Pharmacy Analytics Specialist: PBM & Prior Authorization
Harris Health System, Inc.
Community Health Choice seeks a Pharmacy Program Specialist to support external customers and internal teams in resolving outpatient pharmacy benefit coverage and prescription claim problems. The role involves communicating formulary guidelines, prior authorization criteria, and eligibility issues, with a focus on timely resolutions and program improvements. Strong communication and data reporting skills are essential. #J-18808-Ljbffr Harris Health System, Inc.
- ...Pharmacy Program Specialist II The Pharmacy Program Specialist II performs... ...guidelines, plan policies, and prior authorization protocols. The role... ...reporting, monitoring delegated PBM functions, and promoting... ...function structures Analytical and Process Skills...SuggestedWork experience placementWork at office
- ...direction of the Director of Pharmacy Analytics, functions as a Pharmacy Program Specialist in the Pharmacy Analytics department... ...drug formulary alternatives, prior authorization criteria, and group/member... ...perform monitoring over delegated PBM functions as directed. Make...SuggestedWork experience placementWork at office
- ...Harris Health seeks a Pharmacy Program Specialist II in Houston, TX, to perform criteria-based reviews of pharmacy benefit... ...Texas. The role requires strong experience in prior authorization processes and coordination with PBM workflows. Additional competencies include...Suggested
- ...commitment to better outcomes. The Pharmacy Program Specialist II performs a criteria‑based review... ...clinical guidelines, plan policies, and prior authorization protocols. The role requires a... ...to reporting, monitoring delegated PBM functions, and promoting member adherence...Suggested
$23 per hour
...Pharmacy Prior Authorization Specialist - Onco360 Pharmacy Houston, TX| Full-Time | Starting at $23.00/hr and up Sign-On Bonus: $5,000 for employees starting before August 31, 2026! Join a mission-driven team making a difference in the lives of cancer patients...SuggestedFull timeTemporary workLocal areaRemote workRelocation package- ...CareMed Specialty Pharmacy in Houston, TX is looking for a Full-Time Pharmacy Prior Authorization Specialist. You'll ensure that patients receive necessary medications through insurance pre-authorizations, manage requests with insurance carriers, and maintain HIPAA compliance...Full timeRemote workRelocation package
$20 - $23 per hour
...Actalent is looking for a Remote Pharmacy Technician to join their team. In this fully remote position, you will review prior authorizations, approve or deny claims, and handle various medication types across numerous health plans. Applicants should have at least 2...Hourly payRemote work$106.2k - $225k
...utilization management interventions including prior authorization, step therapy, quantity limits and formulary... ..., Excel, Access, PowerPoint) Knowledge of PBM and benefit design Preferred Qualifications Clinical Pharmacy Practice Residency Education BS in Pharmacy...Hourly payFull timeTemporary workWork experience placementLocal area$21 per hour
...Overview Position: Pharmacy Claims Adjudication Specialist Location: Houston, TX Job Id: 50... ...copay payments are charged prior to shipment. Serves as customer... ...claims resolution, PBM and Medical contracts, knowledge... ..., basic math and analytical skills, Intermediate typing...Full timeTemporary workWork experience placementFlexible hours- ...Clinical Pharmacy Specialist Malignant Hematology Disease state areas available include: Leukemia (rotating inpatient/outpatient... ...institutional standards, initiatives, and guidelines (ABN's, prior authorization requirements, reimbursement optimization, formulary...TraineeshipLocal areaDay shift
$24 per hour
Onco360 Pharmacy in Houston, TX is seeking Pharmacy Benefit Verification Specialists. Compensation & Benefits Starting... ...and identify authorization requirements needed... ...benefit verification, PBM and Medical contracts... ...medication, basic math and analytical skills, intermediate...Temporary workWork experience placementRelocation packageFlexible hours$21 per hour
Overview Position: Pharmacy Claims Adjudication Specialist Location: Houston, TX Job Id: 5... ...copay payments are charged prior to shipment. Serves as... ...Pharmacy claims resolution, PBM and Medical contracts, knowledge... ..., basic math and analytical skills, Intermediate typing...Full timeTemporary workWork experience placementFlexible hours- ...Overview At Houston Methodist, the Pharmacy IT Specialist is responsible for providing and coordinating... ...management skills strongly preferred Prior experience in a lead role, or hospital... .../implementation Demonstrates expert analytical, logic, problem‑solving skills;...
