Jobs
>
San Antonio

    Pharmacist \ Prior Authorization Pharmacist - San Antonio, TX, United States - University Health

    Default job background
    Description
    Responsible for the administration of pharmaceutical services to CFHP members for all lines of business. Implements decisions set forth by the CFHP Pharmacy & Therapeutics Committee.

    Evaluates medication utilization and prior authorization requests for medications available via the pharmacy benefit and the medical benefit including specialty ambulatory injectable and/or infusion medications as related to member benefits, medical necessity, site of service, and evidence based clinical guidelines.

    Applies critical thinking, clinical knowledge, evidence-based policies, procedures and clinical guidelines to collaborate with health plan departments to promote quality improvement and care coordination.

    Adheres to all Federal, State, local laws and regulations applicable to health plan pharmacy services and plan design. The primary role of the Population Health Management Pharmacist is to provide leadership and guidance for the plan's various population health related goals such as Medicare Part D Star Ratings and medication related Healthcare Effectiveness Data and Information Set (HEDIS) measures to achieve continuous improvement and overall high quality metric scores
    Doctorate in Pharmacy (Pharm.
    A minimum of five (5) years of experience in a clinical pharmacy position is required. Strong communication and computer skills are required. Six Sigma, Lean (or other quality program) background Experience in pharmacy benefits management, Medicaid, Commercial and Medicare Part B & D preferred
    Must be licensed by the Texas State Board of Pharmacy. Must be registered with the Texas State Board of Pharmacy as a preceptor.

  • UnitedHealth Group

    Clinical Pharmacist

    3 weeks ago


    UnitedHealth Group San Antonio, United States

    Opportunities at WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people achieve better health. With opportunities for physicians, clinical st ...


  • University Health System San Antonio, United States

    Full Time · 12238 Silicon Drive · Professional Non-Nursing · Day Shift · POSITION SUMMARY/RESPONSIBILITIES · Responsible for the administration of pharmaceutical services to CFHP members for all lines of business. Implements decisions set forth by the CFHP Pharmacy & Therapeutics ...

  • Department of Veterans Affairs

    Clinical Pharmacist

    3 days ago


    Department of Veterans Affairs San Antonio, United States

    Summary · The Inpatient Clinical Pharmacist provides pharmaceutical services, which include review of drug therapies and consultation with other health care professionals on the rational and appropriate use of medications, preparation and dispensing of medications. The Inpatient ...

  • Department of Veterans Affairs

    Clinical Pharmacist

    3 days ago


    Department of Veterans Affairs San Antonio, United States

    Summary · The Inpatient Clinical Pharmacist provides pharmaceutical services, which include review of drug therapies and consultation with other health care professionals on the rational and appropriate use of medications, preparation and dispensing of medications. The Inpatient ...


  • Elevance Health San Antonio, United States

    · Be Part of an Extraordinary Team · BioPlus Specialty Pharmacy is now part of CarelonRx (formerly IngenioRx), and a proud member of the Elevance Health family of companies. Together, CarelonRx and BioPlus offer consumers and providers an unparalleled level of service that's eas ...


  • HCA San Antonio, United States

    Introduction · Do you have the career opportunities as a(an) Advanced Clinical Pharmacist you want with your current employer? We have an exciting opportunity for you to join Methodist Hospital which is part of the nation's leading provider of healthcare services, Methodist Healt ...


  • Methodist Healthcare San Antonio Live Oak, United States

    · Introduction · Do you have the PRN career opportunities as a(an) Clinical Pharmacist PRN you want with your current employer? We have an exciting opportunity for you to join Methodist Hospital Northeast which is part of the nations leading provider of healthcare services, Meth ...


  • Methodist Healthcare San Antonio San Antonio, United States Full time

    · Introduction · Do you have the career opportunities as a(an) Advanced Clinical Pharmacist you want with your current employer? We have an exciting opportunity for you to join Methodist Hospital which is part of the nations leading provider of healthcare services, Methodist Hea ...


  • HCA Healthcare San Antonio, United States Full time

    Description · Introduction · Do you have the career opportunities as a(an) Clinical Pharmacist Pediatric you want with your current employer? We have an exciting opportunity for you to join Methodist Hospital which is part of the nations leading provider of healthcare services, ...


  • Methodist Healthcare San Antonio San Antonio, United States Full time

    · Introduction · Do you have the career opportunities as a(an) Clinical Pharmacist Specialist Behavioral Health you want with your current employer? We have an exciting opportunity for you to join Methodist Hospital Specialty and Transplant which is part of the nations leading p ...


  • Methodist Healthcare San Antonio San Antonio, United States Full time

    · Introduction · Do you have the career opportunities as a(an) Clinical Pharmacist Specialist PICU you want with your current employer? We have an exciting opportunity for you to join Methodist Hospital which is part of the nations leading provider of healthcare services, Method ...


  • HCA Healthcare San Antonio, United States Full time

    Description · Introduction · Do you have the career opportunities as a(an) Clinical Pharmacist Specialist BMT Onc you want with your current employer? We have an exciting opportunity for you to join Methodist Hospital which is part of the nations leading provider of healthcare s ...

  • UT Health San Antonio

    Clinical Pharmacist

    2 weeks ago


    UT Health San Antonio San Antonio, United States

    Job Summary: · Responsible for managing medication therapy to help facilitate patient care within a clinic and infusion room setting. Provides medication related services to optimize pharmacotherapeutic outcomes for patients and provides remote services to the infusion areas with ...


  • Johnson & Johnson San Antonio, United States

    Johnson & Johnson is currently seeking a Immunology Sales Specialist, Dermatology to join our team in the San Antonio North, TX territory. · At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex dis ...


  • UT Health San Antonio San Antonio, United States

    Job Summary · UT Health San Antonio is broadening its reach in clinical care with the opening of the new UT Health San Antonio Multispecialty & Research Hospital. This eight-story 144-bed facility will offer uninterrupted patient care in one location within San Antonio, TX, the 7 ...


  • Medix San Antonio, United States

    Job Description · Job DescriptionOur pharmacy-based client is looking for a Certified Medical Assistant that is interested in a change of pace. This is a remote position that allows you to work atop of your license and provide critical support to patients and providers with compl ...

  • Siemens Corporation

    Nuclear Pharmacist

    2 weeks ago


    Siemens Corporation San Antonio, United States

    Now's our time to inspire the future of healthcare together. · Siemens Healthineers' PETNET Solutions, a global PET radiopharmaceutical network, leads the way in industry expertise. Providing routine, reliable delivery of high-quality radiopharmaceuticals and services has establi ...


  • J&J Family of Companies San Antonio, United States

    Immunology Sales Specialist, Dermatology - San Antonio North, TX - J&J Innovative Medicine W · **Description** · Johnson & Johnson is currently seeking a Immunology Sales Specialist, Dermatology to join our team in the San Antonio North, TX territory. · At Johnson & Johnson, we b ...


  • Health by Design San Antonio, TX, United States

    Diabetes and Endocrinology Registered Nurse · Diabetes & Endocrinology Registered Nurse · Medici Health by Design has an immediate opportunity available for an experienced Diabetes & Endocrinology Registered Nurse. This individual will work between four beautiful state-of-the-art ...

  • Veterans Health Administration

    Clinical Pharmacist

    2 weeks ago


    Veterans Health Administration San Antonio, United States

    Summary · The Inpatient Clinical Pharmacist provides pharmaceutical services, which include review of drug therapies and consultation with other health care professionals on the rational and appropriate use of medications, preparation and dispensing of medications. The Inpatient ...