- 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
- US Tech Solutions (May, OK)
- **Job Title: Prior Authorization Pharmacist - Remote** **Location: Fully remote** **Duration: 6 months contract** **Note: Ideal candidates must have ... experience of Prior Authorization , Medicare Part D and Pharmacy...required with at least two years' experience as a pharmacist . Must have an active license in the state… 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 ... Handles inbound phone calls and escalations from physicians or patients regarding Prior Authorization (50%) 4. Establishes and maintains communication, health… more
- CareOregon (Portland, OR)
- …of prior authorization and formulary exception decisions. + Perform prior authorization reviews with pharmacist oversight. Appeals and Grievances + ... process. + Follow policy & procedures to facilitate a resolution for prior authorization , formulary exception and coverage determinations requests. Notify… more
- US Tech Solutions (May, OK)
- …a best-in-class service experience. **Responsibilities:** + Evaluate and review all prior authorization requests and render coverage determinations based on ... & denial management processes. (60%) + Collaborates with the technicians and prior authorization team members to process referrals, including answering clinical… 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
- 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
- Northern Light Health (Bangor, ME)
- …pharmacy. * Clinical Duties as directed including but not limited to: * Prior Authorization Completion * Financial Assistance Procurement * Counseling and ... duties as deemed appropriate by Assistant Pharmacy Managers, the Pharmacist -In-Charge, and/or the Pharmacy Business Operations Manager. Responsibilities: * Neat… more
- Dayton Children's Hospital (Dayton, OH)
- …including: refill too soon, IVR, on order, owe procedure, auto-refill function, prior authorization processing, and texting. + Contributes to audit prevention ... Facility:Dayton Children's - Main CampusDepartment:Retail PharmacySchedule:Full timeHours:40Job Details:The pharmacist oversees the daily operations within the department… more
- Veterans Affairs, Veterans Health Administration (Asheville, NC)
- …VistA and CPRS, and experience with formulary management and adjudicating Prior Authorization drug requests, medication reconciliation, and coordinating ... Summary Clinical Pharmacist community care are responsible for primary outpatient...subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested… 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
- UNC Health Care (Morrisville, NC)
- …and plan designs are implemented according to requirements. + Oversee completion of prior authorization requests for members through collaboration with Prior ... of the unique communities we serve. Summary: Pharmacy Benefit Management Pharmacist will develop formulary and drug utilization management strategies that will… 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
- University of Maryland, Baltimore (Baltimore, MD)
- …Program. The pharmacist will review the clinical information from antipsychotic prior authorization requests and once approved, enter medication approvals in ... they contribute to a respectful, positive workplace. *PRIMARY DUTIES:* * Reviews prior authorization documents and data from prescribers, such as… 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 ... Do you have the career opportunities as a(an) Clinical Pharmacist Specialist Behavioral Health you want with your current...(BPS) certification + **ONE** of the following is required prior to the first day of employment: Current Registered… 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 ... Do you have the career opportunities as a(an) Clinical Pharmacist Specialist BMT Onc you want with your current...(BPS) certification + **ONE** of the following is required prior to the first day of employment: Current Registered… more
- Omnicell (New Orleans, LA)
- …of Interfacing with hospital/health system/provider exec teams. + Experience with Prior Authorization **Work Environment and Physical Demands:** + **Must ... **Position: Pharmacist -In-Charge (PIC) - Tulane Pharmacy** Glad you're here....M-F, 9-5** **How You'll Make an Impact:** As a Pharmacist -In-Charge on the Specialty Pharmacy team at Omnicell, you'll… more
- Providence (Spokane, WA)
- …medication use. 3. Prior Authorizations: Initiate and complete prior authorization requests for disease-modifying therapies. Communicate with insurance ... **Description** ** Pharmacist Intern at Holy Family Hospital - Spokane,...information to patients under the supervision of a clinical pharmacist including educating patients on medication adherence, potential side… more
- Hackensack Meridian Health (Eatontown, NJ)
- …revenue, number of prescriptions, margin, capture rate, phone metrics, consumer satisfaction, prior authorization approval rate, time, and turnaround time. 4. ... as a leader of positive change. The Specialty Clinical Pharmacist assists the Clinical Coordinator and Pharmacy Manager in...A day in the life of a Specialty Clinical Pharmacist at Hackensack Meridian _Health_ includes: 1. Lead a… more
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