- The Cigna Group (Columbus, OH)
- …+ Registered pharmacist in the state of practice + Highly-evolved clinical pharmacy skills and/or clinical knowledge of a specific disease state ... missing time cannot be accommodated._** **POSITION SUMMARY** The Staff Pharmacist interprets physicians' prescriptions, contacts doctors or other prescribers and/or… more
- Highmark Health (Columbus, OH)
- …and implements the Organization's management programs including but not limited to: prior authorization , dose and duration edits, quantity limits, step-care ... health coaching. If acting in the capacity as a clinical pharmacist the incumbent may also review...of utilization management programs including but not limited to: prior authorization , dose and duration edits, quantity… more
- Prime Therapeutics (Columbus, OH)
- …skills. + Ability to follow clinical criteria and instructions to approve prior authorization requests. + Minimum of 2 years dispensing or retail experience ... Pharmacy Technician SR **Job Description** Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone… more
- CenterWell (Columbus, OH)
- …problems or questions and act as facilitator to resolve them with regard to prior authorization or obtaining medications. + Attend scheduled team meetings and ... plan limitations, drug utilization review overrides, requesting and completing prior authorization , and/or communicating with plan representatives and/or… more
- Molina Healthcare (Columbus, OH)
- …Services, pharmacies, and health plan providers in resolving member prescription claim, prior authorization , or pharmacy services access issues. * Articulates ... (such as, reviewing drug/provider utilization patterns and pharmacy costs management), clinical pharmacy services (such as, therapeutic drug monitoring, drug regimen… more
- Highmark Health (Columbus, OH)
- …then creates the case (data entry) in Highmark's Utilization Management system for Prior Authorization clinical review. Ensures all accurate information is ... identified cases that require additional notification to member, provider, and/or pharmacist .At times, outreach to providers and/or pharmacists may be required to… more