• Pharmacy Prior Authorization…

    The Cigna Group (Springfield, IL)
    …personalized, and focused on helping the whole person. In this pivotal role, Pharmacy Prior Authorization Representatives respond to phone inquiries from ... responses to inquiries is crucial for success. As a Prior Authorization Representative , you will...+ Prior work from home experience + Prior medical or pharmacy knowledge + Reliable… more
    The Cigna Group (10/07/25)
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  • Pharmacy Coordinator

    Highmark Health (Springfield, IL)
    …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
    Highmark Health (09/09/25)
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  • Adjudication Specialist

    Polaris Pharmacy Services, LLC (Des Plaines, IL)
    …does not achieve a settlement. + Complete necessary payer paperwork, including prior authorization forms and manual billing. + Handle non-standard order ... Adjudication Specialist Job Details Job Location Polaris Pharmacy Services of Illinois, LLC - Des Plaines, IL Position Type Full Time Salary Range $18.00 - $20.00… more
    Polaris Pharmacy Services, LLC (09/10/25)
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  • Pharma Support Services Specialist

    Option Care Health (Springfield, IL)
    …facing responsibilities. **Basic Qualifications** + Knowledge of insurances (Benefit Verifications/ Prior Authorization ), in specialized pharmacy therapies ... Summary:** The Specialist, Pharma Support Services serves as the designated representative on their assigned program(s) to ensure delivery of the referral… more
    Option Care Health (09/30/25)
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  • Bilingual Case Manager

    Cardinal Health (Springfield, IL)
    …care and timely access to necessary services + Assist in obtaining insurance, prior authorization , and appeal requirements and outcomes + Help patients ... streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas,… more
    Cardinal Health (09/03/25)
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