- Elevance Health (Seven Hills, OH)
- …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
- Veterans Affairs, Veterans Health Administration (Cleveland, OH)
- Summary The Non-Formula Prior Authorization Clinical Pharmacist is responsible for adjudicating requests for the Non Formulary (NF) and Prior ... communication, organization skill, independent judgement, and problem-solving ability. The Clinical Pharmacist works under supervision of the Associate… more
- Humana (Columbus, OH)
- …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
- ProMedica Health System (Toledo, OH)
- …40 **Shift:** Days (United States of America) **Job Summary:** As the Clinical Pharmacist IV, you provide comprehensive inpatient pharmacy services, including ... unless noted otherwise* ** Clinical Pharmacy Practice** + Performs all duties of Clinical Pharmacist I, II, and III. + Communicates effectively orally and in… more
- Elevance Health (Mason, 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
- CVS Health (Columbus, OH)
- …processing, contractual oversight, formulary management and updates, medication utilization review, prior authorization processes in alignment with contract, and ... Aetna Better Health OhioRISE will be responsible for all clinical , financial, operational and compliance activities related to the...a remote, work from home role open to qualified pharmacist candidates **licensed and residing** in the State of… more
- Bon Secours Mercy Health (Youngstown, OH)
- …or a prescriber's agent as authorized by state law and responsible pharmacist authorization . *Entering information into and retrieving information from an ... those drugs from inventory locations; counting and pouring drugs into containers prior to dispensing by a pharmacist ; performing non-sterile drug compounding… more
- Highmark Health (Columbus, OH)
- …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
- Option Care Health (Hudson, OH)
- …patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the ... Summary:** A Warehouse Coordinator is responsible for the daily flow of clinical supplies between the pharmacy and nursing departments. Functions to support the… more