- US Tech Solutions (May, OK)
- …**Job Description:** + As a Pharmacist Advisor you will be directly supporting Medicare Part D members and providers with requests related to their ... + 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 good standing.… more
- US Tech Solutions (May, OK)
- …HAVE 6 months of experienced with Prior Authorization(required). + MUST HAVE experience with Medicare Part D + Must Have Pharmacy Benefit Management (PBM) ... Monday-Friday 9:30am-6pm local time zone** **Job Description:** + The Pharmacist /Clinician is an operation-based role that conducts criteria based...experience. **Education:** + Pharm D . required with at least two years' experience as… more
- US Tech Solutions (AZ)
- …months contract** **Job Description:** + As an RPh Advisor you will be directly supporting Medicare Part D members and providers with requests related to ... information and completing timely and accurate documentation of all Medicare Part D requests, in...Prior Authorization Call Handling. **Education:** **Bachelor's Degree Required, Pharm D & Pharmacist License of Current state… more
- US Tech Solutions (May, OK)
- … availability could be required. **Experience:** + Prior authorization experience preferred. + Medicare Part D experience required + Previous pharmacy ... **Duration:** 6 months contract **Job Description:** + The clinical pharmacist is an operation based role that conducts clinical...2-5 years is preferred. **Skills:** + Prior Authorization + Medicare Part D **Education:** +… more
- US Tech Solutions (May, OK)
- …HAVE 6 months of experienced with Prior Authorization(required). + MUST HAVE experience with Medicare Part D + Must Have Pharmacy Benefit Management (PBM) ... **Duration: 6+ months contract** **Job Description:** + The clinical pharmacist is an operation based role that conducts clinical...experience. **Education:** + Pharm D . required with at least two years experience as… more
- Elevance Health (Denver, CO)
- …in medication use quality improvement programs, analyzing pharmacy spend and trends, and Medicare Star Part D measures strongly preferred. + Experience ... **Be Part of an Extraordinary Team** CarelonRx is a...Make an Extraordinary Impact.** **Title** : Population Health Management Pharmacist (Clinical Pharmacist ) **Location(s):** Denver, CO, Las… more
- US Tech Solutions (May, OK)
- **Job Description:** + As an RPh Advisor you will be directly supporting Medicare Part D members and providers with requests related to their pharmacy ... information and completing timely and accurate documentation of all Medicare Part D requests, in...and duties as assigned including on call and after-hours pharmacist availability could be required. (10%) **Experience:** + Minimum… more
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Staff Utilization Management Pharmacist is a clinical expert responsible for ... and applying evidence-based criteria to ensure appropriate medication use. The pharmacist addresses moderately complex to complex issues that require critical… more
- Corewell Health (Grand Rapids, MI)
- …adherence + Educate members on disease state and medication + Educate members on Medicare Part D benefits and drug coverage to increase understanding ... The Pharmacy Intern, under the direct supervision of a licensed Medicare Quality pharmacist , will engage with Medicare members to improve medication… more
- US Tech Solutions (TX)
- …HAVE 6 months of experienced with Prior Authorization(required). + MUST HAVE experience with Medicare Part D + Must Have Pharmacy Benefit Management (PBM) ... **Job Title:** **Prior Authorization Pharmacist ** **Location:Remote** **Duration: 6+ months contract** **Job Description:**...experience. **Education:** + Pharm D . required with at least two years experience as… more
- Penn Medicine (Lancaster, PA)
- …the business. Responsibilities: + Minimum Required Qualifications: + BS Pharmacy or Pharm D required. + Current Pharmacist licensure or eligible to reciprocate ... + A health care provider in good standing with Medicare , Medicaid, and other federal and state health insurance...or risk, or to tension as a regular, consistent part of the job. + Variety and change: Ability… more
- Penn Medicine (Lancaster, PA)
- …shape our future each day. Are you living your life's work? Job: Clinical Pharmacist Hours: 36 hrs per week, evenings, 7 on/ 7 off Location: Lancaster General ... patient care rounds), as a staff development education program, or as part of the hospital's interdisciplinary education program. + Support and assist… more
- HCA Healthcare (Marion, NC)
- …HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) Pharmacist with Mission Hospital McDowell you can be a part of an ... Fund that offers free employee-only coverage to full-time and part -time colleagues based on income. Learn more about Employee...in our organization. We are looking for an enthusiastic Pharmacist to help us reach our goals. Unlock your… more
- HCA Healthcare (Marion, NC)
- **Description** **Introduction** Do you have the PRN career opportunities as a(an) Pharmacist PRN you want with your current employer? We have an exciting ... for you to join Mission Hospital McDowell which is part of the nation's leading provider of healthcare services,...of colleagues. Do you want to work as a(an) Pharmacist PRN where your passion for creating positive patient… more
- Centene Corporation (Harrisburg, PA)
- …Develop and implement programs designed to impact DUR for both Medicaid and Medicare + Develop, implement, and maintain policies and procedures for the pharmacy ... department + Participate in the coordination of the Medicare MTM program + Assist case management team with members including clinical rounds presentations… more
- CareFirst (Baltimore, MD)
- …activities. + Experience with developing and implementing clinical programs. + Experience with Medicare Part D and Medicaid guidelines and requirements. + ... programs including Maryland Medicaid, Dual Prime Special Needs Plan (DSNP), and Medicare Advantage products. This role has oversight of pharmacy staff and develops… more
- University of Southern California (Los Angeles, CA)
- …knowledge and understanding of third-party claims billing, particularly rules and requirements for Medicare Part B DMEPOS and Medi-Cal. The Director of Pharmacy ... federal and state laws and regulations. Required Credentials: + Pharm. D . + State of California Registered Pharmacist ...+ Pharm. D . + State of California Registered Pharmacist License + Minimum of 3 years managerial experience… more
- US Tech Solutions (RI)
- …exception requests for multiple clients or lines of business and in accordance with Medicare Part D CMS Regulations. + Must apply information provided ... of reviews. + Transfers all clinical questions, escalations and judgement calls to the pharmacist team. + The Rep I, Clinical Services will also assist with other… more
- US Tech Solutions (May, OK)
- …exception requests for multiple clients or lines of business and in accordance with Medicare Part D CMS Regulations. Must apply information provided through ... of reviews. Transfers all clinical questions, escalations and judgement calls to the pharmacist team. The Rep I, Clinical Services will also assist with other duties… more
- Actalent (Phoenix, AZ)
- …involves tracking and triaging all coverage determination requests for prior authorizations and Medicare Part D recipients. The successful candidate will ... to grow within managed care + Gain experience working with Medicare REQUIREMENTS: + California pharmacy technician license OR national pharmacy technician… more