- Penn State Health (Hershey, PA)
- …L. Stuckey at ###@pennstatehealth.psu.edu (MAILTO://###@pennstatehealth.psu.edu) **SUMMARY OF POSITION:** The Pharmacy Insurance Authorization Specialist ... while maintaining the highest standards of safety and efficacy. The Pharmacy Insurance Authorization Specialist drives our medication procurement… more
- UPMC (Pittsburgh, PA)
- UPMC Health Plan has an exciting opportunity for a Senior Clinical Pharmacy Specialist in the Pharmacy Services department. This is primarily a ... efficiency improvements through the management of the Formulary, Prior Authorization , and other clinical programs. This role is responsible...US School of Pharmacy . + Experience in pharmacy benefit management, insurance , and managed care… more
- AmeriHealth Caritas (Philadelphia, PA)
- …integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. ... us at www.amerihealthcaritas.com . The Community Health Choices (CHC) Home Modification Specialist works within the scope of the service definition for home… more
- CVS Health (Monroeville, PA)
- …every day. **A Brief Overview** Follows processes to assist with processing, insurance verification and authorization , revenue cycle management, compliance and ... you will need Minimum Requirements** + 1 year of medical billing and/or pharmacy billing work experience + Working knowledge of problem solving and decision making… more
- PSKW LLC dba ConnectiveRx LLC (Pittsburgh, PA)
- …to essential medications! We seek a compassionate individual to engage with Medical Insurance Payers and Pharmacy Benefit Managers, playing a vital role in ... parts. Join our dynamic team as a Benefits Investigation Specialist and be a crucial part of ensuring access... Benefit Managers via outbound calls to verify patient insurance coverage and uncover available Medical and Pharmacy… more
- AmeriHealth Caritas (Philadelphia, PA)
- …integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. ... of the LTSS Review Home Modification and LTSS UM Department, including authorization and approval of services, appeals and the coordination of benefits for… more
- CenterWell (Harrisburg, PA)
- …Care to lead strategy and execution for our referral management, payer prior authorization , and specialist network solutions. This role is critical to shaping ... delivery of external specialist referral management solutions, including specialist network optimization, authorization processes, and workflow enablement. +… more