• Remote - Prior Authorization

    Actalent (Detroit, MI)
    …+ Prior Authorizations + Insurance Verifications Qualifications: + 2+ year of Prior Authorization pharmacy experience is Mandatory + Pharmacy ... Urgent Hiring for Remote Pharmacy Technician Job Description: + Order Entry for new/refill medications. + Respond to customer inquiries as necessary. + Assist in… more
    Actalent (01/19/26)
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  • Sr. Advisor, Payor Relations and Engagement (Cell…

    Cardinal Health (Lansing, MI)
    …either at a health system or payor) highly preferred + Experience with prior authorization approvals and medical/ pharmacy benefit billing & coding, ... to secure coverage and reimbursement rate for advanced therapy / CGT products. + ** Prior Authorizations:** Manage the prior authorization process for CGT… more
    Cardinal Health (01/08/26)
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  • Georgia Medicaid Clinical Account Manager…

    Prime Therapeutics (Lansing, MI)
    …functions, DUR committees and responsibilities. + Supports elevated customer service and prior authorization inquiries specific to assigned accounts. + Manages ... those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. **Job Posting Title** Georgia Medicaid Clinical Account Manager - … more
    Prime Therapeutics (12/18/25)
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  • AS400 Synon Technical Lead ( Remote )

    Cognizant (Lansing, MI)
    …Excellent problem-solving and communication skills **These will help you stand out** + Prior experience in healthcare or pharmacy systems (RxClaim) + Familiarity ... testing and provide technical support throughout the project lifecycle **Work model: Remote ** We strive to provide flexibility wherever possible. Based on this… more
    Cognizant (01/07/26)
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  • Clinical Pharmacist, Formulary Strategy

    CVS Health (MI)
    …Insured Business + Collaborate with Utilization Management to develop and implement Prior Authorization Criteria specific to Aetna. **Cost of Care Initiatives** ... resource for the Health Plan for all issues/concerns that are pharmacy related. This is a remote role open to qualified candidates within the United States, with… more
    CVS Health (01/17/26)
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