- US Tech Solutions (May, OK)
- …pharmacists, other clinical colleagues, healthcare professionals and members. + Follow all prior authorization procedures to guarantee an accurate process on ... + Refer cases not meeting clinical criteria to the Pharmacist and MD team(s). + Shift priorities while exhibiting...each prior authorization . + Train and mentor representatives… more
- US Tech Solutions (May, OK)
- …availability could be required. (10%) **Experience:** + Minimum 1 year of experience in Prior Authorization & Medicare Part D although 2-5 years is preferred ... **Skills:** + Prior Authorization + Medicare Part D **Education:** + Bachelor's Degree Required, Pharm D Preferred **About US Tech Solutions:** US Tech Solutions… more
- US Tech Solutions (May, OK)
- …other clinical colleagues, healthcare professionals and members. + * Follow all prior authorization procedures to guarantee an accurate process on each ... * Refer cases not meeting clinical criteria to the Pharmacist and MD team(s). + * Shift priorities while... prior authorization . + * Train and mentor... prior authorization . + * Train and mentor representatives on the… more
- US Tech Solutions (May, OK)
- …+ This position is responsible for reviewing and completing criteria based on prior authorization as per policy and procedure. **Responsibilities:** + Reviewing ... and completing criteria based on prior authorization as per policy and procedure. **Experience:** + Previous pharmacy experience in PBM (Pharmacy Benefits… more
- US Tech Solutions (May, OK)
- …and courteous phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of ... all clinical questions, escalations and judgement calls to the pharmacist team. The Tech I will also assist with...to 3 years of related work experience. **Skills:** + Prior Authorization + Call handling experience. **Education:**… more
- Highmark Health (Oklahoma City, OK)
- …claims history, clearly defines the medical necessity of non-formulary and prior authorization medication exception requests. Interacts with pharmacy network ... requests for drug authorizations or denials. + Review of prior authorization criteria for drug products. +...additional information when necessary. + Consult with staff clinical pharmacist for guidance and assistance as necessary. + Document… more
- US Tech Solutions (May, OK)
- …and courteous phone assistance to all callers through the criteria based prior authorization process. + Maintains complete, timely and accurate documentation ... all clinical questions, escalations and judgement calls to the pharmacist team. + The pharmacy Tech will also assist...working in PBM on managed care environments **Skills:** + Prior Authorization + Medicare and Medicaid +… more
- Actalent (Tulsa, OK)
- …providers, and members of coverage determination request decisions. Essential Skills + Prior authorization experience. + Data entry proficiency. + Pharmacy ... and triaging coverage determination requests submitted by providers and determining whether a pharmacist review is required. You will play a key role in obtaining… more
- US Tech Solutions (May, OK)
- …and courteous phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of ... preferably in healthcare, social services, or a similar service position. **Skills:** + Prior Authorization **Education:** + High School diploma or GED is… more
- BrightSpring Health Services (Oklahoma City, OK)
- …+ Ensure that insurance verification is completed and authorization is in place prior to giving the referral to a Pharmacist . + Maintain confidentiality of ... as required by payers. + Enter patient demographic, insurance and authorization information into the computer system. + Communicate with other departments… more
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