- CDPHP (Latham, NY)
- …formulary coverage and CDPHP initiatives. The pharmacy tech will support initiatives including prior authorization work under the guidance of a licensed ... and external customers. + Must be conscientious, efficient and accurate in prior authorization , exception and medical/Rx necessity review processing. +… more
- City of New York (New York, NY)
- …projects as assigned. - Assist Pharmacist in the Pharmacy unit with prior authorization approvals as well as prescription processing and billing. - ... and develops policies and programs to deliver high quality clinical care which best serve New Yorkers The Bureau...as needed. This person will report to the Bureau's Pharmacist . - Assist pharmacists in training, supervision of pharmacy… more
- Centene Corporation (Hawthorne, NY)
- …technician or medical office (ie biller, coder, office assistance, or prior authorization /certification) experience. Familiarity with drugs commonly used to ... changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene...timely basis + Work under direct supervision of a pharmacist + Locate correct medication and strength to complete… more
- Highmark Health (Buffalo, NY)
- …then creates the case (data entry) in Highmark's Utilization Management system for Prior Authorization clinical review. Ensures all accurate information is ... identified cases that require additional notification to member, provider, and/or pharmacist .At times, outreach to providers and/or pharmacists may be required to… more