- US Tech Solutions, Inc. (Atlanta, GA)
- …professional phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation ... professional phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation… more
- Rose International (Orlando, FL)
- The Pharmacy Technician supports the pharmacist in providing safe and appropriate pharmacy services to patients in accordance with the policies and procedures of ... The Pharmacy Technician works under the direct supervision of a licensed pharmacist and assists in the dispensing process by performing data entry, prescription… more
- US Tech Solutions, Inc. (Atlanta, GA)
- …and courteous phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of ... all clinical questions, escalations and judgement calls to the pharmacist team. The pharmacy Tech will also assist with...experience working in PBM on managed care environments Skills: Prior Authorization Medicare and Medicaid Call handling… more
- ICONMA (San Antonio, TX)
- …professional phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation ... of all approvals and denials, and transfers all clinical questions and judgment calls to the pharmacist . more
- Rose International (San Antonio, TX)
- …professional phone assistance to all callers through the criteria based prior authorization process.DutiesExciting opportunity for Certified Pharmacy Technicians ... of contact for Customer Care and Members before the required Pharmacist involvement for all clinical issues/questions. ExperienceMinimum (1) year experience required… more
- 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
- 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 (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
- US Tech Solutions (May, OK)
- …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
- CareOregon (Portland, OR)
- …of prior authorization and formulary exception decisions. + Perform prior authorization reviews with pharmacist oversight. Appeals and Grievances + ... process. + Follow policy & procedures to facilitate a resolution for prior authorization , formulary exception and coverage determinations requests. Notify… more
