- CVS Health (Boston, MA)
- …Clinical Pharmacist with CVS Health. This position is for a Clinical Pharmacist working in the Prior Authorization team. - Evaluate and review all ... a pharmacist in a PBM setting, including prior authorization experience in a PBM environment...Ability to receive phone calls from prior authorization pharmacy technicians and/or providers for clinical … more
- Tufts Medicine (Medford, MA)
- …job area through explanation of facts, policies and practices. **Job Overview** Clinical pharmacists (CP) work closely with other health practitioners to meet the ... Description** **Minimum Qualifications** **:** 1. Bachelor's degree in Pharmacy. 2. Pharmacist License. 3. One (1) year of related experience. **Preferred… more
- Prime Therapeutics (Boston, MA)
- …skills. + Ability to follow clinical criteria and instructions to approve prior authorization requests. + Minimum of 6 months dispensing or retail experience ... Technician II **Job Description Summary** Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone… more
- Prime Therapeutics (Boston, MA)
- …Manages current clients in all Medical Pharmacy programs such as Fee Schedule Management, Prior Authorization , Post Service Claim Edits, Site of Service and any ... drives every decision we make. **Job Posting Title** Director, Specialty Clinical Solutions- RPH/PharmD required- REMOTE **Job Description Summary** Responsible for… more
- Beth Israel Lahey Health (Westwood, MA)
- …**Essential Responsibilities:** 1. Understands product and payer reimbursement landscape and prior authorization guidelines and processes. 2. Collects and ... reviews all data needed pharmacy and/or medical for prior authorization approvals. 3. Resolves insurance related...provider and pharmacy staff; and clarifies prescription orders with pharmacist and/or clinician as appropriate. 5. Serves as the… more
- Prime Therapeutics (Boston, MA)
- …prescribers are aware of Plan policy and requirements for claims submissions and/or prior authorization (PA) requests. Conducts outbound calls and visits to ... reporting, letter preparation, and other duties to assist the Pharmacist Account Executive (PAE) or Clinical Account...assist the Pharmacist Account Executive (PAE) or Clinical Account Manager in providing support to the client.… more
- Option Care Health (Marlborough, MA)
- …patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the ... Summary:** A Warehouse Coordinator is responsible for the daily flow of clinical supplies between the pharmacy and nursing departments. Functions to support the… more