- US Tech Solutions (May, OK)
- …collected to perform prior authorization for specialty medications. The clinical pharmacist will apply clinical knowledge to plan approved criteria ... **Duration:** 6 months contract **Job Description:** + The clinical pharmacist is an operation based... pharmacist availability could be required. **Experience:** + Prior authorization experience preferred. + Medicare Part… more
- 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 (May, OK)
- …collected to perform prior authorization for specialty medications. The clinical pharmacist will apply clinical knowledge to plan approved criteria ... **Job 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
- US Tech Solutions (May, OK)
- …role that conducts clinical reviews of medical data collected to perform prior authorization for commercial and specialty medications. + The clinical ... **Duration: 6+ months contract** **Job Description:** + The clinical pharmacist is an operation based...Ability to receive phone calls from prior authorization pharmacy technicians and/or providers for clinical … more
- US Tech Solutions (May, OK)
- …criteria based & clinical review of medical data collected to perform prior authorization as per policy and procedure. + The Pharmacist /Clinician ... for urgent PA request as needed. **Responsibilities:** + Evaluate and review all prior authorization requests and render coverage determinations based on … more
- Point32Health (Canton, MA)
- …+ Provides all aspects of clinical support needed to perform drug prior authorization (PA) requests and consults as required with Medical Directors (MD) ... the direction of the Pharmacy Utilization Management (UM) Supervisor, the Per Diem Clinical Pharmacist is responsible for reviewing, processing and managing the… more
- Veterans Affairs, Veterans Health Administration (San Antonio, TX)
- …findings per facility procedures. l. Reviews and evaluates requests for assigned prior authorization drugs as assigned for appropriateness and compliance with ... Summary The Clinical Pharmacy Specialist serves as a provider with...subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested… more
- Point32Health (MA)
- …+ Provides all aspects of clinical support needed to perform drug prior authorization (PA) requests and consults as required with Medical Directors (MD) ... Under the direction of the Pharmacy Utilization Management (UM) Supervisor, the Clinical Pharmacist is responsible for reviewing, processing and managing the… more
- Insight Global (Amarillo, TX)
- …current and unrestricted pharmacist license/registration 1+ year of direct prior authorization experience Working knowledge of MediSpan data system, ... Job Description The Remote Clinical Pharmacist position provides clinical...Account Executives. You will also be responsible for reviewing prior authorization requests in accordance with member… more
- HCA Healthcare (San Antonio, TX)
- …and integrity. We care like family! Jump-start your career as a(an) Clinical Pharmacist Specialist NICU today with Methodist Hospital. **Benefits** Methodist ... vary by location._** Come join our team as a(an) 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 (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** **Full Time Day Shift Position, rotating weekends** **BMT Experience Required** **_Qualified, New ... each individual is recognized. Submit your application for our Clinical Pharmacist Specialist BMT opening with Medical...pharmacist in another state: Provide proof of the Authorization to Test (ATT) from the Texas State Board… more
- HCA Healthcare (Jourdanton, TX)
- …**_Note: Eligibility for benefits may vary by location._** We are seeking a(an) Clinical Pharmacist for our team to ensure that we continue to ... **Job Summary and Qualifications** General Statement of Duties: The clinical pharmacist demonstrates proficiency in all ...pharmacist in another state: Provide proof of the Authorization to Test (ATT) from the Texas State Board… more
- UTMB Health (Galveston, TX)
- …may include inpatient decentralized/unit-based care, ambulatory/specialty pharmacy, infusion services, prior authorization or medication access programs, and ... Clinical Practice Pharmacist - Specialty Pharmacist , Webster Pharmacy **Galveston, Texas, United States** **New** Allied Health UTMB Health Requisition #… more
- Mayo Clinic (Phoenix, AZ)
- …future. **Responsibilities** We are recruiting for one abdominal solid organ transplant clinical specialist pharmacist to cover the following: + (1) OUTPATIENT ... abdominal (kidney/pancreas/liver) SOT pharmacist that covers outpatient kidney/pancreas/liver services. Responsibilities + Provides an expert level of consultation,… more
- CVS Health (Pittsburgh, PA)
- …programs are implemented correctly. Knowledge of utilization management interventions including prior authorization , step therapy, quantity limits, and Oncology ... - Demonstrated in-depth understanding of utilization management and formulary, including prior authorization , step therapy, quantity limits, and Oncology and… more
- Humana (Olympia, WA)
- …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
- Actalent (Eagan, MN)
- …Retail, Clinical , Pharmacy Benefits Management, Pharmacy, Prior authorization , Pharmd, Compounding Top Skills Details Pharmacist ,Retail, Clinical ... your clinical skills to complete utilization management reviews ( Prior authorizations, Coverage Exceptions, Quantity Limit exceptions, and more). You will… more
- 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
- Centene Corporation (Columbia, SC)
- …plan design changes, and clinical programs to be initiated + Monitor prior authorization requests + Provide clinical support to internal departments ... the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified,… more