- Adecco US, Inc. (Woonsocket, RI)
- …is currently assisting a National Pharmaceutical client, recruiting for a REMOTE Prior Authorizations Pharmacist . Schedule: CST 8-hour shifts The anticipated ... pharmacist is review and complete criteria based on prior authorization as per policy and procedure. Candidates must...pharmacist . + Previous pharmacy experience in PBM or Prior Authorization a MUST. Work from home requirements: +… more
- US Tech Solutions (RI)
- **Job Summary:** + The Tech I Prior Auth . takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous phone assistance to ... all clinical questions, escalations and judgement calls to the pharmacist team. + The Tech I will also assist...but not limited to: outbound calls, reviewing and processing Prior Auth 's received via fax and ePA,… more
- Adecco US, Inc. (Woonsocket, RI)
- …professional phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of all ... and denials, and transfers all clinical questions and judgment calls to the pharmacist . Schedule: Assigned shifts vary from 8am to 8pm CT. Training hours 8am… more
- US Tech Solutions (May, OK)
- …+ How many years of prior -authorization experience do you have? + Haw many Prior Auth cases have you handled in your last role? + Do you have ... + Responsible for reviewing and completing criteria based on prior authorization as per policy and procedure. **Responsibilities:** +...required with at least two years experience as a pharmacist in Managed care environment. + Must have an… more
- US Tech Solutions (May, OK)
- …regarding their pending, approved, or denied prior authorizations, internally support the Prior Auth team and member services department, as well as provide ... between 11am to 730pm EST** **Job Description:** + The Pharmacist /Clinician is an operation-based role that conducts criteria based...& clinical review of medical data collected to perform prior authorization as per policy and procedure. + The… more
- US Tech Solutions (RI)
- …as needed to include but not limited to: outbound calls, reviewing and processing Prior Auth 's received via fax and ePA, monitoring and responding to inquiries ... **Job Title: Prior Authorization Specialist** **Location: Fully remote** **Duration: 12...all clinical questions, escalations and judgement calls to the pharmacist team. + The Rep I, Clinical Services will… more
- US Tech Solutions (May, OK)
- …as needed to include but not limited to outbound calls, reviewing and processing Prior Auth 's received via fax and ePA, monitoring and responding to inquiries ... courteous phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of reviews.… more
- US Tech Solutions (May, OK)
- …(NLNAC)) at the time the program was completed by the applicant.** **Skills:** LPN, Prior auth **About US Tech Solutions:** US Tech Solutions is a global ... data management, and reporting. **Experience:** + * Review criteria-based prior authorizations following policy and procedure. + * Provide...* Refer cases not meeting clinical criteria to the Pharmacist and MD team(s). + * Shift priorities while… more
- US Tech Solutions (May, OK)
- **Job Description:** The Tech I Prior Auth takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous phone assistance to ... all clinical questions, escalations and judgement calls to the pharmacist team. The Tech I will also assist with...but not limited to outbound calls, reviewing and processing Prior Auth 's received via fax and ePA,… more
- US Tech Solutions (May, OK)
- **Job Description:** + The Tech I Prior Auth takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous phone assistance ... all clinical questions, escalations and judgement calls to the pharmacist team. **Responsibilities:** + The Tech I will also...but not limited to: outbound calls, reviewing and processing Prior Auth 's received via fax and ePA,… more
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