- Highmark Health (Tallahassee, FL)
- …claims history, clearly defines the medical necessity of non-formulary and prior authorization medication exception requests. Interacts with pharmacy network ... + Prioritize requests for drug authorizations or denials. + Review of prior authorization criteria for drug products. + Recommend staffing adjustments… more
- Molina Healthcare (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
- Actalent (Oakland Park, FL)
- …along with documenting patient care. Your role will involve completing medical prior authorization and documentation requirements while collaborating with clinic ... immunizations, injections, and phlebotomy. + Document patient care and complete medical prior authorization requirements. + Collaborate with clinic team members… more
- ChenMed (Margate, FL)
- …+ Escorts patients to exam rooms and ensures their comfort and well-being prior to leaving. + Observes patients and reports any changes in patient conditions ... when necessary, all under physician supervision. + Upon physician approval and authorization , calls in prescriptions to the pharmacy. Uses communication skills with… more
- L3Harris (Palm Bay, FL)
- …documentation adheres to internal standards, formatting requirements, and contract authorization . Ensure correct and complete markings on all documentation. Apply ... required. Active poly preferred. + Bachelor's Degree and a minimum of 2 years of prior related experience. Graduate Degree or equivalent with 0 to 2 years of … more
- Dycom (West Palm Beach, FL)
- …and proper techniques for working with aerial utilities + Assess technician competency through written exams and practical evaluations, providing constructive ... Maintain detailed, accurate records of all training sessions, attendance, technician performance, and certifications using mobile or remote platforms...To be 18 years of age or older + Authorization to work in the United States for this… more
- Dycom (West Palm Beach, FL)
- …techniques for working with underground utilities and plants + Assess technician competency through written exams and practical evaluations, providing constructive ... Maintain detailed, accurate records of all training sessions, attendance, technician performance, and certifications using mobile or remote platforms...To be 18 years of age or older + Authorization to work in the United States for this… more
- Percepta (Melbourne, FL)
- …* Ability to speak confidently about extended service business products and prior approval process * Ability to utilize web based technical service information ... customer service experience * Minimum 1-year recent experience as an automotive technician in a powertrain or body/chassis/electrical diagnostic and repair role or… more
- Elevance Health (Lake Mary, FL)
- …and/or experience preferred. + Formulary, clinical rules, pharmacy claims analysis, and/or prior authorization experience for a pharmacy benefit manager or ... health plan strongly preferred. + Knowledge of Plan policies and procedures in all facets of benefit programs management with heavy emphasis in negotiation preferred. + Proficiency with Microsoft Office products, most notably expertise in Excel for reporting,… more
- Amcor (Orlando, FL)
- …into TMS under Internal Header/ Footer **Header** **You must notify your manager prior to submitting your application for this position** Amcor Rigid Packaging - ... Operator to take corrective action and notify Lead, Quality and Shift Technician . + Demonstrate an understanding of dryer components and processes. + Demonstrate… more