- Corewell Health (Grand Rapids, MI)
- …1+ years of Retail Pharmacy experience and preferably 1+ years of Prior Authorization Experience or Insurance Navigation experience + This position will ... Experience Preferred + 1 year of relevant experience Prior Authorization Experience or Insurance Navigation Preferred...STATE_MI State of Michigan Upon Hire required Or + LIC- Pharmacy Technician Temp - STATE_MI State of… more
- Prime Therapeutics (Lansing, MI)
- …MCP Clinical Liaison - Remote **Job Description** Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by ... office staff, medical management staff and/or pharmacists. Researches, resolves and documents prior authorization outcomes in pharmacy system. + Communicates… more
- Henry Ford Health System (Detroit, MI)
- … Support: Efficiently validate insurance coverage and determine when medication prior authorization is required, ensuring accuracy and compliance with ... medications, NDCs, and corresponding HCPCS codes to ensure accurate prior authorization , billing, and reimbursement. Collaborate with...least two (2) years of experience as an inpatient pharmacy technician (for inpatient setting) OR two… more
- Molina Healthcare (MI)
- …Essential Job Duties * Performs initial receipt and review of non-formulary or prior authorization requests against pharmacy plan approved criteria; requests ... JOB DESCRIPTION Job Summary Provides support for pharmacy technician activities. Contributes to overarching...Accurately enters approvals or denials of requests. * Facilitates prior authorization requests within established pharmacy… more
- Henry Ford Health System (Warren, MI)
- Join Henry Ford Health Warren Pharmacy Inpatient team as a Pharmacy Technician Advance Advocate and make an exciting impact on patient care. Eligible for a ... compounding, medication history, nuclear, and Patient Assistance Program (PAP) as a pharmacy technician . + Refills and maintains automated dispensing system.… more
- Elevance Health (Dearborn, MI)
- ** Pharmacy Technician II - CarelonRx Call Center** **Hours:** 10:30 am - 7 pm or 12 pm - 8:30 pm EST **Location:** This role enables associates to work virtually ... in care. Our goal is to close those gaps through education and assistance. The ** Pharmacy Technician II** is responsible for the interpretation and data entry of… more
- Henry Ford Health System (Troy, MI)
- …Benefits Specialist is responsible for handling drug claim adjudication issues, prescription prior authorization , and pharmacy benefit inquiries from ... of pharmacy benefit coverage issues and coordinating prior authorization and exception processes. PRINCIPLE DUTIES...GED Associates degree preferred + Requires State of Michigan Pharmacy Technician License. + Requires a minimum… more
- Corewell Health (Grand Rapids, MI)
- …customers on drug formulary guidelines, including drug formulary alternatives and prior authorization criteria. Consistently create an exceptional experience ... provides customers with information and education concerning the drug formulary and prior authorization (coverage determination) requests and ensuring they are… more
- Highmark Health (Lansing, MI)
- …clearly defines the medical necessity of non-formulary and prior authorization medication exception requests. Interacts with pharmacy network providers to ... + Prioritize requests for drug authorizations or denials. + Review of prior authorization criteria for drug products. + Recommend staffing adjustments… more
- Henry Ford Health System (Rochester Hills, MI)
- …medications. Responsibilities include prescription intake, insurance benefits investigation, prior authorization management, financial assistance support, refill ... intake, adherence reminder calls, delivery coordination, insurance benefits investigation, prior authorization management, and financial assistance research. The… more