- US Tech Solutions (May, OK)
- **Job Title: Prior Authorization Pharmacist - Remote ** **Location: Fully remote ** **Duration: 6 months contract** **Note: Ideal candidates must have ... experience of Prior Authorization , Medicare Part D and Pharmacy...required with at least two years' experience as a pharmacist . Must have an active license in the state… more
- US Tech Solutions (May, OK)
- **Job Title:** ** Prior Authorization Pharmacist ** **Location: Remote ** **Duration: 6+ months contract** **Job Description:** + Responsible for reviewing ... and completing criteria based on prior authorization as per policy and procedure....required with at least two years experience as a pharmacist in Managed care environment. + Must have an… more
- CVS Health (Austin, TX)
- …for a Clinical Pharmacist with CVS Health. This position is for a Clinical Pharmacist working in the Prior Authorization team. - Collaborates with the ... personal, convenient and affordable. Ready to take your Clinical Pharmacist skills to the next level with a Fortune...technicians and prior authorization team members to process referrals, including answering clinical… more
- Prime Therapeutics (Columbus, OH)
- …and drives every decision we make. **Job Posting Title** Clinical Pharmacist - REMOTE **Job Description Summary** Performs prospective and/or retrospective ... procedures, policies, guidelines, and work instructions. **Job Description** + Provides prior - authorization services for formulary drugs, develops programs to… more
- 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...all clinical questions, escalations and judgement calls to the pharmacist team. + The Rep I, Clinical Services will… more
- Veterans Affairs, Veterans Health Administration (Asheville, NC)
- …VistA and CPRS, and experience with formulary management and adjudicating Prior Authorization drug requests, medication reconciliation, and coordinating ... Summary Clinical Pharmacist community care are responsible for primary outpatient...subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested… more
- UNC Health Care (Morrisville, NC)
- …and plan designs are implemented according to requirements. + Oversee completion of prior authorization requests for members through collaboration with Prior ... of the unique communities we serve. Summary: Pharmacy Benefit Management Pharmacist will develop formulary and drug utilization management strategies that will… more
- US Tech Solutions (AZ)
- …required. (10%) **Experience:** + Pharmacist License of Current State + Prior Authorization Experience. + Medicare Experience + Experience working in ... **Job Title:** ** Pharmacist ** **Location: Remote ** **Duration: 12+ months...healthcare. **Skills:** + Prior Authorization . + Medicare. + ...healthcare. **Skills:** + Prior Authorization . + Medicare. + Prior … more
- Penn Medicine (Philadelphia, PA)
- …South 76th Street, near the Philadelphia Airport, to oversee and support the Prior Authorization and Specialty Benefit Investigation Team. Hybrid work model--3 ... Medicine is seeking a full-time, day shift Outpatient Lead Pharmacist for its Specialty Central Fill location at 3250...days onsite and 2 days remote , after completing onsite training and onboarding Summary: +… more
- US Tech Solutions (May, OK)
- …other clinical colleagues, healthcare professionals and members. + * Follow all prior authorization procedures to guarantee an accurate process on each ... **Job Summary:** This is a remote position and requires the ability to effectively...* Refer cases not meeting clinical criteria to the Pharmacist and MD team(s). + * Shift priorities while... prior authorization . + * Train and mentor… more
- The Cigna Group (Memphis, TN)
- Remote position in the following locations. Must be within driving distance of a Cigna Accredo facility in these locations. Memphis, TN Nashville, TN Warrendale, PA ... Orlando, FL Indianapolis, IN Tempe, AZ The Staff Pharmacist interprets physicians' prescriptions, contacts doctors or other prescribers and/or patients to verify… more
- Prime Therapeutics (Columbus, OH)
- …Manages current clients in all Medical Pharmacy programs such as Fee Schedule Management, Prior Authorization , Post Service Claim Edits, Site of Service and any ... **Job Posting Title** Director, Specialty Clinical Solutions -RPH/PharmD required- REMOTE **Job Description Summary** Responsible for support and development of… more
- US Tech Solutions (May, OK)
- **Job Description:** The Tech I is the initial point of contact for Prior Authorization requests from members, providers, and a diverse customer base. The Tech I ... if a complex request should be transferred to a pharmacist for assistance. Additionally, the Tech I is responsible...phone assistance to all callers through the criteria based prior authorization process. + Maintains complete, timely… more
- US Tech Solutions (GA)
- …from distractions. You will provide processing and communication of specialty medication prior authorization (PA) requests reviewed by the Specialty Medical ... **Job Description:** This is a remote position and requires the ability to effectively...Prior Authorization department. Reporting to the Pharmacy Operations Manager, you… more
- Actalent (Fresno, CA)
- …Medical Director on related issues. Tracks and triages coverage determination and/or prior authorization requests submitted from providers and determines if a ... pharmacist review is required. Obtains verbal authorizations and requests...detailed clinical information from prescribers. Approves coverage determination and/or prior authorization requests based on defined criteria.… more
- G-TECH Services, Inc. (Detroit, MI)
- …Retail Pharmacy * Experience in provider/member call center or helpdesk * Process prior authorization requests Required Skills/Experience - The rest of the ... reason at any time? No, this is a fully remote position. The pharmacy technician will assist in providing...Preferred Skills/Experience - Optional but preferred skills/experience. Include: * Prior Authorization on Pt B specialty medications… more
- Centene Corporation (Commerce, CA)
- …technician or medical office (ie biller, coder, office assistance, or prior authorization /certification) experience. Familiarity with drugs commonly used to ... timely basis + Work under direct supervision of a pharmacist + Locate correct medication and strength to complete...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
- University of Michigan (Ann Arbor, MI)
- …+ Troubleshoot complex medication-related issues and make suggestions for improvement (insurance/ prior authorization , medication history, etc.) + Identify and ... discrepancies + Other duties as assigned by supervisor or pharmacist to assist with preparation and delivery of patient...of Work** Positions that are eligible for hybrid or mobile/ remote work mode are at the discretion of the… more