- US Tech Solutions (RI)
- …to the pharmacist. **Experience:** - Minimum of 2 year of pharmacy technician experience **Skills:** Prior authorization PBM **Education:** Verified GED ... **Job Description:** The Tech I Prior Auth takes in-bound calls from providers, pharmacies,...phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation… more
- BrightSpring Health Services (Morton Grove, IL)
- …40 hours per week, weekend rotations once fully trained Required: Certified Pharmacy Technician Responsibilities + