- Merck (Sacramento, CA)
- …and/or education to HCP accounts on patient access, including benefit verification, prior authorization process, appeals process, and patient support programs in ... B, Medicaid, commercial) and related access processes, including benefit verification, prior authorization , and appeal processes * Expertise in pharmaceutical… more
- The County of Los Angeles (Los Angeles, CA)
- …response team. + Assists Psychiatrists in completing and checking for accuracy on Treatment Authorization Request (TAR) and Prior Authorization (PA) forms. + ... needs of the service are met and is subject to closure without prior notice. TYPE OF RECRUITMENT Open Competitive Job Opportunity DEFINITION Provides specialized… more
- Humana (Sacramento, CA)
- …service telephone experience desired + Experience with Utilization Review and/or Prior Authorization , preferably within a managed care organization ... Proficient utilizing electronic medical record and documentation programs + Prior experience with CGX and Genesys + Prior... Prior experience with CGX and Genesys + Prior experience with post-acute authorizations + Prior … more
- Stanford Health Care (Palo Alto, CA)
- …Proficiency In At Least ONE of the Following Specialized Functions:- Medication Prior Authorization - Specialized Data Collection & Coordination- Cross-trained to ... is accurate, and assist with general questions about appointments, authorization , payments, billing, and schedules.- Patient Escalations: Seek, Identifies, and… more
- Select Medical (San Diego, CA)
- …financially viable. + Communicate relevant data to clinical liaisons, case managers, prior authorization team, and physicians to help prepare for admission. ... signed consent to treat forms and file. **Qualifications** **Qualifications** + Prior experience in a hospital, physician practice or insurance environment. +… more
- CVS Health (Manteca, CA)
- …the pharmacy team in doing so, to resolve barriers to patient care, including prior authorization , formulary changes, copay concerns, etc. + Ensures the pharmacy ... D. degree required **Doctor of Pharmacy (PharmD) is preferred** ** Prior Relevant Work Experience** + 1 to 5 years...Relevant Work Experience** + 1 to 5 years of prior related experience is preferred Essential Qualifications and Functions:… more
- Sutter Health (Fairfield, CA)
- …other staff to the department. **Job Description** : **Key Responsibilities:** + ** Prior Authorization :** Process and submit prior authorizations for ... specialty medications; follow up with payers to expedite approvals. + **Financial Assistance:** Assist patients in obtaining financial aid, including copay cards and grants; liaise with pharmaceutical manufacturers and assistance programs. + **Accreditation &… more
- Sutter Health (Oakland, CA)
- …performing specific tasks and/or orient other staff to the department. Key Responsibilities: Prior Authorization : Process and submit prior authorizations for ... specialty medications; follow up with payers to expedite approvals. Financial Assistance: Assist patients in obtaining financial aid, including copay cards and grants; liaise with pharmaceutical manufacturers and assistance programs. Accreditation &… more
- Cardinal Health (Sacramento, CA)
- …and pharmacy insurance benefit practices, preferred + 1-2 years experience with Prior Authorization and Appeal submissions, preferred + Ability to work ... population . + Follow through on all benefit investigation rejections, including Prior Authorizations, Appeals, etc. All avenues to obtain coverage for the product… more
- Vitesse Systems (Newark, CA)
- …not be disclosed in written, oral, or visual form to any foreign national without prior export authorization from the Department of State. A foreign national is ... involving a few concrete variables in standardized situations. CERTIFICATES, LICENSES, REGISTRATIONS: Authorization to work in the United States. To conform to US… more