- Polaris Pharmacy Services, LLC (Covina, CA)
- Lead Prior Authorization Specialist Job Details Job Location Polaris Specialty Pharmacy LLC - Covina, CA Salary Range $28.00 - $29.00 Hourly Job Category ... career advancement to all our team members. JOB SUMMARY: The Lead Prior Authorization Specialist is responsible for managing and identifying a portfolio of… more
- CVS Health (Sacramento, CA)
- …and/or medically necessary indications and review clinical documentation in support of prior authorization reviews. The primary function of the clinical ... and/or medically necessary indications and review clinical documentation in support of prior authorization reviews. You will also provide internal pharmacist… more
- Actalent (San Diego, CA)
- … Prior Authorizations + Insurance Verifications Qualifications: + 2+ year of Prior Authorization pharmacy experience is Mandatory + Pharmacy Tech State ... Certification is Mandatory AND PTCB is Mandatory If you are Interested , Kindly give a call : ### Pay and Benefits The pay range for this position is $18.00 - $20.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification… more
- LA Care Health Plan (Los Angeles, CA)
- …Preferred: Experience in Medi-Cal managed care. 1 year of experience in UM/ Prior Authorization . Skills Required: Demonstrated proficiency in Medical Terminology ... Authorization Technician II (12 Month Assignment) Job Category:...net required to achieve that purpose. Job Summary The Authorization Technician II supports the Utilization Management (UM) Specialist… more
- TEKsystems (Fresno, CA)
- …Coordinator to join our team. This role is responsible for managing the prior authorization process for medical services, ensuring timely and accurate approvals, ... requirements for procedures, tests, and referrals. + Submit and track prior authorization requests to insurance providers, ensuring compliance with turnaround… more
- Sutter Health (Santa Clara, CA)
- …to verify patient eligibility, coordinate benefits, ensure insurance coverage, and determine if prior authorization is needed for said order. If needed, obtains ... authorization and documents in the patient electronic medical record....eligibility, facility approval, follows up as necessary to obtain authorization in a timely fashion and enters authorization… more
- Sutter Health (Modesto, CA)
- …to verify patient eligibility, coordinate benefits, ensure insurance coverage, and determine if prior authorization is needed for said order. If needed, obtains ... authorization and documents in the patient electronic medical record. Facilitates responses to patient inquiries regarding authorizations within turnaround standards.… more
- Dignity Health (Rancho Cordova, CA)
- …and the appropriate application of policies and guidelines to Managed Care prior authorization referral requests. Under general supervision this position is ... responsible for coordinating the daily operations of the UM Pre- Authorization team in order to ensure requests are processed in a consistent and timely manner while… more
- Sharp HealthCare (San Diego, CA)
- … Prior AuthorizationCoordinate, review and process the more complex referrals for prior authorization for medical care and services, including emergency room, ... for the efficient and effective delivery of inpatient services.Performs review of all prior authorization referrals. (Responsible for all levels of the referral… more
- Cardinal Health (Sacramento, CA)
- …is to provide a detailed outline of clearance criteria as well as prior authorization and advocacy identification for procedures and medications scheduled to ... for benefit investigation as well as clinical clearance for prior authorization and medical necessity + Extensive patient education/counseling to determine… more