- Polaris Pharmacy Services, LLC (Covina, CA)
- …the opportunity for career advancement to all our team members. JOB SUMMARY: The Prior Authorization Specialist is responsible for managing and identifying a ... $23.00 Hourly Category Pharmaceutical Description WHO WE ARE Polaris Pharmacy Services is an industry leader in both the...eliminate financial risks to Polaris and their customers. The Prior Authorization Specialist must be… more
- University of Southern California (Newport Beach, CA)
- The Clinical Authorization Specialist will take the lead in securing medical authorizations from third party payers (commercial and government) for outpatient ... obtaining written documentation, submitting tracking, reporting and documenting outcomes of each authorization request. The Specialist will be in a position to… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- … prior authorizations, step therapy, and specialty drug restrictions. . Determine whether prior authorization reviews are handled by the payer directly or by ... of Rx BINs, PCNs, Group numbers, and payer identification. . Understanding of prior authorization routing and third-party review processes. . Experience with… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- …does not achieve a settlement. + Complete necessary payer paperwork, including prior authorization forms and manual billing. + Handle non-standard order ... you to grow with us. JOB SUMMARY: The Adjudication Specialist manages a portfolio of rejected pharmacy ...Adjudication Specialist manages a portfolio of rejected pharmacy claims, ensuring timely billing and maximum payer reimbursement.… more
- Abbott (Alameda, CA)
- …mothers, female executives, and scientists. **The Opportunity** This **Principal Regulatory Affairs Specialist - APAC** position will work on-site at our Alameda, CA ... glucose levels with our new sensing technology. This **Principal Regulatory Affairs Specialist ** position is responsible for leading strategic planning as well as… more
- GE Aerospace (Edwards AFB, CA)
- …software + Developing in-depth knowledge of a technical discipline. Uses prior experience and acquired technical expertise to execute policy/strategy. + In-depth ... solutions outside of set parameters but with guidance. Uses prior experience and on-the-job training to solve straightforward tasks....3 years of experience in design engineering + Legal authorization to work in the US is required. We… more
- CenterWell (Sacramento, CA)
- …and Specialty Care to lead strategy and execution for our referral management, payer prior authorization , and specialist network solutions. This role is ... for clinical or operational solutions. + Strong knowledge of primary care, specialist networks, and prior authorization processes. + Experience… more