- Actalent (Houston, TX)
- Job Title: Pharmacy Technician 1 Job Description We are seeking a dedicated Pharmacy Technician who will play a crucial role in managing coverage ... years of experience in retail, hospital, or mail order pharmacy . + Current state Pharmacy Technician...Technician Certification Board (CPhT) preferred. + Experience with prior authorizations and Medicare. Job Type & Location This… more
- Ascension Health (Austin, TX)
- …compounding, medication history, nuclear, and Patient Assistance Program (PAP) as a pharmacy technician . + Refill and maintain automated dispensing system. ... and assist with patient medication access including, benefit investigation, prior authorization , and financial assistance. + Assist... Tech credentialed from the Texas State Board of Pharmacy obtained prior to hire date or… more
- Actalent (Austin, TX)
- …members of coverage determination request decisions. Essential Skills + Prior authorization experience. + Data entry proficiency. + Pharmacy technician ... As a Pharmacy Technician , you will be responsible...determination request decisions. + Respond to client inquiries regarding authorization approvals and PBM online applications. + Refer coverage… more
- Highmark Health (Austin, TX)
- …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
- Molina Healthcare (Houston, TX)
- …Medicare and Medicaid Services (CMS) standards. * Provides coordination and processing of pharmacy prior authorization requests and/or appeals. * Explains ... plan benefit information, including but not limited to: formulary information, copay amounts, pharmacy location services and prior authorization outcomes. *… more
- UTMB Health (Huntsville, TX)
- …testing is also required. **_REQUIRED EDUCATION/EXPERIENCE_** **:** + Two (2) years of pharmacy technician experience + Four (4) or more advanced Pharmacy ... of immunizations + Works with patients, providers, and payers to obtain prior authorization + Resolves billing/adjudication issues encountered in the processing… more
- Baylor Scott & White Health (Temple, TX)
- …to explain Health Plan pharmacy benefits, assist with understanding the prior authorization process, and resolve claims processing and eligibility issues ... department to comply with department and regulatory standards. **KEY SUCCESS FACTORS** Certified Pharmacy Technician (CPhT) preferred. Ability to lead a team and… more
- Elevance Health (Grand Prairie, TX)
- … technician license and/or experience preferred. + Formulary, clinical rules, pharmacy claims analysis, and/or prior authorization experience for a ... ** Pharmacy Investigator Senior** **Hybrid** : This role requires...an accommodation is granted as required by law. The ** Pharmacy Investigator Senior** is responsible for the independent identification,… more
- Walgreens (Frisco, TX)
- …may performs benefit investigation for triaged referrals, including adding/updating prior authorization information, processing major medical insurance claims ... and/or hours outside of business hours. **Preferred Qualifications:** + Having an active pharmacy technician license or certification as required by state Board… more
- US Tech Solutions (San Antonio, TX)
- …based role that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply ... Handles inbound phone calls and escalations from physicians or patients regarding Prior Authorization (50%) 4. Establishes and maintains communication, health… more