- US Tech Solutions (May, OK)
- …calls from physician or members regarding their pending, approved, or denied prior authorizations . **Responsibilities:** + Evaluate and review all prior ... **Duration: 6+ months contract** **Job Description:** + The clinical pharmacist is an operation based role that conducts clinical reviews of medical data collected… more
- Trinity Health (Dublin, OH)
- … Pharmacist with medication or patient care related issues + Assist the Pharmacist with prior authorizations for medications + Documents the distribution ... of medication for proper use and reimbursement in accordance with department policy. **Minimum Qualifications:** + Education: High school graduation or equivalent + Licensure / Certification: Approved Pharmacy Technician Certification and active registration… more
- US Tech Solutions (May, OK)
- …calls from physicians or members regarding their pending, approved, or denied prior authorizations . **Responsibilities:** + Ensure accuracy of case setup and ... based role that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply… more
- US Tech Solutions (May, OK)
- …take inbound calls from physicians or members regarding their pending, approved, or denied prior authorizations , internally support the Prior Auth team and ... and telephony programs. + Minimum 2 years' recent experience reviewing and processing prior authorizations against health plan criteria for a determination in a… more
- US Tech Solutions (AZ)
- …(20%) + Reviews cases in progress and provides a Clinical decision regarding Prior Authorizations , Tier Exceptions and Non-Formulary requests (50%) + Performs ... pharmacist availability could be required. (10%) **Experience:** + Pharmacist License of Current State + Prior ...+ Pharmacist License of Current State + Prior Authorization Experience. + Medicare Experience + Experience working… more
- Cedars-Sinai (Los Angeles, CA)
- …years of experience and knowledge. + Supports the process of completing medication prior authorizations as needed. + Documents patient progress and outcomes for ... Friday, 8 am - 5:00 pm As a Research Pharmacist at the Cedars-Sinai Angeles Clinic in Los Angeles...**Education:** + Doctor of Pharmacy (PharmD) **Licenses/Certification:** + Ca Pharmacist license + BLS card within 180 days **Experience:**… more
- Actalent (Eagan, MN)
- …be utilizing your clinical skills to complete utilization management reviews ( Prior authorizations , Coverage Exceptions, Quantity Limit exceptions, and more). ... and contracts are evaluated every 6 months for extension. Skills Pharmacist , Retail, Clinical, Pharmacy Benefits Management, Pharmacy, Prior authorization,… more
- Evolent (Pittsburgh, PA)
- …support including maintenance of Medical Oncology clinical Q&As for provider portal, prior authorizations , lists, regimens, scope diagnoses, case review and ... the mission. Stay for the culture. **What You'll Be Doing:** **Oncology Pharmacist , Medical Pharmacy** Support and Development + Deliver provider and pharmacist… more
- Insight Global (Amarillo, TX)
- …member benefits and coverage criteria within defined turn-around times. Review prior authorizations and determine opportunities for interventions. Coordinate ... Pharmacy or Doctor of Pharmacy (Pharm.D) degree Active, current and unrestricted pharmacist license/registration 1+ year of direct prior authorization experience… more
- Cedars-Sinai (Beverly Hills, CA)
- …will assist in clinical reviews of specialty prescriptions, conducting oncology prior authorizations and managing benefit investigations, supporting oncology ... residency or equivalent practice experience. **License/Certification/Registration Requirements:** + Current pharmacist licensure in the State of California. **What else… more
- Nuvance Health (Norwalk, CT)
- …inquiries. 4. Answering drug information requests from providers. 5. Obtaining prior authorizations . 6. Consulting prescribers about prescription problems. 7. ... *Description* Summary: The intern pharmacist would assist the full-time pharmacy staff during times of pharmacist PTO, as an intern may perform many of the… more
- UHS (Walton, NY)
- …state laws and pharmacy protocols + Manage and verify insurance claims and prior authorizations to facilitate medication access + Maintain accurate and complete ... Position OverviewUnited Health Services (UHS) is seeking a dedicated Pharmacist to join our pharmacy team. The Pharmacist... Pharmacist to join our pharmacy team. The Pharmacist will ensure the safe and accurate administration of… more
- UHS (Johnson City, NY)
- …state laws and pharmacy protocols + Manage and verify insurance claims and prior authorizations to facilitate medication access + Maintain accurate and complete ... Position OverviewUnited Health Services (UHS) is seeking a dedicated Pharmacist to join our pharmacy team. The Pharmacist... Pharmacist to join our pharmacy team. The Pharmacist will ensure the safe and accurate administration of… more
- US Tech Solutions (May, OK)
- …based role that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply ... plan approved criteria for prospective and concurrent reviews of cases. authorizations . **Responsibilities:** 1. Collaborates with the CRU Technician to process… more
- Vanderbilt University Medical Center (Nashville, TN)
- …component includes evaluating doses and indications with their MAR, submitting prior authorizations , and making interventions with providers directly. **Key ... **Monroe Carell Jr. Children's Hospital at Vanderbilt** is seeking a ** Pharmacist Coordinator** to join the Outpatient Pharmacy Leadership team! **Position… more
- Logan Health (Kalispell, MT)
- …such as diabetes, high cholesterol, and hypertension. + Assist with medication prior authorizations and financial assistance applications to improve medication ... Excellence. Logan Health's is looking for a full-time Ambulatory Pharmacist to join their team! This vital position will...you are: We are looking for a seasoned, experienced pharmacist for this impactful position. Our ideal candidate will… more
- Atlantic Health System (Morristown, NJ)
- …services and medication access, including medication histories, medication education, prior authorizations , specialty pharmacy navigation, and formulary agent ... The Cystic Fibrosis (CF) Clinical Pharmacist position will provide pharmacotherapeutic support to the...fibrosis in the ambulatory care setting. The CF clinical pharmacist will ensure optimal medication use, support adherence, and… more
- Catholic Health Services (Rockville Centre, NY)
- …items, etc. + Collaborates with the interdisciplinary team to facilitate medication prior authorizations as needed for continuation of care. + Evaluate ... award. Job Details Transition of Care (TOC) The Transitions of Care Pharmacist will work collaboratively with healthcare professionals to maximize positive clinical… more
- US Tech Solutions (May, OK)
- …(20%) + Reviews cases in progress and provides a Clinical decision regarding Prior Authorizations , Tier Exceptions and Non-Formulary requests (50%) + 6. Performs ... and duties as assigned including on call and after-hours pharmacist availability could be required. (10%) **Experience:** + Minimum...(10%) **Experience:** + Minimum 1 year of experience in Prior Authorization & Medicare Part D although 2-5 years… more
- Ochsner Health (Baton Rouge, LA)
- …outcomes. Provides drug information to patients and healthcare providers. Works to resolve prior authorizations and all insurance billing on behalf of the ... **Work Experience** Required - None Preferred - 2 years experience as pharmacist Experience in specialty pharmacy **Certification** Required - License to practice… more