• Clinical Pharmacist - Prior

    Veterans Affairs, Veterans Health Administration (Columbus, OH)
    …Veterans Outpatient Clinic in Columbus, Ohio, is recruiting for a Clinical Pharmacist - Prior Authorization Drug Requests (PADRs) of Pharmacy Service. ... and clinical guidelines in the Health System. Provides consistent oversight of prior authorization reviews allowing for equal care amongst patients seen at… more
    Veterans Affairs, Veterans Health Administration (12/25/24)
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  • Clinical Pharmacist - Prior

    CVS Health (Austin, TX)
    Pharmacist with CVS Health. This position is for a Clinical Pharmacist working in the Prior Authorization team. - Collaborates with the technicians ... Ability to receive phone calls from prior authorization pharmacy technicians and/or providers for clinical ... authorization pharmacy technicians and/or providers for clinical information. * Active pharmacist license that… more
    CVS Health (12/21/24)
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  • Clinical Review Pharmacist

    Independent Health (Buffalo, NY)
    …**Overview** The Clinical Review Pharmacist shall assist the pharmacy prior authorization manager in formulary management including, but not limited to, ... + Knowledge of all aspects of the prior authorization process. + Knowledge of clinical protocols, policies and procedures required to administer the pharmacy… more
    Independent Health (12/20/24)
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  • Clinical Pharmacist

    Ardon (Portland, OR)
    As we continue to grow, we are seeking a Clinical Pharmacist to join our award-winning specialty pharmacy team. About Ardon Health At Ardon, we are passionate ... experience in an elevated role. We are recruiting a Clinical Pharmacist to join our team of...in a fast-paced environment. Knowledge of pharmacy benefit investigation, prior authorization support, and patient financial assistance… more
    Ardon (12/07/24)
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  • Staff VP Clinical Pharm Svcs- Prior

    Elevance Health (Mason, OH)
    …a highly skilled and experienced Senior Clinical Leader for our Pharmacy Prior Authorization Operations team. The ideal candidate will be responsible for ... Operations)** **Location:** Ohio **Summary** Accountable for all oversight of the pharmacy prior authorization operations, including the approval or denial of… more
    Elevance Health (12/11/24)
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  • Clinical Pharmacist Specialist…

    HCA Healthcare (San Antonio, TX)
    **Description** **Introduction** Do you have the career opportunities as a(an) Clinical Pharmacist Specialist Behavioral Health you want with your current ... of colleagues. Do you want to work as a(an) Clinical Pharmacist Specialist Behavioral Health where your...pharmacist in another state: Provide proof of the Authorization to Test (ATT) from the Texas State Board… more
    HCA Healthcare (12/21/24)
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  • Clinical Pharmacist Specialist…

    HCA Healthcare (San Antonio, TX)
    **Description** **Introduction** Do you have the career opportunities as a(an) Clinical Pharmacist Specialist BMT Onc you want with your current employer? We ... of colleagues. Do you want to work as a(an) Clinical Pharmacist Specialist BMT Onc where your...pharmacist in another state: Provide proof of the Authorization to Test (ATT) from the Texas State Board… more
    HCA Healthcare (11/22/24)
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  • Clinical Pharmacist Specialist BMT…

    HCA Healthcare (Dallas, TX)
    **Description** ** Clinical Pharmacist Specialist BMT** **BMT Experience required** **PRN Position** **Introduction** Are you looking for a work environment where ... diversity and inclusion thrive? 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 (11/13/24)
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  • Clinical Pharmacist Specialist BMT…

    HCA Healthcare (Nashville, TN)
    **Description** **Introduction** Do you have the PRN career opportunities as a(an) Clinical Pharmacist Specialist BMT Oncology PRN you want with your current ... of colleagues. Do you want to work as a(an) Clinical Pharmacist Specialist BMT Oncology PRN where...pharmacist in another state: Provide proof of the Authorization to Test (ATT) from the Texas State Board… more
    HCA Healthcare (10/09/24)
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  • Pharmacist ( Clinical Spec) - Pain…

