- Prime Therapeutics (Austin, TX)
- …Liaison - Remote **Job Description** Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone ... office staff, medical management staff and/or pharmacists. Researches, resolves and documents prior authorization outcomes in pharmacy system. + Communicates… more
- Actalent (San Antonio, TX)
- Pharmacy Technician - Prior Authorization ( Remote ) Location: Must be located in central or mountain time zones Employment Type: Full‑Time Experience ... a detail‑oriented Pharmacy Technician to support our Prior Authorization team. This role focuses on...or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to… more
- Cardinal Health (Austin, TX)
- …either at a health system or payor) highly preferred + Experience with prior authorization approvals and medical/ pharmacy benefit billing & coding, ... to secure coverage and reimbursement rate for advanced therapy / CGT products. + ** Prior Authorizations:** Manage the prior authorization process for CGT… more
- Centene Corporation (Austin, TX)
- …+ Takes member/prescriber/pharmacist inquiry calls for benefit questions including prior authorization requests + Offers options including submission ... Applicants for the job have the flexibility to work remote from home anywhere in the United States. Candidates...of a prior authorization request + Thoroughly researches issues… more
- Humana (Austin, TX)
- …Deep understanding of pharmacy operations, PBM models, benefits coordination, prior authorization workflows, and specialty care dynamics + Exceptional ... to deliver scalable, secure, and repeatable solutions that power pharmacy growth. **Technology Implementation Lead - Pharmacy ...ongoing interruptions to protect member PHI / HIPAA information \#LI- Remote Travel: While this is a remote … more
- MD Anderson Cancer Center (Houston, TX)
- …to comply with institutional standards, initiatives, and guidelines (ABN's, prior authorization requirements, reimbursement optimization, formulary management, ... * Clinical Pharmacy Specialist - Hematology * The * Pharmacy...required and preferred licenses, certifications, training, and continuing education prior to the deadlines including but not limited to… more
- Texas Health Resources (Fort Worth, TX)
- …Health hospital pharmacy required * 2 years of previous Retail Pharmacy experience, previous prior authorization processing and prescription benefit ... Registered Pharmacy Technician II - Retail _Bring your passion...or designated Provider offices, with the potential to become remote in the future. Department highlights: Join our team… more
- Insight Global (Amarillo, TX)
- …Member Advocates and Account Executives. You will also be responsible for reviewing prior authorization requests in accordance with member benefits and coverage ... Job Description The Remote Clinical Pharmacist position provides clinical guidance and...criteria within defined turn-around times. Review of prior authorization requests in accordance with member… more
- Prime Therapeutics (Austin, TX)
- …functions, DUR committees and responsibilities. + Supports elevated customer service and prior authorization inquiries specific to assigned accounts. + Manages ... those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. **Job Posting Title** Georgia Medicaid Clinical Account Manager - … more
- Highmark Health (Austin, TX)
- …**JOB SUMMARY** This job reviews requests for medication coverage determination for prior authorization review and appeals. Through the Utilization Review ... RESPONSIBILITIES** + Make coverage determinations by evaluating physician requests for prior authorization or appeals against medical policy through the… more
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