- US Tech Solutions (May, OK)
- **Job Description:** + Responsible for reviewing and completing criteria based on prior authorization as per policy and procedure. **Responsibilities:** + This ... be 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
- Mayo Clinic (Rochester, MN)
- …your future. **Responsibilities** The Revenue Cycle Clinical Advisor is a medication prior authorization pharmacist responsible for utilizing pharmacy ... acumen, medication expertise, healthcare payer knowledge, medication guidelines to support prior authorization operations, prior authorization … more
- US Tech Solutions (May, OK)
- …hours pharmacist availability could be required. **Experience:** + Experience as a Prior Authorization Pharmacist is required. **Skills:** + Prior ... role that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply… more
- CVS Health (Tallahassee, FL)
- …for a Clinical Pharmacist with CVS Health. This position is for a Clinical Pharmacist working in the Prior Authorization team. - Evaluate and review all ... prior authorization requests and render coverage determinations based on clinical...a pharmacist in a PBM setting, including prior authorization experience in a PBM environment… more
- US Tech Solutions (New York, NY)
- …conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply clinical ... Handles inbound phone calls and escalations from physicians or patients regarding Prior Authorization (50%) 4. Establishes and maintains communication, health… more
- Sharp HealthCare (San Diego, CA)
- …prescription issues including, but not limited to, refills, refill too soon, and Prior Authorization Requests (PAR).Notifies pharmacist of computer warnings, ... sheet. + Prescription processingAdheres to all legal and pharmacy procedures, including pharmacist check of all work prior to dispensing.Understands and… more
- 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 ... and immunizing practices 2. Traveling the district to fill pharmacist shifts as scheduled by the District Performance Coordinator...D. degree required **Doctor of Pharmacy (PharmD) is preferred** ** Prior Relevant Work Experience** + 1 to 5 years… more
- Ardon (Portland, OR)
- …to work in a fast-paced environment. Knowledge of pharmacy benefit investigation, prior authorization support, and patient financial assistance connection. ... 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 about… more
- Bassett Healthcare (Oneonta, NY)
- …guidelines. Monitors accuracy and efficiency of MAP technicians refill processing prior authorization submissions, denials, appeals management, and coordination ... execution of patient Plans of Care. Provides MAP refill authorization services to Bassett Healthcare Network patients per existing...in the State of New York. Obtains full licensure prior to expiration of 90-day temporary pharmacist … 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