- Elevance Health (Grand Prairie, TX)
- …Provides clinical consulting services to internal partners. + Assists in implementing clinical programs within the prior authorization space. + Prepares ... industry. **Build the Possibilities. Make an Extraordinary Impact.** **Title** : Pharmacist Clinical Configuration **Location(s):** + 4361 Irwin Simpson Road,… more
- HCA Healthcare (San Antonio, TX)
- **Description** **Introduction** Do you have the career opportunities as a(an) Clinical Pharmacist Specialist you want with your current employer? We have an ... of colleagues. Do you want to work as a(an) Clinical Pharmacist Specialist where your passion for...pharmacist in another state: Provide proof of the Authorization to Test (ATT) from the Texas State Board… more
- HCA Healthcare (San Antonio, TX)
- …integrity. We care like family! Jump-start your career as a(an) Transplant Clinical Pharmacist Specialist today with Methodist Hospital Specialty and Transplant. ... by location._** Come join our team as a(an) Transplant Clinical Pharmacist Specialist. We care for our...pharmacist in another state: Provide proof of the Authorization to Test (ATT) from the Texas State Board… more
- HCA Healthcare (Dallas, TX)
- **Description** ** Clinical Pharmacist Specialist BMT** **BMT Experience required** **PRN Position** **Introduction** Experience the HCA Healthcare difference ... each individual is recognized. Submit your application for our Clinical Pharmacist Specialist BMT PRN opening with...pharmacist in another state: Provide proof of the Authorization to Test (ATT) from the Texas State Board… more
- HCA Healthcare (Jourdanton, TX)
- …worth of each individual is recognized. Submit your application for our Advanced Clinical Pharmacist opening with Methodist Hospital Atascosa today and find out ... may vary by location._** We are seeking a(an) Advanced Clinical Pharmacist for our team to ensure...pharmacist in another state: Provide proof of the Authorization to Test (ATT) from the Texas State Board… more
- Molina Healthcare (San Antonio, TX)
- …family include those involved in formulary management (such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and ... pharmacy costs management), clinical pharmacy services (such as, therapeutic drug monitoring, drug...knowledge of and be capable of running all pharmacy prior authorization /UM operations; support team workflow and… more
- Highmark Health (Austin, TX)
- …and implements the Organization's management programs including but not limited to: prior authorization , dose and duration edits, quantity limits, step-care ... health coaching. If acting in the capacity as a clinical pharmacist the incumbent may also review...of utilization management programs including but not limited to: prior authorization , dose and duration edits, quantity… more
- MD Anderson Cancer Center (Houston, TX)
- …to comply with institutional standards, initiatives, and guidelines (ABN's, prior authorization requirements, reimbursement optimization, formulary management, ... required and preferred licenses, certifications, training, and continuing education prior to the deadlines including but not limited to...the area of specialization (PGY 2). Experience as a clinical pharmacist in the area of specialization… more
- Prime Therapeutics (Austin, TX)
- …skills. + Ability to follow clinical criteria and instructions to approve prior authorization requests. + Minimum of 2 years dispensing or retail experience ... Center exp required-REMOTE **Job Description** Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone… more
- US Tech Solutions (San Antonio, TX)
- …professional phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation ... of all approvals and denials, and transfers all clinical questions and judgment calls to the pharmacist...phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and… more
- CenterWell (Austin, TX)
- …problems or questions and act as facilitator to resolve them with regard to prior authorization or obtaining medications. + Attend scheduled team meetings and ... plan limitations, drug utilization review overrides, requesting and completing prior authorization , and/or communicating with plan representatives and/or… more
- Molina Healthcare (Houston, TX)
- …Services, pharmacies, and health plan providers in resolving member prescription claim, prior authorization , or pharmacy services access issues. * Articulates ... (such as, reviewing drug/provider utilization patterns and pharmacy costs management), clinical pharmacy services (such as, therapeutic drug monitoring, drug regimen… more
- CVS Health (Gun Barrel City, TX)
- …the pharmacy team in doing so, to resolve barriers to patient care, including prior authorization , formulary changes, copay concerns, etc. + Ensures the pharmacy ... to care and helping to improve patient outcomes through pharmacist delivered clinical care such as testing...the state where the Store is located - required ** Prior Relevant Work Experience** 1 to 3 years -… more
- US Tech Solutions (San Antonio, TX)
- …collected to perform prior authorization for specialty medications. The clinical pharmacist will apply clinical knowledge to plan approved criteria ... **Position Summary:** The clinical pharmacist is an operation based...phone calls and escalations from physicians or patients regarding Prior Authorization (50%) 4. Establishes and maintains… more
- HCA Healthcare (Live Oak, TX)
- …(PharmD) + Bachelor of Science in Pharmacy ONE of the following: + Two years clinical pharmacist experience in an acute care hospital setting + Completion of an ... of systems and supervision of personnel involved in providing clinical pharmacy services to all patients. Works closely with...pharmacist in another state: Provide proof of the Authorization to Test (ATT) from the Texas State Board… more
- Ascension Health (Austin, TX)
- …assist with patient medication access including, benefit investigation, prior authorization , and financial assistance. + Assist Pharmacist in preparation of ... **Responsibilities** Provide distributive pharmacy services and technical support for the Pharmacist . Perform activities or tasks in specialty pharmacy services. +… more
- UTMB Health (Galveston, TX)
- …of immunizations + Works with patients, providers, and payers to obtain prior authorization + Resolves billing/adjudication issues encountered in the processing ... Technologist assists Pharmacists in providing drug distribution, technical services, and clinical services associated with the preparation, storage and dispensing of… more
- UTMB Health (League City, TX)
- …as excel, power point, etc. + Has advanced knowledge of PBM billing and prior authorization procedures. + Demonstrated ability to prioritize and solve problems. ... Specialist assists pharmacists in providing drug distribution, technical services, and clinical services associated with the preparation, storage, and dispensing of… more
- Highmark Health (Austin, TX)
- …then creates the case (data entry) in Highmark's Utilization Management system for Prior Authorization clinical review. Ensures all accurate information is ... identified cases that require additional notification to member, provider, and/or pharmacist .At times, outreach to providers and/or pharmacists may be required to… more
- UTMB Health (Galveston, TX)
- …of immunizations + Works with patients, providers, and payers to obtain prior authorization + Resolves billing/adjudication issues encountered in the processing ... assists pharmacists in providing drug distribution, technical services, and clinical services associated with the preparation, storage, and dispensing of… more