- Genmab (Berkeley Heights, NJ)
- …not limited to Medicare, Medicaid and commercial insurance carriers, Prior Authorization submissions/appealsUnderstanding of the healthcare industry, including ... feel like a fit? Then we would love to have you join us!Patient Access Specialist , Call Center Operations The Patient Access Specialist will be the dedicated… more
- PeaceHealth (Vancouver, WA)
- **Description** PeaceHealth is seeking a ** Pharmacy Technician Prior Authorization Specialist for a Full Time, 1.00 FTE, Day position.** The salary range ... seniority, etc. **Job Summary** Responsible for review and verification of prior authorization requests, including referral documentation, for chemotherapy and… more
- UPMC (Pittsburgh, PA)
- UPMC Health Plan is hiring a full-time Clinical Pharmacy Specialist to support the Prior Authorization Team within the Pharmacy Services department. ... licensure by examination or reciprocity is required. The Clinical Pharmacy Specialist provides clinical pharmacy ...and provides expertise in managing member care through the prior authorization and appeals process for medications.… more
- AdventHealth (Apopka, FL)
- …regarding Rx Plus Pharmacy 's state licensed data entry, claims adjudication, prior authorization , pharmacy specialist , and technician quality ... manages team members and supervisors of the processing intake, prior authorization , specialist , and quality...to enhance safety and efficiency. + Provides education on pharmacy benefits, management, prior authorization ,… more
- Veterans Affairs, Veterans Health Administration (Milwaukee, WI)
- …the Clinical Outcomes and Formulary Management (COFM) Clinical Pharmacy Specialist : Adjudicates prior authorization drug requests (PADRs). Adjudication ... Summary The Clinical Pharmacy Specialist (CPS) works in collaboration...center staff in the adjudication of prior authorization drug requests. The CPS serves as Pharmacy… more
- BrightSpring Health Services (Irving, TX)
- …up of prior authorizations. This role requires working knowledge of pharmacy benefits and prior authorization process. Schedule:Monday - Friday8:30am ... + Initiate, process, and oversee the clinical review of prior authorization requests for medication and supply,...Qualifications + High School Diploma or GED or licensed/registered pharmacy technician or previous experience in Pharmacy … more
- US Tech Solutions (May, OK)
- …providers, and others, delivering professional phone support through the criteria-based prior authorization process. Responsibilities include accurate and timely ... **Key Responsibilities** + Handle in-bound calls professionally, providing assistance per prior authorization guidelines + Maintain complete, accurate, and… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Finance and Authorization Specialist - Lead Department: SCHI Location: SCHI - Linden Oaks Hours Per Week: 40 Schedule: Monday - Friday Days SUMMARY: ... The primary responsibility of the Lead Finance and Authorization Specialist is be the subject matter...staff. + Identify and report trends as well as prior authorization and finance issues relating to… more
- St. Luke's Health System (Boise, ID)
- …etc.) + Interpret medical terminology and accurately process prior authorization requests for medications under the pharmacy benefits. + Facilitate ... truly a great place to work. **Overview:** The Senior Pharmacy Benefits Specialist assists our members in... benefits management (PBM) and third-party issues such as prior authorization , step therapy, reviewing denied claims,… more
- Henry Ford Health System (Rochester Hills, MI)
- …Specialist is responsible for handling drug claim adjudication issues, prescription prior authorization , and pharmacy benefit inquiries from ... in the resolution of pharmacy benefit coverage issues and coordinating prior authorization and exception processes. PRINCIPLE DUTIES AND RESPONSIBILITIES: +… more
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