218 clinical pharmacist reviewer jobs found

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Initial Review Pharmacy Technician Job Description Plays a key role in medical and pharmacy management initiatives critical to the company achieving revenue goals and operational objectives. Responsible for executing utilization management programs on behalf of health plan/payor customers, while utilizing additional clinical knowledge pertaining to a set list of managed medications across all health plans, with additional training for each medication and therapeutic class. Primary activities center on reviewing both prospective and retrospective requests for therapeutic appropriateness using sound clinical criteria. Responsible for making and receiving calls to and from physicians, patients, and pharmacies to gather...

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Initial Review Pharmacy Technician Job Description Plays a key role in medical and pharmacy management initiatives critical to the company achieving revenue goals and operational objectives. Responsible for executing utilization management programs on behalf of health plan/payor customers, while utilizing additional clinical knowledge pertaining to a set list of managed medications across all health plans, with additional training for each medication and therapeutic class. Primary activities center on reviewing both prospective and retrospective requests for therapeutic appropriateness using sound clinical criteria. Responsible for making and receiving calls to and from physicians, patients, and pharmacies to gather...

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Clinical Pharmacist- REMOTE Job Description The Clinical Staff Pharmacist is responsible for the processing and documenting of Utilization Management requests (e.g. formulary exceptions, prior authorization, step therapy, quantity limit exceptions) for delegated products and services. Responsibilities Process the clinical evaluation for coverage determination requests for prior authorization (PA) or other utilization management (UM) programs, including quantity limits, step therapy, formulary exception and tier exception; this includes consideration of the denial language and appropriateness of the decision as it pertains to the clinical content of the case and the intent of the individual client's pre-approved...

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Clinical Pharmacist- REMOTE Job Description The Clinical Staff Pharmacist is responsible for the processing and documenting of Utilization Management requests (e.g. formulary exceptions, prior authorization, step therapy, quantity limit exceptions) for delegated products and services. Responsibilities Process the clinical evaluation for coverage determination requests for prior authorization (PA) or other utilization management (UM) programs, including quantity limits, step therapy, formulary exception and tier exception; this includes consideration of the denial language and appropriateness of the decision as it pertains to the clinical content of the case and the intent of the individual client's pre-approved...

The Statewide Residency Training Program is seeking an Administrative Services Coordinator to contribute to the success of a project, program, unit, department, or college/division by providing administrative services through the coordination and support of operations and/or lead the organization by planning, directing, and evaluating operations. Provide administrative support and coordination to the Iowa Health Professions Tracking Center: database managers and all programs. Key areas of responsibilities include conducting data collection activities, performing data entry, analyzing, and summarizing data, preparing reports, project management, and student supervision. Percent Time: 100% Duties to include: Operational Support and Management: Review and answer routine inquiries regarding the Iowa Health Professions Tracking Center and provides information regarding policies and procedures. Maintain appropriate files (electronic and paper) for Tracking...

Summary The Outpatient Rotational Pharmacy Technician is a highly trained technician responsible for a variety of functions in the outpatient pharmacy. These include dispensing/distribution of medications/supplies/related products, operation of various technologies/automation, entering patient chart notes, and other technical functions under the supervision of a pharmacist. Learn more about this agency This job is open to The public U.S. Citizens, Nationals or those who owe allegiance to the U.S. Federal employees - Excepted service Current federal employees whose agencies have their own hiring rules, pay scales and evaluation criteria. Clarification from the agency This announcement is open to the public and includes all U.S. Citizens and other current permanent Federal employees of other agencies. VA employees should apply to announcement CBSY- 12918695-26-MI. NOTE: The 2-page Resume requirement does not apply to this position. For...

Summary The employee is at the full performance level for a Medical Support Assistant (Advanced), performing a full range of duties in the Syracuse VA Medical Center and has met the basic requirements for this position as outlined in VA Handbook 5005/117, Part II, Appendix G, page II-G45-6 & II-G45-7. The MSA performs a wide variety of administrative and clerical duties as a member of the health care team. Learn more about this agency This job is open to The public U.S. Citizens, Nationals or those who owe allegiance to the U.S. Federal employees - Excepted service Current federal employees whose agencies have their own hiring rules, pay scales and evaluation criteria. Veterans Veterans of the U.S. Armed Forces or a spouse, widow, widower or parent of a veteran, who may be eligible for derived preference Clarification from the agency NOTE: The 2-page Resume requirement does not apply to this position. For more...

Thank you for considering a career at Roper St. Francis Healthcare! Schedule: Monday-Friday; 8:00 AM - 5:00 PM Address: 2270 Ashley Crossing Dr, Suite 110, Charleston, SC 29414 This position will also rotate to Mount Pleasant Hospital & Wingo Way, Mt. Pleasant locations. Primary Function/General Purpose of Position The Athletic Trainer is responsible for providing clinical support to patient care working directly with a supervising provider or physical therapist. They deliver patient care by providing expertise in injury assessment, bracing, rehabilitation and return to play/functional training, coordinating and providing direct patient education, plans of care and treatment and supports providers in scheduling and documentation. Essential Job Functions Provides support to daily clinical treatment of patients. Assists physical therapist in implementing treatment plans. Supports and provides guidance to patients with exercise programs,...

Pharmacy Technician I Location: NY-NEWBURGH, 1208 ROUTE 300, STE 103 Onsite: This role requires associates to work from the posted locations full-time, enabling consistent face-to-face collaboration, teamwork, and direct engagement. This policy promotes an environment built on in-person interaction, communication, and immediate support. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. BioPlus Specialty Pharmacy is a proud member of the Elevance Health family of companies. BioPlus offer consumers and providers an unparalleled level of service that’s easy and focused on whole health. Through our distinct clinical expertise, digital capabilities, and broad access to specialty medications across a wide range of conditions, we deliver an elevated experience, affordability, and...

Summary The Marion, IL VAMC is accepting applications for an Advanced Medical Support Assistant position (Community Care Department) with the VA, located at the Marion, IL VA Medical Center. The 2-page Resume requirement does not apply to this occupational series. For more information, refer to Required Documents below. Learn more about this agency This job is open to The public U.S. Citizens, Nationals or those who owe allegiance to the U.S. Clarification from the agency This announcement is open to non-VA Federal employees, VETERANS and the PUBLIC. Current, permanent VHA employees should apply to announcement CBSS-12935136-26-DA. NOTE: The 2-page Resume requirement does not apply to this position. For more information, refer to Required Documents below. Duties Total Rewards of a Allied Health Professional The Advanced Medical Support Assistant (MSA) serves as a Consult Coordinator for Non VA Care. The Advanced MSA...

Summary Incumbent serves as an Advanced Medical Support Assistant in the Community Care (CC) Department. Individual works at the VA Medical Center in Albany, New York providing administrative, technical support, and coordination to the Community Care Manager. Learn more about this agency This job is open to The public U.S. Citizens, Nationals or those who owe allegiance to the U.S. Clarification from the agency NOTE: The 2-page Resume requirement does not apply to this position. For more information, refer to Required Documents below. Area of consideration - The Public - All U.S. Citizens Duties VA Careers - Medical Support Assistant: https://youtube.com/embed/EE9c4XkaELo Total Rewards of a Allied Health Professional Scheduling: Schedules all Community Care (CC) consults as per VA Regulations and Directives, Office of Community Care (OCC) Field Guidebook (FGB) and local guidance. Assumes responsibility as the CC...

Summary The Advanced Medical Support Assistant positions fall under various health care service lines within VA Providence Health Care System. Most shifts are scheduled during the day but some shifts could be evenings, nights, and include weekends/holidays. Medical Support Assistants (Advanced) may work tours other than their regular scheduled tour, including evenings, nights, weekends/holidays to cover shortages or high patient volume. Shift changes will be based on patient and facility needs. Learn more about this agency This job is open to The public U.S. Citizens, Nationals or those who owe allegiance to the U.S. Clarification from the agency NOTE: The 2-page Resume requirement does not apply to this position. For more information, refer to Required Documents below. Duties These positions serve as a Medical Support Assistant (Advanced) at VA Providence Healthcare System. Position is responsible for a wide range of assignments and...

Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? CLICK HERE to apply through your Workday account. Exemption Status: Non-Exempt Hiring Range: $25.66 - $46.20 Please note that the final offer may vary within this range based on a candidate’s experience, skills, qualifications, and internal equity considerations . Schedule Details: Sunday through Saturday Scheduled Hours: Varies Shift: 1 - Day Shift, 8 Hours (United States of America) Hours: 0 Cost Center: 25080 - 5030 Food Services Kitchen This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central...

Position Title Medical Assistant (FT) - Ortho Surgery Clinic Indian Creek Medical Plaza 3, Medical Pavilion Position Summary / Career Interest:The Medical Assistant is responsible for ensuring efficient flow of patients through the health care setting by facilitating examination and treatment of patients in a culturally sensitive manner with exceptional customer service; contributes to patient care by preparing patient for visit, performing limited procedures, scheduling diagnostic test or consults, maintaining patient records, organizing clinic/exam rooms, maintaining supply/equipment inventory, and/or assisting physicians, other medical staff, nurses, other interdisciplinary team members and support staff. Responsibilities and Essential Job Functions Accurately schedules tests; obtains films and reports; and prepares laboratory specimens according to policy. Assists physicians...

Description: Medical Assistant Location: Onsite - Cherry Creek Employment Type: Full-Time, W-2 Employee, Non-Exempt Hourly Rate: $20-25/hr Schedule/Hours: Monday-Friday 8am-5pm (no nights or weekends!) Reports To: Director of the Service Line We're growing! Denver Wellness is seeking an experienced Medical Assistant (MA) We are currently seeking a Medical Assistant (MA) to join our dynamic healthcare team. The MA will play a crucial role in managing prescription refill and prior authorization requests, delivering exceptional customer service, collaborating with healthcare professionals, providing direct patient care, and contributing to the overall success of Denver Wellness Associates. The role will primarily be to address the various avenues of incoming prescription refill and prior authorization requests for patients, scheduling appointments, addressing patient balances as applicable, interacting with the patients during their treatments, and ensuring a...

Assistant Professor in Ambulatory Care (Clinical Practice Track) Assistant Professor in Ambulatory Care (Clinical Practice Track) - 39619 Faculty Description University of Colorado Anschutz Department: Skaggs School of Pharmacy and Pharmaceutical Sciences, Department of Clinical Pharmacy Job Title: Assistant Professor in Ambulatory Care (Clinical Practice Track) Position #00846740 - Requisition #39619 Job Summary: This faculty member will practice as a member of multidisciplinary teams at the University of Colorado Family Medicine (50%) and Internal Medicine clinics (30%), with other academic responsibilities (20%) in teaching, scholarship, and service. These clinics are located in the Denver/Aurora metro regions of Colorado. The faculty member will collaborate to provide clinical coverage with other faculty colleague team members in internal medicine and family medicine clinics. This faculty member will provide exemplary care to patients and families,...

Summary The incumbent will provide work relating to the care and treatment of patients in inpatient units, outpatient clinics, patient scheduling call centers, Care in the Community Support Staff, and ancillary support services. Serves as a point of contact for the units, clinics, patient, call centers, CitC, to include, but not limited to, scheduling appointments, tracking, reviewing, and responding to electronic orders, consults, and other elements in the patient record and medical systems. Learn more about this agency This job is open to The public U.S. Citizens, Nationals or those who owe allegiance to the U.S. Internal to an agency Current federal employees of the hiring agency that posted the job announcement. Clarification from the agency NOTE: The 2-page Resume requirement does not apply to this position. For more information, refer to Required Documents below. This job is open to current permanent Department of Veteran...

Summary This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and submit your EDRP application within four months of appointment. Program Approval, award amount (up to $200,000) & eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants are ineligible. Responsibilities The incumbent directly supervises, guides, and oversees the activity of clinical pharmacists, pharmacy technicians, and trainees across VA Tennessee Valley Healthcare System (TVHS) Pharmacy Service as well as develop policies and procedures. The supervisor works directly with pharmacy personnel and other key stakeholders and committees to optimize and operationalize cost-effective medication therapy management solutions. The supervisor assists Pharmacy Service...

