• Customer Service Representative, Medicare…

    Molina Healthcare (Yonkers, NY)
    …regulations, NCQA guidelines, and CMS standards. + Provides coordination and processing of pharmacy prior authorization requests and/or appeals. + Explains ... those involved in formulary management (such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and pharmacy costs… more
    Molina Healthcare (07/23/25)
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  • Prior Authorization Pharmacy

    Intermountain Health (Albany, NY)
    **Job Description:** The Pharmacy Technician demonstrates consistent application of knowledge and skills in assisting the pharmacist in execution of appropriate, ... site. **Qualifications** + High School or equivalent is required + Current pharmacy technician certification and/or license applicable to state of practice.… more
    Intermountain Health (07/18/25)
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  • Pharmacy Access Rep III - Home Infusion

    University of Rochester (Rochester, NY)
    …including pharmacists, pharmacy technicians, medical/clinical staff, and central prior authorization staff. External interactions include third party payors, ... duties as required, including work relating to the Intake Pharmacy Access Representative ** Prior Authorization ...ASHP accredited training program or equivalent experience as a pharmacy technician , or Certification from a nationally… more
    University of Rochester (07/19/25)
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  • Pharmacy Access Rep III - Specialty…

    University of Rochester (Rochester, NY)
    …including pharmacists, pharmacy technicians, medical/clinical staff, and central prior authorization staff. External interactions include third party payors, ... duties as required, including work relating to the Intake Pharmacy Access Representative ** Prior Authorization ...ASHP accredited training program or equivalent experience as a pharmacy technician , or Certification from a nationally… more
    University of Rochester (06/18/25)
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  • Clinical/MTM pharmacy Tech

    Molina Healthcare (Syracuse, NY)
    …those involved in formulary management (such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and pharmacy costs ... Member Services, pharmacies, and health plan providers in resolving member prescription claim, prior authorization , or pharmacy services access issues. +… more
    Molina Healthcare (06/06/25)
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  • Pharmacy Technician , Clinical/MTM…

    Molina Healthcare (Rochester, NY)
    …Member Services, pharmacies, and health plan providers in resolving member prescription claim, prior authorization , or pharmacy services access issues. + ... **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** 2 years' experience as a Pharmacy Technician **PREFERRED EXPERIENCE:** 3+ years **REQUIRED LICENSE,… more
    Molina Healthcare (06/25/25)
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  • Prior Authorization Coordinator

    SUNY Upstate Medical University (Syracuse, NY)
    …Medical University Hospital retail pharmacy revenue through provision of prior authorization services at Upstate Medical University Hospital clinics. Observe ... and medical necessity of medication use based on established criteria. Obtain prior authorization from intermediaries and payers, including managed care… more
    SUNY Upstate Medical University (05/09/25)
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  • Pharmacist

    US Tech Solutions (New York, NY)
    …& hours will the person work in this position? List training hours, if different. **Skills:** Pharmacy tech , Prior authorization **About US Tech ... based role that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply… more
    US Tech Solutions (07/18/25)
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  • Pharmacy Analyst

    Catholic Health Services (Centereach, NY)
    …of experience in a pharmacy setting, preferably with experience in prior authorization or insurance verification. Knowledge of insurance processes, formulary ... Pharmacy Analyst is responsible for reviewing and processing medication prior authorization (PA) requests from healthcare providers, patients, and insurance… more
    Catholic Health Services (05/23/25)
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  • Pharmacy Tech - Vivo (Rxlhh)

    Northwell Health (New York, NY)
    …to help facilitate the filling of prescriptions, handle/resolve rejections, and obtain prior authorization which will expedite prescriptions into the workflow. ... Qualification High School Diploma or equivalent, required. Graduate of a recognized Pharmacy Technician Training Program or PTCB Certification (CPHT), required.… more
    Northwell Health (07/22/25)
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