- Kelly Services (Rochester, NY)
- **Kelly(R) is looking for a Pharmacy Prior Authorization Technician to work at a top insurance client in the Rochester, NY area. Let us help you grow at work and ... weekend beginning no later than January 2026 **Summary Description** The Pharmacy Prior Authorization Technician performs initial-level processing and review… more
- SSM Health (St. Louis, MO)
- …impact across our healthcare system." **Job Summary:** Responsible for managing the pharmacy infusion prior authorization department to ensure the timely ... Regular **Job Highlights:** Elevate your career by leading the transformation of infusion prior authorizations at the system level! As a people-focused pharmacy … more
- Highmark Health (Wexford, PA)
- …department. Coordinates and administers the effective and efficient processing of the pharmacy benefits prior authorization process, ensuring that pharmacy ... with all regulatory agency requirements **ESSENTIAL RESPONSIBILITIES** + Reviews pharmacy utilization management (UM) coverage requests and prepares such cases… more
- University of Washington (Seattle, WA)
- …Medical Center-Montlake Pharmacy Department** has an outstanding opportunity for a ** Pharmacy Technician 2 - Prior Authorization Center** . **WORK SCHEDULE** ... * Day Shifts **POSITION HIGHLIGHTS** * Perform specialized, technical pharmacy tasks related to the management of prior... pharmacy tasks related to the management of prior authorization for patients served by the UWMC ambulatory… more
- Banner Health (AZ)
- …and innovative pharmacy practices. POSITION SUMMARY This position supports the Pharmacy Department in processing pharmacy prior authorization (PA) ... related information regarding the PA approval or non-approval; monitors pending pharmacy prior authorization requests for compliance with regulatory timelines… more
- Truman Medical Centers (Kansas City, MO)
- …experience ✔ **3 to 5 years** of experience in healthcare access, specialty pharmacy , prior authorizations, or insurance benefit management ✔ **Registered ... + Experience with **medication reimbursement and billing processes** + Familiarity with ** pharmacy benefit management (PBM), prior authorization platforms** , or… more
- CVS Health (Haines City, FL)
- …Functions:** + Foreign Graduate from a Non-US Accredited college or school of pharmacy prior to beginning Non-US Accredited Foreign Graduate Training Program at ... learning plan including a curated learning experience that will utilize your pharmacy knowledge and skills. Non-US Accredited Foreign Graduates are required to… more
- Molina Healthcare (West Valley City, UT)
- …be active and unrestricted in state of practice. + Health care delivery and pharmacy prior authorization experience + Knowledge of or experience with decision ... the review of non-formulary drugs or other drugs requiring prior authorization. + Supervises pharmacy daily unit...other drugs requiring prior authorization. + Supervises pharmacy daily unit operations to ensure prompt and appropriate… more
- UnityPoint Health (Des Moines, IA)
- …(if enrolled in a college of pharmacy ) with the Iowa Board of Pharmacy , prior to the commencement of employment. Must be a Certified Pharmacy ... Board of Pharmacy . Must provide a photocopies of renewal certificates to the Pharmacy Management Team prior to the expiration dates of current certificates. more
- Molina Healthcare (NE)
- …NCQA guidelines, and CMS standards. + Provides coordination and processing of pharmacy prior authorization requests and/or appeals. + Explains Point of ... prior authorization requirements, reviewing drug/provider utilization patterns and pharmacy costs management), clinical pharmacy services (such as,… more