- Molina Healthcare (Tucson, AZ)
- …Medicare and Medicaid Services (CMS) standards. * Provides coordination and processing of pharmacy prior authorization requests and/or appeals. * Explains ... including but not limited to: formulary information, copay amounts, pharmacy location services and prior authorization...information, copay amounts, pharmacy location services and prior authorization outcomes. * Assists members and… more
- The Cigna Group (Phoenix, AZ)
- …empathetic and fun-loving personality with a few good jokes on the ready + Prior Authorization experience preferred (CoverMyMeds) + High School Diploma or GED ... dreams of having a family come true! As a **_Customer Service Pharmacy Technician Representative_** at Freedom Fertility, you'll use your empathy and listening… more
- Highmark Health (Phoenix, AZ)
- …clearly defines the medical necessity of non-formulary and prior authorization medication exception requests. Interacts with pharmacy network providers to ... requests for drug authorizations or denials. + Review of prior authorization criteria for drug products. +...billing practices through paid clams review. + Participate as pharmacy representative in onsite member appeals and… more
- Cardinal Health (Phoenix, AZ)
- …care and timely access to necessary services + Assist in obtaining insurance, prior authorization , and appeal requirements and outcomes + Help patients ... streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas,… more