- Elevance Health (Indianapolis, IN)
- …in the industry. **Build the Possibilities. Make an Extraordinary Impact.** **Title** : Clinical Pharmacist ( Prior Authorization ) **Location(s):** + ... unless an accommodation is granted as required by law._** The ** Clinical Pharmacist ** is responsible for managing the selection and utilization of… more
- Highmark Health (Indianapolis, IN)
- …**JOB SUMMARY** This job reviews requests for medication coverage determination for prior authorization review and appeals. Through the Utilization Review ... system, the incumbent evaluates clinical information provided by the physician against medical policy...+ Make coverage determinations by evaluating physician requests for prior authorization or appeals against medical policy… more
- Highmark Health (Indianapolis, IN)
- …claims history, clearly defines the medical necessity of non-formulary and prior authorization medication exception requests. Interacts with pharmacy network ... requests for drug authorizations or denials. + Review of prior authorization criteria for drug products. +...and/or additional information when necessary. + Consult with staff clinical pharmacist for guidance and assistance as… more