- CVS Health (Columbus, OH)
- …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
- 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)
- …passion and drives every decision we make. **Job Posting Title** Clinical Pharmacist /Algorithms- REMOTE **Job Description Summary** Performs prospective and/or ... procedures, policies, guidelines, and work instructions. **Job Description** + Provides prior - authorization services for formulary drugs, develops programs to… 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