-
Clinical Pharmacist
3 weeks ago
UnitedHealth Group San Antonio, United StatesOpportunities 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 ...
-
Pharmacist Pop Hlth Mgmt CFHP
2 weeks ago
University Health System San Antonio, United StatesFull 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 ...
-
Clinical Pharmacist
3 days ago
Department of Veterans Affairs San Antonio, United StatesSummary · 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 ...
-
Clinical Pharmacist
3 days ago
Department of Veterans Affairs San Antonio, United StatesSummary · 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 ...
-
Clinical Pharmacist- BioPlus Specialty Pharmacy
3 weeks ago
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 ...
-
Advanced Clinical Pharmacist
2 weeks ago
HCA San Antonio, United StatesIntroduction · 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 ...
-
Clinical Pharmacist PRN
4 weeks ago
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 ...
-
Advanced Clinical Pharmacist
1 day ago
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 ...
-
Clinical Pharmacist Pediatric
3 weeks ago
HCA Healthcare San Antonio, United States Full timeDescription · 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 ...
-
Clinical Pharmacist Specialist PICU
3 weeks ago
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 ...
-
Clinical Pharmacist Specialist BMT Onc
3 weeks ago
HCA Healthcare San Antonio, United States Full timeDescription · 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 ...
-
Clinical Pharmacist
2 weeks ago
UT Health San Antonio San Antonio, United StatesJob 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 ...
-
Immunology Sales Specialist, Dermatology
3 weeks ago
Johnson & Johnson San Antonio, United StatesJohnson & 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 ...
-
Bone Marrow Transplant Coordinator
2 weeks ago
UT Health San Antonio San Antonio, United StatesJob 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 ...
-
Clinical Support Specialist
2 weeks ago
Medix San Antonio, United StatesJob 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 ...
-
Nuclear Pharmacist
2 weeks ago
Siemens Corporation San Antonio, United StatesNow'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 ...
-
Immunology Sales Specialist, Dermatology
3 weeks ago
J&J Family of Companies San Antonio, United StatesImmunology 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 ...
-
Diabetes and Endocrinology Registered Nurse
4 days ago
Health by Design San Antonio, TX, United StatesDiabetes 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 ...
-
Clinical Pharmacist
2 weeks ago
Veterans Health Administration San Antonio, United StatesSummary · 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 ...
Pharmacist \ Prior Authorization Pharmacist - San Antonio, TX, United States - University Health
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 scoresDoctorate 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.