- Insight Global (Robinson, PA)
- …door pharmacy in the Robinson Township, PA area is looking to hire a Pharmacy Prior Authorization Specialist . This role will include assisting in ... Skills and Requirements - 1+ year experience working in a Pharmacy prior authorization setting - Strong customer service skills -… more
- Penn State Health (Hershey, PA)
- …Stuckey at ###@pennstatehealth.psu.edu (MAILTO://###@pennstatehealth.psu.edu) **SUMMARY OF POSITION:** The Pharmacy Insurance Authorization Specialist must ... maintaining the highest standards of safety and efficacy. The Pharmacy Insurance Authorization Specialist drives...equivalent required. + Two (2) years of experience in Prior Authorizations in either a Pharmacy or… more
- UPMC (Pittsburgh, PA)
- …and identify medical documentation in support of prior authorization requests. + Complete standard/expedited pharmacy coverage determinations according ... will oversee administrative and system processes that relate to pharmacy prior authorizations. Manage the first line... authorizations. Manage the first line clinical review of prior authorization requests on behalf of physicians… more
- UPMC (Bridgeville, PA)
- …+ Interface with other departments and identify medical documentation in support of prior authorization requests. + Act as a conduit of information between ... UPMC Rx Partners is looking for a full time Pharmacy Clinical Review Specialist to join their dedicated team! This position provides prescription data entry and… more
- Walgreens (Pittsburgh, PA)
- …patient's coverage journey from start to finish, including benefits investigation, prior authorization support, and enrollment in financial assistance programs. ... require follow-up with patients, prescribers, and payors; managing the full authorization process- prior authorizations, appeals, and medical tier exceptions-by… more
- PSKW LLC dba ConnectiveRx LLC (Pittsburgh, PA)
- …in accordance with federal and state regulations. + Accurately document payer Prior Authorization and Appeals protocols, ensuring meticulous attention to detail. ... parts. Join our dynamic team as a Benefits Investigation Specialist and be a crucial part of ensuring access...compassionate individual to engage with Medical Insurance Payers and Pharmacy Benefit Managers, playing a vital role in identifying… more
- UPMC (Mckeesport, PA)
- …engaged in care planning and/or behavioral management support. Works with team and pharmacy to acquire medication prior authorization as needed. Attend ... tr th { background-color: #f5f5f5; } Behavioral Health Nurse Specialist - Senior Level Location: UPMC McKeesport Behavioral Health...30 days from date of hire with annual renewal prior to expiration date. + Act 31/33/34/73 clearances. +… more
- CenterWell (Harrisburg, PA)
- …and Specialty Care to lead strategy and execution for our referral management, payer prior authorization , and specialist network solutions. This role is ... for clinical or operational solutions. + Strong knowledge of primary care, specialist networks, and prior authorization processes. + Experience… more