- Ochsner Health (New Orleans, LA)
- …to medication therapy, authorizing medication refills, maintaining accurate pharmacy preferences, identifying discrepancies or problems with medication history ... information, assisting patients with the medication authorization process, and assisting patients with overcoming barriers to accessing medications. Communicates… more
- Elevance Health (St. Louis, MO)
- ** Authorization Representative I** **Location:** This role requires associates to be in-office **[1]** days per week, fostering collaboration and connectivity, ... and personalized support throughout the consumer's treatment journey._ The ** Authorization Representative I** is responsible for the...and a minimum of 1 year of experience processing pharmacy prior authorizations; or any combination of… more
- Corewell Health (Grand Rapids, MI)
- …customers on drug formulary guidelines, including drug formulary alternatives and prior authorization criteria. Consistently create an exceptional experience ... provides customers with information and education concerning the drug formulary and prior authorization (coverage determination) requests and ensuring they are… more
- Molina Healthcare (Tucson, AZ)
- …Medicare and Medicaid Services (CMS) standards. * Provides coordination and processing of pharmacy prior authorization requests and/or appeals. * Explains ... including but not limited to: formulary information, copay amounts, pharmacy location services and prior authorization...information, copay amounts, pharmacy location services and prior authorization outcomes. * Assists members and… more
- The Cigna Group (Phoenix, AZ)
- …empathetic and fun-loving personality with a few good jokes on the ready + Prior Authorization experience preferred (CoverMyMeds) + High School Diploma or GED ... dreams of having a family come true! As a **_Customer Service Pharmacy Technician Representative_** at Freedom Fertility, you'll use your empathy and listening… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- …who need it most, we invite you to grow with us. JOB SUMMARY: The Prior Authorization Supervisor is responsible for managing and identifying a portfolio of ... - $70.00 Salary/year Description WHO WE ARE At Polaris Pharmacy Services, we're more than a pharmacy ...eliminate financial risks to Polaris and their customers. The Prior Authorization Supervisor must be responsive and… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- Position Type Full Time Category Pharmaceutical Description PRIOR AUTHORIZATION SPECIALIST (REMOTE) WHO WE ARE At Polaris Pharmacy Services, we're more than ... those who need it most, we invite you to grow with us. OVERVIEW The Prior Authorization Specialist is responsible for managing and identifying a portfolio of… more
- Polaris Pharmacy Services, LLC (Des Plaines, IL)
- …who need it most, we invite you to grow with us. JOB SUMMARY: The Prior Authorization Specialist is responsible for managing and identifying a portfolio of ... Hourly Category Pharmaceutical Description WHO WE ARE At Polaris Pharmacy Services, we're more than a pharmacy ...eliminate financial risks to Polaris and their customers. The Prior Authorization Specialist must be responsive and… more
- Prime Healthcare (Chicago, IL)
- …West Talcott Ave, Chicago, IL 60631 Responsibilities The Infusion Insurance and Prior Authorization Representative assists with referrals by determining ... skills are required. Preferred qualification: 1. Previous experience in pharmacy , infusion, or prior authorization ...1. Previous experience in pharmacy , infusion, or prior authorization process is preferred. Pay Transparency… more
- Highmark Health (Montpelier, VT)
- …clearly defines the medical necessity of non-formulary and prior authorization medication exception requests. Interacts with pharmacy network providers to ... requests for drug authorizations or denials. + Review of prior authorization criteria for drug products. +...billing practices through paid clams review. + Participate as pharmacy representative in onsite member appeals and… more
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