- Cedars-Sinai (Beverly Hills, CA)
- …a row on the "Best Hospitals" Honor Roll. The remote Oncology Clinical Prior Authorization Pharmacist Specialist in our Samuel Oschin Cancer Center will ... ID** : 5618 **Working Title** : Pharmacist - Oncology Clinical Prior Authorization - Remote **Department** : Pharmacy Training **Business Entity** :… 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 (TX)
- **Job Title:** ** Prior Authorization Pharmacist ** **Location: Remote ** **Duration: 6+ months contract** **Job Description:** + 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
- CVS Health (Columbus, OH)
- …for a Clinical Pharmacist with CVS Health. This position is for a Clinical Pharmacist working in the Prior Authorization team. - Evaluate and review all ... employee discount at all CVS stores. This is a remote role open to qualified candidates within the United...a pharmacist in a PBM setting, including prior authorization experience in a PBM environment… more
- TEKsystems (Rochester, NY)
- Description: The Pharmacy Prior Authorization Technician performs functions as permitted by law including the initial level processing and review of prior ... leadership and expertise in the intake area of the prior authorization process for medications processed either...M-F 8am-5pm EST (no part time hours being offered) Remote but you must live in one of their… more
- Veterans Affairs, Veterans Health Administration (Chicago, IL)
- …clinical recommendations in an anticoagulation note as necessary. Reviews chemotherapy orders/ prior authorization drug requests for dosage, frequency, cycle, and ... Summary The Clinical Pharmacist (Inpatient) will be assigned to centralized staffing...evaluations concerning the utilization of drugs. Participates in the prior authorization drug request review process of… more
- Veterans Affairs, Veterans Health Administration (North Chicago, IL)
- …for special- authorization drug requests. For those medications requiring a prior authorization , criteria for use, imaging, or laboratory data, the ... in the Community prescriptions; ensure all community care prescriptions for special- authorization drugs are documented in the veteran's medical record; FHCC… more
- Adecco US, Inc. (Los Angeles, CA)
- …license in state of California . 2 years of experience working as a prior authorization pharmacist **.** Experience using clinical resources, eg, Micromedex, ... Adecco Healthcare & Life Sciences is hiring an Appeals Pharmacist . This role is remote / work...designated service level agreements. . Evaluate and review all prior authorization requests and render coverage determinations… more
- Ardon (Vancouver, WA)
- …to work in a fast-paced environment. Knowledge of pharmacy benefit investigation, prior authorization support, and patient financial assistance connection. ... and continuing treatment with a specialty medication. The Integrated Specialty Services Pharmacist provides in‑clinic and remote services centered on expediting… more
- Centene Corporation (New York, NY)
- …including a fresh perspective on workplace flexibility. **Position Purpose:** The Clinical Pharmacist processes review prior authorization requests for ... and cost effective pharmacological therapies. + Reviews a completed prior authorization request received from the provider...clinical judgment on a case by case basis. A pharmacist will review medication requests not addressed by P&T… 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...healthcare. **Skills:** + Prior Authorization . + Medicare. + ...healthcare. **Skills:** + Prior Authorization . + Medicare. + Prior … 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
- Adecco US, Inc. (Charlotte, NC)
- …(clinical and regulatory) internet sites **.** Experience in Coverage Determinations ( prior authorization ) or member appeals **Why work for Adecco?** ... Adecco Healthcare & Life Sciences is hiring an Appeals Pharmacist . This role is remote / work from home. Please read below and apply with an updated resume for… more
- Penn Medicine (Philadelphia, PA)
- …South 76th Street, near the Philadelphia Airport, to oversee and support the Prior Authorization and Specialty Benefit Investigation Team. Hybrid work model--3 ... Medicine is seeking a full-time, day shift Outpatient Lead Pharmacist for its Specialty Central Fill location at 3250...days onsite and 2 days remote , after completing onsite training and onboarding Summary: +… more
- Veterans Affairs, Veterans Health Administration (Topeka, KS)
- …1. Serves as the subject matter expert for compounded medication shortages and prior authorization process for all parties involved (eg, VA, manufacturer) along ... telework but has not been authorized as virtual or remote (ie, the must be able to work at...subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested… more
- Centene Corporation (Tallahassee, FL)
- …to the assigned pharmacy technicians + Develop and review guideline criteria for prior authorization and non-formulary drugs in support of Pharmacy and ... information to maintain drug knowledge and disease state understanding for application to prior authorization reviews + Performs other duties as assigned +… more
- US Tech Solutions (May, OK)
- …other clinical colleagues, healthcare professionals and members. + * Follow all prior authorization procedures to guarantee an accurate process on each ... **Job Summary:** This is a remote position and requires the ability to effectively...* Refer cases not meeting clinical criteria to the Pharmacist and MD team(s). + * Shift priorities while... prior authorization . + * Train and mentor… more
- Actalent (Birmingham, AL)
- …as required by the state of operation. + Strong computer skills. + Prior authorization experience. + Proficiency with Microsoft Office, including Outlook. + ... Remote Pharmacy Technician Job Description We are seeking...We are seeking a dedicated Pharmacy Technician to review Prior Authorizations and make determinations for a large healthcare… more
- Prime Therapeutics (Columbus, OH)
- …Manages current clients in all Medical Pharmacy programs such as Fee Schedule Management, Prior Authorization , Post Service Claim Edits, Site of Service and any ... **Job Posting Title** Director, Specialty Clinical Solutions- RPH/PharmD required- REMOTE **Job Description Summary** Responsible for support and development of… more
- Molina Healthcare (Covington, KY)
- …Services, pharmacies, and health plan providers in resolving member prescription claim, prior authorization , or pharmacy services access issues. * Articulates ... and medication use policies). **Job Duties** * Collaborate with Molina pharmacist on medication adherence and provide follow-up on identified adherence barriers.… more