- Elevance Health (Columbus, OH)
- ** Pharmacist Clinical - Prior Authorization ( Pharmacist Clinical )** _Location: Virtual with the ideal candidate living within 50 miles of one of ... our Elevance Health PulsePoint locations._ The ** Pharmacist Clinical ** is responsible for managing the... clinical support for therapeutic interventions. + Makes prior authorization determinations based upon formulary and… more
- Elevance Health (Columbus, OH)
- …conversion and clinical support for therapeutic interventions. + Make prior authorization determinations, research, and synthesize detailed clinical ... ** Pharmacist Clinical ** _Location: Virtual with the ideal candidate living within 50 miles of one of our Elevance Health PulsePoint locations._ The **… more
- Elevance Health (Columbus, OH)
- …Provides clinical consulting services to internal partners. + Assists in implementing clinical programs within the prior authorization space. + Prepares ... ** Pharmacist Clinical Configuration ( Pharmacist ...related to pharmaceuticals. + Assists in developing and configuring prior authorization decision trees in the workflow… more
- Prime Therapeutics (Columbus, OH)
- …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 (Columbus, OH)
- …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
- Elevance Health (Columbus, OH)
- … authorization decision trees within the workflow tool + Assists in implementing clinical programs within the prior authorization space + Verifies member, ... for the interpretation and data entry of moderately complex prescriptions, prior authorization processing, and troubleshooting adjudication issues. **How you… more