- AssistRx (Phoenix, AZ)
- …insurance plan requirements. + 1 to 2 years of experience in specialty pharmacy with medication assistance, prior authorizations, pharmacy benefits ... candidate will possess a deep understanding of reimbursement processes, specialty pharmacy operations, and the healthcare landscape. This candidate will also be… more
- Prime Healthcare (Redding, CA)
- …of the Pharmacy . Qualifications EDUCATION, EXPERIENCE, TRAINING 1. Two years prior relevant Pharmacy Tech experience required2. State Pharmacy Technician ... High school diploma or equivalent5. Graduate of ASHP-accredited or equivalent pharmacy technician training program preferred6. 340B program experience preferred (if… more
- BrightSpring Health Services (Scottsdale, AZ)
- …up of prior authorizations. This role requires working knowledge of pharmacy benefits and prior authorization process. Schedule: Monday - Friday8:30am - ... Responsibilities + Initiate, process, and oversee the clinical review of prior authorization requests for medication and supply, ensuring compliance with payer… more
- US Tech Solutions (RI)
- …calls to the pharmacist. **Experience:** - Minimum of 2 year of pharmacy technician experience **Skills:** Prior authorization PBM **Education:** Verified GED ... **Job Description:** The Tech I Prior Auth takes in-bound calls from providers, pharmacies,...phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation… more
- Trinity Health (Grand Rapids, MI)
- …equivalent knowledge or professional revenue cycle, within an oncology setting. Preferred: Prior Pharmacy background. Familiar with drug names and coding. ... to obtain a successful authorization. Determines out of pockets costs for patients prior to treatment start and meet with patients to discuss and share findings,… more
- CVS Health (Austin, TX)
- …knowledge of drug and disease states for the Specialty and Non-Specialty Pharmacy programs administered within the Commercial Prior Authorization and Case ... Windows based computer applications. * Ability to receive phone calls from prior authorization pharmacy technicians and/or providers for clinical information. *… more
- US Tech Solutions (May, OK)
- …knowledge of drug and disease states for the Specialty and Non-Specialty Pharmacy programs administered within the Medicaid, Commercial Prior Authorization and ... Lexicomp, Clinical Pharmacology. + Ability to receive phone calls from prior authorization pharmacy technicians and/or providers for clinical information.… more
- Molina Healthcare (Sioux City, IA)
- …Job Duties * Performs initial receipt and review of non-formulary or prior authorization requests against pharmacy plan approved criteria; requests additional ... requests. * Accurately enters approvals or denials of requests. * Facilitates prior authorization requests within established pharmacy policies and procedures. *… more
- Henry Ford Health System (Troy, MI)
- …Specialist is responsible for handling drug claim adjudication issues, prescription prior authorization, and pharmacy benefit inquiries from members/patients, ... and external individuals. Is a subject matter expert in the resolution of pharmacy benefit coverage issues and coordinating prior authorization and exception… more
- HTC Global Services Inc (Terre Haute, IN)
- …(Inpatient, Ambulatory, or Inventory) required + Experience: + Minimum 2-3 years of pharmacy informatics or healthcare IT experience. + Prior Epic build/support ... and a variety of other perks. Position Overview We are seeking an Epic Pharmacy Informaticist to support the design, build, optimization, and maintenance of Epic's … more