- Prime Therapeutics (Providence, RI)
- …procedures, policies, guidelines, and work instructions. **Job Description** + Provides prior - authorization services for formulary drugs, develops programs to ... decision we make. **Job Posting Title** Clinical Pharmacist - Remote in California **Job Description Summary** Performs prospective and/or...provide optimal pharmacy care to patients, participates in drug utilization review… more
- Prime Therapeutics (Providence, RI)
- …clients in all Medical Pharmacy programs such as Fee Schedule Management, Prior Authorization , Post Service Claim Edits, Site of Service and any additional ... **Job Posting Title** Director, Specialty Clinical Solutions -RPH/PharmD required- REMOTE **Job Description Summary** Responsible for support and development of… more
- Cardinal Health (Providence, RI)
- …and/or Medical Claims billing and Coding work experience + 1-2 years' experience with Prior Authorization and Appeal submissions + Ability to work with high ... patient population + Follow through on all benefit investigation rejections, including Prior Authorizations, Appeals, etc. All avenues to obtain coverage for the… more
- Cardinal Health (Providence, RI)
- …billing and Coding work experience is preferred + 1-2 years of experience with Prior Authorization and Appeal submissions + Must be able to manage multiple ... healthcare providers regarding the patient journey. + Support healthcare providers with Prior Authorization and Appeals submission to Insurance carrier. +… more