- CVS Health (Austin, TX)
- …Clinical Pharmacist with CVS Health. This position is for a Clinical Pharmacist working in the Prior Authorization team. - Collaborates with the technicians ... **Required Qualifications** * 2+ years' experience working as a pharmacist in a PBM setting. * Current...PBM setting. * Current experience working with commercial Prior Authorizations in PBM * Experience using… more
- US Tech Solutions (May, OK)
- **Job Title: Prior Authorization Pharmacist - Remote ** **Location: Fully remote ** **Duration: 6 months contract** **Note: Ideal candidates must have ... Prior Authorization Medicare Part D Pharmacy Benefit Management ( PBM ) **Responsibilities:** Will be responsible for Reviewing and completing criteria based… more
- US Tech Solutions (May, OK)
- **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. **Responsibilities:** +...Medicare Part D + Must Have Pharmacy Benefit Management ( PBM ) experience. **Education:** + Pharm D. required with at… more
- Adecco US, Inc. (Louisville, KY)
- …and / or PBM , but will consider new graduate experientials + Prior call center experience + Strong knowledge of disease state management guidelines and the ... Adecco Healthcare and Life Sciences is currently hiring REMOTE Pharmacists. This is a remote / work-from-home opportunity. Please read below and apply with… more
- UNC Health Care (Morrisville, NC)
- …strategies that will be implemented for multiple types of patient populations. The PBM Pharmacist will create benefit designs that lead to optimal clinical ... means to achieve the most cost effective options. The PBM Pharmacist will prepare plan reviews and...are implemented according to requirements. + Oversee completion of prior authorization requests for members through collaboration with … more
- Veterans Affairs, Veterans Health Administration (Oakland Park, FL)
- …application. Responsibilities Total-Rewards-of-an-Allied-Health-VA-Career-Brochure.pdf The Hematology/Oncology Clinical Pharmacist Specialist (Hem/One CPS) serves as ... and other hospital committees as needed. The duties and responsibilities of the Pharmacist (Hematology/Oncology) may include, but are not limited to, any of the… more
- The Cigna Group (Bloomfield, CT)
- …- Clinical Pharmacist Part time 32 hour/week - California ( remote )** **_Pharmacy Care Navigators are healthcare professionals, who serve as customer advocates ... Demonstrates sensitivity to culturally diverse participants, situations and customers. This is a remote role but the Pharmacist must reside in California and… more
- Veterans Affairs, Veterans Health Administration (Honolulu, HI)
- …Maintains current knowledge, responsibility, understanding and oversight of all VISN 21 PBM , local and national performance measures in areas of assignment. Provides ... subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested...(ie, Puerto Rico), or the District of Columbia. The pharmacist must maintain current registration if this is a… more
- Adecco US, Inc. (Minneapolis, MN)
- …and / or PBM , but will consider new graduate experientials . Prior call center experience . Strong knowledge of disease state management guidelines and the ... Adecco Healthcare and Life Sciences is currently hiring REMOTE Pharmacists in the state of Louisiana. This is a remote / work-from-home opportunity. Please read… 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 and accurate...all clinical questions, escalations and judgement calls to the pharmacist team. + The Rep I, Clinical Services will… more
- Novant Health (Winston Salem, NC)
- …value and outcomes team, and the pharmacy business team. + Partnering with the PBM to develop and manage prior authorizations, step therapy programs, and ... Specialist at Novant Health works closely with the Pharmacy Benefits Manager ( PBM ), Benefits Consultant(s), and the People and Culture team to provide Novant… more
- CareOregon (Portland, OR)
- Candidates hired for remote positions must reside in Oregon, Washington, Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Position Title: Pharmacy Benefit ... 5% bonus target, full benefits. www.careoregon.org/about-us/careers/benefits Posting Notes: This fully remote position has a flexible schedule of five 8-hour shifts… more
- US Tech Solutions (May, OK)
- …experience working in PBM on managed care environments + **Skills:** + Prior Authorization + Medicare and Medicaid + Call handling experience. + **Education:** + ... Tech I is the initial point of contact for Prior Authorization requests from members, providers, and a diverse...if a complex request should be transferred to a pharmacist for assistance. Additionally, the Tech I is responsible… more
- Actalent (Fresno, CA)
- …requests based on defined criteria. Enters and documents coverage determination and/or prior authorization request decisions into the PBM system and notifies ... Medical Director on related issues. Tracks and triages coverage determination and/or prior authorization requests submitted from providers and determines if a … more
- Actalent (Orlando, FL)
- Pharmacy Technician Job Description These Technicians review Prior Authorizations for determination for a department that is part of a large healthcare insurance ... or denying authorizations and then sending them to a Pharmacist for final review. Technicians handle all health plans...Enter and document coverage determination request decisions into the PBM system and notify providers and/or members. - Respond… more