Summary This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy & submit your EDRP application within four months of appointment. Program Approval, award amount (up to $200,000) & eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. Responsibilities VA Careers - Pharmacy: https://youtube.com/embed/Fn_ickNBEws The Clinical Pharmacy Specialist (Primary Care - Patient Aligned Care Teams) is a licensed pharmacist having completed a pharmacy practice and/or specialty residency or with other directly relevant equivalent clinical experience and will be encouraged to hold or pursue active board certification in an appropriate pharmaceutical specialty. The incumbent is responsible for general clinical pharmacy...

Thank you for considering a career at Roper St. Francis Healthcare! Summary of Primary Function/General Purpose of Position The Medical Assistant is a multi-skilled clinical professional that provides indirect and/or direct patient care within the scope of practice and in alignment with the standards of excellence and quality. Under the direction of the provider, the Medical Assistant contributes to the completion of the patient's chief complaint (including, but not limited, to respirations, blood pressure, pulse oximetry, height, weight, and temperature), documents patient/family needs, participates in planning and implementing care for patients, and may administers ordered medications (oral, injection, topically, etc.) within the Medical Assisting scope and state guidelines. Essential Job Functions Understands and adheres to the legal responsibilities and requirements within the Medical Assistant role. Identifies significant changes in patient condition...

Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force of "people caring for people," Martin's Point employees are on a mission to transform our health care system while creating a healthier community. Martin's Point employees enjoy an organizational culture of trust and respect, where our values - taking care of ourselves and others, continuous learning, helping each other, and having fun - are brought to life every day. Join us and find out for yourself why Martin's Point has been certified as a "Great Place to Work" since 2015. Position Summary The pharmacy technician assists the pharmacists in the fulfillment of prescription orders from start to finish while providing excellent customer service and supporting all pharmacy department and organizational goals. Job Description Key Outcomes: Creates and maintains accurate patient profiles including...

Assistant Professor-Associate Professor (Regular Track) Assistant Professor-Associate Professor - (Regular Track) - 39618 Faculty Description University of Colorado Anschutz Department: Skaggs School of Pharmacy and Pharmaceutical Sciences, Department of Clinical Pharmacy. Internal Medicine Job Title: Assistant Professor-Associate Professor - (Regular Track) Position # 00846743 - Requisition #39618 Job Summary: Academic responsibilities for this position will include experiential and didactic education within the Doctor of Pharmacy curriculum, including course coordination. Engaging in service activities (e.g., committee work) for the Department of Clinical Pharmacy and School of Pharmacy will also be included. This faculty member will also produce scholarship/research program that complement their clinical and/or teaching efforts, and pursue endeavors that advance their professional development. The successful candidate will provide clinical patient...

Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force of"people caring for people," Martin's Point employees are on amission to transform our health care system while creating a healthier community. Martin's Point employees enjoy an organizational culture of trust and respect, where our values - taking care of ourselves and others, continuous learning, helping each other, and having fun - are brought to life every day. Join us and find out for yourself why Martin's Point has been certified as a "Great Place to Work" since 2015. Position Summary  The pharmacy technician assists the pharmacists in the fulfillment of prescription orders from start to finish while providing excellent customer service and supporting all pharmacy department and organizational goals. Job Description Key Outcomes: Creates and maintains accurate patient profiles including demographics,...

Current UC employees must apply internally via SuccessFactors Next Lives at the University of Cincinnati Founded in 1819, the University of Cincinnati ranks among the nation's best urban public research universities. Home to more than 53,600 students, 12,000 faculty and staff, and over 360,000 living alumni, UC, a Carnegie 1 institution, combines research prowess with a physical setting The New York Times has called "the most ambitious campus design program in the country." UC's momentum has never been stronger as the anchor of the Cincinnati Innovation District, the oldest cooperative education (co-op) program in the country with students earning $94 million annually through paid experiences, an academic health system, and as a member of the Big 12 Conference. The university contributes $10.6 billion in economic impact to the city and $22.7 billion to the state of Ohio. At UC, next is all of us. Learn more at uc.edu . UC...