- Actalent (Oklahoma City, OK)
- Actalent is currently hiring for a Remote Prior Authorization Pharmacist ! *Oklahoma RPh License Required* Job Description: + Completes assigned daily ... to specialty pharmacy Qualifications: + 2+ years experience as a pharmacist in prior authorization or medication therapy management. Retail experience is… more
- US Tech Solutions (May, OK)
- **Job Title: Prior Authorization Pharmacist - Remote ** **Location: Fully remote ** **Duration: 6 months contract** **Note: Ideal candidates must have ... experience of Prior Authorization , Medicare Part D and Pharmacy...required with at least two years' experience as a pharmacist . Must have an active license in the state… more
- US Tech Solutions (TX)
- **Job Title:** ** Prior Authorization Pharmacist ** **Location: Remote ** **Duration: 6+ months contract** **Job Description:** + Responsible for reviewing ... and completing criteria based on prior authorization as per policy and procedure....required with at least two years experience as a pharmacist in Managed care environment. + Must have an… more
- TEKsystems (Rochester, NY)
- Description: The Pharmacy Prior Authorization Technician performs functions as permitted by law including the initial level processing and review of prior ... leadership and expertise in the intake area of the prior authorization process for medications processed either...M-F 8am-5pm EST (no part time hours being offered) Remote but you must live in one of their… more
- Ardon (Vancouver, WA)
- …to work in a fast-paced environment. Knowledge of pharmacy benefit investigation, prior authorization support, and patient financial assistance connection. ... and continuing treatment with a specialty medication. The Integrated Specialty Services Pharmacist provides in‑clinic and remote services centered on expediting… more
- Actalent (Florida City, FL)
- …Job Description The main function of a pharmacist is to conduct final prior authorization reviews. The pharmacist ensures compliance with state and ... with the State Board of Pharmacy. + Experience with prior authorization processes. + Licensed Pharmacist...AZ, NC, TX. Work Environment This is a 100% remote position, requiring a dedicated workspace at home. The… more
- US Tech Solutions (AZ)
- …required. (10%) **Experience:** + Pharmacist License of Current State + Prior Authorization Experience. + Medicare Experience + Experience working in ... **Job Title:** ** Pharmacist ** **Location: Remote ** **Duration: 12+ months...healthcare. **Skills:** + Prior Authorization . + Medicare. + ...healthcare. **Skills:** + Prior Authorization . + Medicare. + Prior … more
- US Tech Solutions (RI)
- **Job Title: Prior Authorization Specialist** **Location: Fully remote ** **Duration: 12 months contract** **Job Description:** + Prior Authorization ... phone assistance to all callers through the criteria based prior authorization process. + Maintains complete, timely...all clinical questions, escalations and judgement calls to the pharmacist team. + The Rep I, Clinical Services will… more
- Penn Medicine (Philadelphia, PA)
- …South 76th Street, near the Philadelphia Airport, to oversee and support the Prior Authorization and Specialty Benefit Investigation Team. Hybrid work model--3 ... Medicine is seeking a full-time, day shift Outpatient Lead Pharmacist for its Specialty Central Fill location at 3250...days onsite and 2 days remote , after completing onsite training and onboarding Summary: +… more
- US Tech Solutions (May, OK)
- …other clinical colleagues, healthcare professionals and members. + * Follow all prior authorization procedures to guarantee an accurate process on each ... **Job Summary:** This is a remote position and requires the ability to effectively...* Refer cases not meeting clinical criteria to the Pharmacist and MD team(s). + * Shift priorities while... prior authorization . + * Train and mentor… more
- Mayo Clinic (Rochester, MN)
- …to succeed. **Responsibilities** The Revenue Cycle Clinical Advisor is a medication prior authorization pharmacist responsible for utilizing pharmacy acumen, ... medication expertise, healthcare payer knowledge, medication guidelines to support prior authorization operations, prior authorization technology,… more
- Actalent (Nashville, TN)
- …Microsoft Office and Outlook. + Basic computer skills. + Experience with prior authorization processes. Additional Skills & Qualifications + Customer service ... Technician to join our team. The role involves reviewing Prior Authorizations, approving or denying them, and sending them...approving or denying them, and sending them to a Pharmacist for final review. You will handle all health… more
- Actalent (Greenville, SC)
- …by the state of operation. + Basic computer skills. + Experience with prior authorization and prescription benefits. + Proficiency in Microsoft Office, including ... Remote Certified Pharmacy Technician Job Description We are...join our team. In this role, you will review Prior Authorizations, make determinations, and forward them to a… more
- IQVIA (Northborough, MA)
- …with attention to detail and accuracy, to then have the prepared prior authorization reviewed by a clinical pharmacist . + Assist patients with the enrollment ... obtain correct eligibility information, perform benefit investigations, copay assistance and check prior authorization and/ or appeal status. This role will be… more
- Prime Therapeutics (Columbus, OH)
- …Manages current clients in all Medical Pharmacy programs such as Fee Schedule Management, Prior Authorization , Post Service Claim Edits, Site of Service and any ... **Job Posting Title** Director, Specialty Clinical Solutions- RPH/PharmD required- REMOTE **Job Description Summary** Responsible for support and development of… more
- Molina Healthcare (WA)
- …Services, pharmacies, and health plan providers in resolving member prescription claim, prior authorization , or pharmacy services access issues. * Articulates ... and medication use policies). **Job Duties** * Collaborate with Molina pharmacist on medication adherence and provide follow-up on identified adherence barriers.… more
- US Tech Solutions (May, OK)
- **Job Description:** The Tech I is the initial point of contact for Prior Authorization requests from members, providers, and a diverse customer base. The Tech I ... if a complex request should be transferred to a pharmacist for assistance. Additionally, the Tech I is responsible...phone assistance to all callers through the criteria based prior authorization process. + Maintains complete, timely… more
- AdventHealth (Apopka, FL)
- …productivity standards. This position oversees the prescription intake, claims adjudication, prior authorization , and technician quality assurance processes to ... staff and physician office(s) on any questions regarding formulary coverages, eligibility, prior authorization , or general plan guidelines. + Maintains an… more
- Elevance Health (Columbus, OH)
- …for the interpretation and data entry of moderately complex prescriptions, prior authorization processing, and troubleshooting adjudication issues. **How you ... Part-Time** **Location:** This position will work a hybrid model ( remote and office). The ideal candidate will live within...make an impact:** + Assists in developing and configuring prior authorization decision trees in the workflow… more
- US Tech Solutions (GA)
- …from distractions. You will provide processing and communication of specialty medication prior authorization (PA) requests reviewed by the Specialty Medical ... **Job Description:** This is a remote position and requires the ability to effectively...Prior Authorization department. Reporting to the Pharmacy Operations Manager, you… more