- 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
- HTC Global Services Inc (Terre Haute, IN)
- …healthcare environment. Preferred Qualifications + Epic certification in Beacon (Oncology), Medication Prior Authorization (Rx Prior Auth), or eMAR. + ... Inventory) required + Experience: + Minimum 2-3 years of pharmacy informatics or healthcare IT experience. + Prior...skills, and experiences within our workforce. HTC is proud to be recognized as a National Minority Supplier. #LI- Remote … more
- Centene Corporation (Austin, TX)
- …+ Takes member/prescriber/pharmacist inquiry calls for benefit questions including prior authorization requests + Offers options including submission ... benefits including a fresh perspective on workplace flexibility. * ** Remote based position anywhere in the United States, must...of a prior authorization request + Thoroughly researches issues… more
- GEHA (Lee's Summit, MO)
- …products and lines of business. + Oversee development and implementation of clinical pharmacy programs including prior authorization , adherence support, and ... experience, sustained by a nimble and efficient organization. The Vice President, Pharmacy is a senior executive leader responsible for setting and executing GEHA's… more
- Actalent (Orlando, FL)
- …a review technician for further processing. Responsibilities + Manage the intake of MedPharm prior authorization requests. + Set up prior authorizations in ... the phone. + Control and redirect conversations as needed. Essential Skills + Pharmacy technician certification + Prior experience with managed care + Proficient… 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 * *Mission Statement*[ ]()...required and preferred licenses, certifications, training, and continuing education prior to the deadlines including but not limited to… more
- CVS Health (Frankfort, KY)
- …processing, contractual oversight, formulary management and updates, medication utilization review, prior authorization processes in alignment with contract, and ... heart, each and every day. **This is a fully remote , work from home role. The ideal candidate will...reside in the state of Kentucky.** **Position Summary** The Pharmacy Director for Aetna Better Health of Kentucky will… more
- Humana (Lansing, MI)
- …Solutions ensuring compliance with programmatic requirements, such as claims processing, prior authorization , formulary management and clinical programming + ... scope and complexity ranging from moderate to substantial. The Pharmacy Director, internally known as a Clinical Pharmacy...on Humana's secure website. Travel: While this is a remote position, occasional travel to Humana's offices for training… more
- University of Michigan (Ann Arbor, MI)
- …+ Troubleshoot complex medication-related issues and make suggestions for improvement (insurance/ prior authorization , medication history, etc.) + Identify and ... Research Pharmacy Technician Apply Now **How to Apply** Applicants...of Work** Positions that are eligible for hybrid or mobile/ remote work mode are at the discretion of the… more
- Actalent (Orlando, FL)
- …pharmacy data entry and handling phone calls to communicate decisions regarding Prior Authorization (PA) to members and providers. This role primarily ... Job Title: Pharmacy ClerkJob Description The Pharmacy Clerk...Pharmacy services. Work Environment This position is fully remote , with an alternative training schedule. Initially, work hours… more