- MD Anderson Cancer Center (Houston, TX)
- …to comply with institutional standards, initiatives, and guidelines (ABN's, prior authorization requirements, reimbursement optimization, formulary management, ... required and preferred licenses, certifications, training, and continuing education prior to the deadlines including but not limited to...the area of specialization (PGY 2). Experience as a clinical pharmacist in the area of specialization… more
- Prime Therapeutics (Austin, TX)
- …skills. + Ability to follow clinical criteria and instructions to approve prior authorization requests. + Minimum of 2 years dispensing or retail experience ... Technician Sr - Remote **Job Description** Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone… more
- US Tech Solutions (San Antonio, TX)
- …professional phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation ... of all approvals and denials, and transfers all clinical questions and judgment calls to the pharmacist...phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and… more
- Molina Healthcare (Austin, TX)
- …Services, pharmacies, and health plan providers in resolving member prescription claim, prior authorization , or pharmacy services access issues. + Articulates ... (such as, reviewing drug/provider utilization patterns and pharmacy costs management), clinical pharmacy services (such as, therapeutic drug monitoring, drug regimen… more
- US Tech Solutions (San Antonio, TX)
- …collected to perform prior authorization for specialty medications. The clinical pharmacist will apply clinical knowledge to plan approved criteria ... **Position Summary:** The clinical pharmacist is an operation based...phone calls and escalations from physicians or patients regarding Prior Authorization (50%) 4. Establishes and maintains… more
- Actalent (Houston, TX)
- …+ Customer service skills. + Data entry proficiency. + Experience with Prior Authorization processes. + Registered Pharmacy Technician. Additional Skills & ... within a large healthcare insurance company. The role involves reviewing Prior Authorizations for determinations, managing health plans, and handling various types… more
- Ascension Health (Round Rock, TX)
- …assist with patient medication access including, benefit investigation, prior authorization , and financial assistance. + Assist Pharmacist in preparation of ... **Responsibilities** Provide distributive pharmacy services and technical support for the Pharmacist . Perform activities or tasks in specialty pharmacy services. +… more
- UTMB Health (Webster, TX)
- …of immunizations + Works with patients, providers, and payers to obtain prior authorization + Resolves billing/adjudication issues encountered in the processing ... Technologist assists Pharmacists in providing drug distribution, technical services, and clinical services associated with the preparation, storage and dispensing of… more
- Actalent (Houston, TX)
- …+ Strong computer skills, including proficiency in Microsoft Office. + Experience with prior authorization processes. + Customer service and data entry skills. ... Job Description We are seeking a dedicated Pharmacy Technician to review Prior Authorizations for a Pharmacy Services department within a large healthcare insurance… more
- Elevance Health (Grand Prairie, TX)
- …outreach to patients and prescribers for resolution on open issues. + Processes prior authorization requests from physicians and ensures compliance with all ... regulatory requirements; informs relevant parties of all prior authorization determinations. + Provides resolution to grievances and appeals issues. + Managing… more