- Sanofi Group (Fort Lauderdale, FL)
- …the field subject matter expert relating to patient support, access, reimbursement, prior authorization , appeal, financial assistance, and other business related ... ABM as appropriate + Support field in education of office personnel on prior authorization and appeals processes, reimbursement support through Dupixent MyWay,… more
- AssistRx (Orlando, FL)
- …the patient journey. Our portfolio-including iAssist(R), Hub Lite (TM) , Prior Authorization , Benefits Verification, and connected specialty pharmacy ... the pharmaceutical pipeline via ClinicalTrials.gov, EvaluatePharma, TrialScope, or similar. + Prior experience supporting Sales or Commercial teams in life sciences.… more
- Molina Healthcare (Orlando, FL)
- …stay for requested treatments and/or procedures. * Conducts reviews to determine prior authorization /financial responsibility for Molina and its members. * ... 2 years experience, including experience in hospital acute care, inpatient review, prior authorization , managed care, or equivalent combination of relevant… more
- Molina Healthcare (Tampa, FL)
- …stay for requested treatments and/or procedures. * Conducts reviews to determine prior authorization /financial responsibility for Molina and its members. * ... 2 years experience, including experience in hospital acute care, inpatient review, prior authorization , managed care, or equivalent combination of relevant… more
- AssistRx (Orlando, FL)
- …and details on how to expedite patient access + Document and initiate prior authorization process and claims appeals + Report any reimbursement trends ... and navigating complex reimbursement issues. This position also provides support for Prior Authorizations (PA) for an assigned caseload and helps navigate the… more
- AssistRx (Orlando, FL)
- …and details on how to expedite patient access + Document and initiate prior authorization process and claims appeals + Report any reimbursement trends ... and navigating complex reimbursement issues. This position also provides support for Prior Authorizations (PA) for an assigned caseload and helps navigate the… more
- Molina Healthcare (Miami, FL)
- …Services (CMS) standards. * Provides coordination and processing of pharmacy prior authorization requests and/or appeals. * Explains point-of-sale claims ... not limited to: formulary information, copay amounts, pharmacy location services and prior authorization outcomes. * Assists members and providers with… more
- Molina Healthcare (Miami, FL)
- …to plan members. * Provides leadership and expertise in performance of prior authorization , inpatient concurrent review, discharge planning, care management and ... mentors and develops medical director staff as needed. * Ensures that authorization decisions are rendered by qualified medical personnel and without hindrance due… more
- AssistRx (Orlando, FL)
- …Brand Teams (required). + Strong understanding of specialty pharmacy workflows, prior authorization processes, benefits verification, copay programs, or HUB ... employment eligibility verification document form upon hire. Sponsorship and/or work authorization is not available for this position. AssistRx does not accept… more
- Actalent (Tampa, FL)
- …+ Notify physicians, providers, and members of request decisions. Essential Skills + Prior authorization + Data entry + Pharmacy experience + Customer service ... of coverage determination decisions. + Respond to client inquiries regarding authorization approvals and PBM online applications. + Refer requests for specialty… more