• Pharmacy Coordinator

    Highmark Health (Jefferson City, MO)
    …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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  • Customer Support Representative

    US Tech Solutions (Lee's Summit, MO)
    …of Inbound and Outbound Calls + Communication with the provider and member regarding their prior authorization / PBM/ Medicare. + Review and process prior ... + FTE Possibility** **Job Description:** Assisting members with their pharmacy benefit plans via incoming phone calls. You will...is accurate and complete for insurance approval. **Skills:** + Prior Authorization + Inbound and outbound call… more
    US Tech Solutions (10/04/25)
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  • Bilingual Case Manager

    Cardinal Health (Jefferson City, MO)
    …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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