    Veterans Affairs, Veterans Health Administration (San Francisco, CA)
    …compliance with established drug therapy policies, formulary management and criteria or prior authorization requirements that have been approved by national, ... ineligible to apply. Responsibilities VA Careers - Pharmacy: https://youtube.com/embed/Fn\_ickNBEws a. Clinical - Direct Patient Care Activities: 1) Functions as an… more
    Veterans Affairs, Veterans Health Administration (12/25/24)
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  • Clinical Pharmacist Specialist…

    HCA Healthcare (San Antonio, TX)
    …environment where diversity and inclusion thrive? Submit your application for our Clinical Pharmacist Specialist Transplant opening with Methodist Hospital today ... benefits may vary by location._** We are seeking a(an) Clinical Pharmacist Specialist Transplant for our team...pharmacist in another state: Provide proof of the Authorization to Test (ATT) from the Texas State Board… more
    HCA Healthcare (11/15/24)
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  • Advanced Clinical Pharmacist

    HCA Healthcare (Jourdanton, TX)
    …where diversity and inclusion thrive? Submit your application for our Advanced Clinical Pharmacist opening with Methodist Hospital Atascosa today and find ... 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
    HCA Healthcare (11/21/24)
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  • Sr Clinical Pharmacist

    BlueCross BlueShield of North Carolina (NC)
    **Job Description** We are seeking a proactive and knowledgeable Sr. Clinical Pharmacist to join our team. In this role, you will conduct targeted provider ... plans. + Medicare Part D proficiency, coverage determination processes, and prior authorization requirements. + Proficiency in reviewing prescribing patterns,… more
    BlueCross BlueShield of North Carolina (12/15/24)
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  • Clinical Pharmacist Advisor

    US Tech Solutions (May, OK)
    …availability could be required. (10%) **Experience:** + Minimum 1 year of experience in Prior Authorization & Medicare Part D although 2-5 years is preferred ... (20%) + Reviews cases in progress and provides a Clinical decision regarding Prior Authorizations, Tier Exceptions...**Skills:** + Prior Authorization + Medicare Part D **Education:**… more
    US Tech Solutions (10/18/24)
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  • Specialty Clinical Pharmacist

    Geisinger (Wilkes-Barre, PA)
    …healthcare insurance company, physician's office and the pharmacy. + Assists with the Prior Authorization and approval process and the statement of medical ... patients and as well as developing and coordinating patient care within the clinical care team. This individual will coordinate the activities and lead resolution of… more
    Geisinger (11/24/24)
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  • Manager, Clinical Pharmacist UM

    Healthfirst (NY)
    …of Health, Centers for Medicare and Medicaid Services (CMS), Dept of Insurance]. + Perform prior authorization reviews as set forth by CMS and/or NYSDOH. Ensure ... Job Description **Duties and Responsibilities:** + Responsible for developing clinical criteria, medical policies for provider administered medications, review...prior authorization reviews are conducted in timeframes… more
    Healthfirst (10/19/24)
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  • CA Dist Suppt Pharmacist FT

    CVS Health (Angels Camp, CA)
    …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...D. degree required **Doctor of Pharmacy (PharmD) is preferred** ** Prior Relevant Work Experience** + 1 to 5 years… more
    CVS Health (12/20/24)
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  • Prior Authorization Specialist

    US Tech Solutions (RI)
    **Job Title: Prior Authorization Specialist** **Location: Fully remote** **Duration: 12 months contract** **Job Description:** + Prior Authorization ... phone assistance to all callers through the criteria based prior authorization process. + Maintains complete, timely...clinical questions, escalations and judgement calls to the pharmacist team. + The Rep I, Clinical more
    US Tech Solutions (11/07/24)
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  • Pharmacist

    US Tech Solutions (AZ)
    …required. (10%) **Experience:** + Pharmacist License of Current State + Prior Authorization Experience. + Medicare Experience + Experience working in ... (20%) + Reviews cases in progress and provides a Clinical decision regarding Prior Authorizations, Tier Exceptions...healthcare. **Skills:** + Prior Authorization . + Medicare. + … more
    US Tech Solutions (10/18/24)
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  • Call center Pharmacist

    US Tech Solutions (May, OK)
    …collected to perform prior authorization for specialty medications. The clinical pharmacist will apply clinical knowledge to plan approved criteria ... hours pharmacist availability could be required. **Experience:** + Experience as a Prior Authorization Pharmacist is required. **Skills:** + Prior more
    US Tech Solutions (11/07/24)
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