- Optum (Kansas City, MO)
- …assignments that matter. Join us to start Caring. Connecting. Growing together. This Pharmacist Intern will be located on-site at a Genoa Healthcare pharmacy in ... are not local to the Kansas City area. The Pharmacist Intern will be working as part of Genoa...regulations) or be able to obtain an active licensure prior to the start of the intern program Must… more
- Humana (Jefferson City, MO)
- …necessity and comprehensive medication reviews for prescriptions requiring prior authorization . This role involves evaluating complex clinical scenarios and ... help us put health first** The Staff Utilization Management Pharmacist is a clinical expert responsible for...per calendar year** **Job Description:** The Staff Utilization Management Pharmacist is a clinical professional responsible for… more
- Humana (Jefferson City, MO)
- …Solutions ensuring compliance with programmatic requirements, such as claims processing, prior authorization , formulary management and clinical programming ... of our caring community and help us put health first** The Clinical Pharmacist Lead monitors drug development pipeline, and medical literature, while providing … more
- SSM Health (St. Louis, MO)
- …service experience through the provision of benefits investigations and conducting prior authorization services. Develops a thorough understanding of payer ... hospital and clinic employees, including but not limited to pharmacists, clinical staff, fiscal personnel, department managers, access services staff, coding staff,… more
- Prime Therapeutics (Jefferson City, MO)
- …skills. + Ability to follow clinical criteria and instructions to approve prior authorization requests. + Minimum of 2 years dispensing or retail experience ... Technician Sr - Remote **Job Description** Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone… more
- Elevance Health (St. Louis, MO)
- … 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
- Veterans Affairs, Veterans Health Administration (Springfield, MO)
- …clinically assigned duties of staff including VA National Formulary non-formulary and prior - authorization formulary Prior Approval Drug Request consults. ... They supervise the day-to-day work of assigned staff, including clinical staff pharmacists and technicians and manages their workflow....subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested… more
