prior authorization experience preferred. + Medicare Part D experience required… more
- US Tech Solutions (New York, NY)
- …conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply clinical ... Handles inbound phone calls and escalations from physicians or patients regarding Prior Authorization (50%) 4. Establishes and maintains communication, health… more
- Sharp HealthCare (San Diego, CA)
- …prescription issues including, but not limited to, refills, refill too soon, and Prior Authorization Requests (PAR).Notifies pharmacist of computer warnings, ... sheet. + Prescription processingAdheres to all legal and pharmacy procedures, including pharmacist check of all work prior to dispensing.Understands and… more
- Molina Healthcare (Columbus, OH)
- Molina Healthcare is hiring for a Pharmacist in our UM/ Prior Authorization department. This position is remote and can be worked from a variety of locations ... family include those involved in formulary management (such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and… more
- Ardon (Portland, OR)
- …to work in a fast-paced environment. Knowledge of pharmacy benefit investigation, prior authorization support, and patient financial assistance connection. ... 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 about… more
- US Tech Solutions (RI)
- **Job Title: Prior Authorization Specialist** **Location: Fully remote** **Duration: 12 months contract** **Job Description:** + Prior Authorization ... phone assistance to all callers through the criteria based prior authorization process. + Maintains complete, timely...all clinical questions, escalations and judgement calls to the pharmacist team. + The Rep I, Clinical Services will… more
- SSM Health (St. Louis, MO)
- …our healthcare system." **Job Summary:** Responsible for managing the pharmacy infusion prior authorization department to ensure the timely submission of ... and Requirements:** PRIMARY RESPONSIBILITIES + Leads and develops the infusion prior authorization processes and systems to maximize service, data… more
- Northern Light Health (Bangor, ME)
- …pharmacy. * Clinical Duties as directed including but not limited to: Prior Authorization Completion Financial Assistance Procurement Counseling and educating ... duties as deemed appropriate by Assistant Pharmacy Managers, the Pharmacist -In-Charge, and/or the Pharmacy Business Operations Manager. Responsibilities: * Neat… more
- US Tech Solutions (AZ)
- …required. (10%) **Experience:** + Pharmacist License of Current State + Prior Authorization Experience. + Medicare Experience + Experience working in ... **Job Title:** ** Pharmacist ** **Location: Remote** **Duration: 12+ months contract** **Job...healthcare. **Skills:** + Prior Authorization . + Medicare. + ...healthcare. **Skills:** + Prior Authorization . + Medicare. + Prior … more
- Sharp HealthCare (San Diego, CA)
- …issues including, but not limited to, refills, refill too soon, and Prior Authorization Requests (PAR).Participates in the coordination and expansion of ... Time** **Shift End Time** Doctor of Pharmacy (PharmD); California Pharmacist License - CA State Board of Pharmacy; BPS...CME funding and outcomes research.Maintain turn around time for prior authorization determination to meet or exceed… more
- The County of Los Angeles (Los Angeles, CA)
- PHARMACIST Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/1421628) Apply PHARMACIST Salary $155,836.32 - $178,485.84 Annually Location ... service are met and is subject to closure without prior notice EXAM NUMBER: Y5512Q TYPE OF RECRUITMENT: OPEN...Angeles is currently offering up to 20% bonus for Pharmacist positions hired by Correctional Health Services and working… more
- Healthfirst (NY)
- **Duties & Responsibilities:** + Monitor and review prior authorization requests for medications + Calculate appropriate billable units based on dosing, ... drug knowledge and disease state understanding for application to prior authorization reviews + Ensure prior...degree from an accredited school of pharmacy + Registered Pharmacist with a state license in good standing. +… more
- CareOregon (Portland, OR)
- …pharmacy program will be an important aspect of this position. + Review medication prior authorization requests and appeals as assigned. + Review and refine ... regarding Pharmacy Department functions including medication therapy management, DUR programs, medication prior authorization , and others as applicable. + Use an… more
- US Tech Solutions (May, OK)
- …and courteous phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of ... all clinical questions, escalations and judgement calls to the pharmacist team. The Rep I, Clinical Services will also...the leadership team. Work closely with providers to process prior authorization (PA) and drug benefit exception… more
- HCA Healthcare (San Antonio, TX)
- …of Pharmacy or Licensed pharmacist in another state: Provide proof of the Authorization to Test (ATT) from the Texas State Board of Pharmacy. + ACLS/PALS and ... care like family! Jump-start your career as a(an) Transplant Clinical Pharmacist Specialist today with Methodist Hospital Specialty and Transplant. **Benefits**… more
- HCA Healthcare (Dallas, TX)
- …of Pharmacy 2. Licensed pharmacist in another state: Provide proof of the Authorization to Test (ATT) from the Texas State Board of Pharmacy + ACLS/PALS and NALS ... **Description** **Clinical Pharmacist Specialist BMT** **BMT Experience required** **PRN Position**...pharmacy Licenses/Certifications + Must have ONE of the following prior to the first day of employment: 1. Current… more
- HCA Healthcare (Nashville, TN)
- …of Pharmacy + Licensed pharmacist in another state: Provide proof of the Authorization to Test (ATT) from the Texas State Board of Pharmacy. + ACLS/PALS and NALS ... you have the PRN career opportunities as a(an) Clinical Pharmacist Specialist BMT Oncology PRN you want with your...Specialty (BPS) certification **ONE** of the following is required prior to the first day of employment: + Current… more
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