$130.33k - $169.44k
...Job Description Job Description Hiring Post: Clinical Pharmacy Specialist – Correctional Health (25K Retention Bonus) Compensation:... ...MS Word and computer applications Knowledge/Skills : Analytical and research skills Medical terminology Statistical and...Full timeTemporary workWork at officeFlexible hours$126.78k - $164.82k
...Description Join the Harris Health System Team! Clinical Pharmacy Specialist – Oncology – Smith Clinic Pay: $126,776 to $164,819.20/... ...and verbal communication Advanced clinical judgment and analytical thinking Proficient in MS Word and general PC use Familiar...Full timeTemporary workFlexible hours$126.78k - $164.82k
Clinical Pharmacy Specialist-Oncology-PGY1-LBJ Hospital Clinical Pharmacy Specialist - Oncology - LBJ Hospital Pay: $126,776 to $164,819.2... ...experience in oncology Skills: Proficient in MS Word and PC systems Analytical, statistical, and clinical research capabilities Advanced...Full timeTemporary workTraineeshipFlexible hoursWeekend work- ...all dimensions of care every time. The pharmacy vision is to become world-class pharmacy... ...outpatient; Board Certified Pharmacy Specialist certification to be completed within 18... .../reports. Knowledge/Skills/Abilities: Analytical abilities; design knowledge and skills;...Work experience placementFlexible hoursWeekend work
- ...dimensions of care every time. The pharmacy vision is to become world‑... ...this role, Clinical Pharmacy Specialist‑Oncology will provide... ...required for inpatient positions prior to or within 6 months of employment... ...Knowledge/Skills/Abilities: Analytical, Design, Mathematics, Medical...Work experience placementFlexible hoursWeekend work
$126.78k - $164.82k
...across all dimensions of care. Clinical Pharmacy Specialists in Oncology will provide advanced... ...course required for inpatient positions prior to or within 6 months. Work Experience... ...Word, PC. Knowledge/Skills/Abilities: Analytical, design, mathematics, medical terms,...Work experience placementFlexible hoursWeekend work- Academy of Managed Care Pharmacy in Houston, Texas, is looking for a Pharmacy Program Specialist II to conduct criteria-based reviews... ...clinical guidelines and prior authorization protocols, ensuring compliance... ...within a Health Plan or PBM. Benefits include options tailored...
$130.33k - $169.44k
Job Number: 180204 | Title: Clinical Pharmacy Specialist - Cardiovascular - Ben Taub | Salary: $... ...inpatient positions; Outpatient Oncology prior to or within 6 months of employment.... ...Reports. Knowledge/Skills/Abilities: Analytical Abilities; Design Knowledge and Skills...Work experience placementFlexible hoursWeekend work- ...multi-disciplinary rounds and clinical initiatives, educating pharmacy interns and technicians while ensuring cost-effective medication... ...a Texas Pharmacist License. Strong communication skills and analytical abilities are essential for this role. #J-18808-Ljbffr 340B Health
$169k
Hematology/Oncology Pharmacy Specialist to $169K in Houston Join a dedicated team as a Hematology/Oncology Pharmacy Specialist, providing advanced pharmaceutical care to patients undergoing cancer treatments. In this critical role, you will develop individualized medication...- JobRx, Inc. is looking for a Pharmacy Clinical Specialist in Houston, Texas. This full-time position involves engaging in patient care, collaborating with healthcare teams, and conducting research to enhance pharmaceutical services. The ideal candidate should have completed...Full time
- ...medication orders, support clinical decision-making, and perform key pharmacy functions such as order entry, pharmacokinetics, IV-to-PO... ...in MS Word and computer applications Knowledge/Skills : Analytical and research skills Medical terminology Statistical and mathematical...Temporary workFlexible hoursShift workNight shiftAfternoon shift
- ...details About the Opportunities: #PharmacyJobs #HoustonHealthcare #ClinicalPharmacy #PharmD #BCOP Pharmacy Clinical Specialist - PharmD, BCOP Houston, TX | Level II Trauma Center A leading healthcare organization in Houston is...
$56.76 - $73.79 per hour
..., the pharmacist enhances operational efficiency and advances pharmacy practice across the health system. Minimum Qualifications Degrees... ...skills. Writing of reports. Knowledge/Skills/Abilities Analytical abilities. Design knowledge and skills. Mathematics....Work experience placementFlexible hoursNight shiftWeekend workAfternoon shift- Harris Health is seeking a Pharmacist Transition Specialist in Houston, Texas. In this role, you will actively engage patients, ensure... ...crucial education at the bedside before discharge. You will oversee Pharmacy Technician Transition Specialists and support pharmacy...Flexible hours
- ...#OncologyPharmacy #ClinicalPharmacist #Oncology #PharmacyJobs #HoustonTX Job Details at a Glance Job Title: Pharmacy Clinical Specialist - Oncology | Location: Houston, TX | Schedule: Full-Time (Monday-Friday, 8 AM - 4:30 PM, with on-call rotation) | Hiring...Full timeMonday to Friday
- ...Pharmacy Clinical Specialist - Full Time - Days - Inpatient / Outpatient Malignant Hematology Houston, Texas Full Time Ideal Candidate: Have both residencies completed (PGY1 & 2) or equivalent years of experience in Clinical Oncology I CARE VALUES Integrity...Full timeShift work
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