• Representative , Pharmacy

    Molina Healthcare (Layton, UT)
    …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
    Molina Healthcare (12/24/25)
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  • Pharmacy Coordinator

    Highmark Health (Salt Lake City, UT)
    …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
    Highmark Health (12/18/25)
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  • Pharmacy Technician

    Owens & Minor (Salt Lake City, UT)
    …Knowledge in pharmacy regulations and documentation; V. Knowledge in pharmacy compliance issues; VI. Knowledge in prescription authorization processes. VII. ... range for this position is $24-$27 hourly. Description: Licensed Pharmacy Technician works under the supervision of a pharmacist...allergy and medical conditions as necessary. V. Contact patients prior to their next order due date and process… more
    Owens & Minor (12/31/25)
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  • Field Access Lead

    Pfizer (Salt Lake City, UT)
    …payer landscape, payer coverage and formulary change updates, payer policies (eg, prior authorization , step edits, specialty pharmacy coverage) and ... this matter, please do not hesitate to contact your Talent Acquisition representative . **EEO & Employment Eligibility** Pfizer is committed to equal opportunity in… more
    Pfizer (01/08/26)
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  • Case Manager - Patient Access

    Cardinal Health (Salt Lake City, UT)
    …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
    Cardinal Health (01/08/26)
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