- CVS Health (Austin, TX)
- …quality outcomes for members. This must include established experience in functions beyond prior authorization approval or drug utilization review. OR 3+ years ... more
- Molina Healthcare (Austin, TX)
- Molina Healthcare is hiring for a Pharmacist in our UM/ Prior Authorization department. This position is remote and can be worked from a variety of locations ... more
- CVS Health (Austin, TX)
- …other clinical colleagues, healthcare professionals and members. - Follow all prior authorization procedures to guarantee an accurate process on each ... more
- Prime Therapeutics (Austin, TX)
- …skills. + Ability to follow clinical criteria and instructions to approve prior authorization requests. + Minimum of 2 years dispensing or retail experience ... more
- Centene Corporation (Austin, TX)
- …for planning, creating, maintaining and reviewing HN Medicare Part D Formularies, Prior Authorization criteria, Step Therapy criteria and other utilization ... more
- Molina Healthcare (Austin, TX)
- …Services, pharmacies, and health plan providers in resolving member prescription claim, prior authorization , or pharmacy services access issues. * Articulates ... more
- Prime Therapeutics (Austin, TX)
- …services that meet clinical review criteria. Refers all cases not meeting clinical criteria to pharmacist clinical reviewer. + Practices and maintains ... more
- Ascension Health (Austin, TX)
- …assist with patient medication access including, benefit investigation, prior authorization , and financial assistance. + Assist Pharmacist in preparation of ... more
- BrightSpring Health Services (Austin, TX)
- …Ensures that insurance verification is completed and authorization is in place prior to giving the referral to a Pharmacist .* Maintains confidentiality of ... more
- Highmark Health (Austin, TX)
- …then creates the case (data entry) in Highmark's Utilization Management system for Prior Authorization clinical review. Ensures all accurate information is ... more