- Molina Healthcare (Orlando, FL)
- …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
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- Prior Authorization Technician - Remote Job...AUTHORIZATION SPECIALIST (REMOTE) WHO WE ARE At Polaris Pharmacy Services, we're more than a pharmacy ... Details Job Location Polaris Pharmacy Services of Ft Lauderdale - Ft. Lauderdale, FL...we invite you to grow with us. OVERVIEW The Prior Authorization Specialist is responsible for managing… more
- Highmark Health (Tallahassee, FL)
- …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
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …customers, supporting formulary initiatives, and executing utilization management tools like prior authorization programs and drug utilization reviews. + Offer ... Therapeutic Interchange Pharmacist Job Details Job Location Polaris Pharmacy Services of Ft Lauderdale - Ft. Lauderdale, FL Position Type Full Time Job Shift Night… more
- Immigration and Customs Enforcement (Miami, FL)
- …accordance with the Prompt Payment Act. Identifies and addresses discrepancies prior to validation. Collaborates with the headquarters contracting officer ... representative (COR) to ensure compliance with Federal Acquisition Regulations...records management, clinical services, nursing services, mental health services, pharmacy services, dental services, medical records, and administration; quality… more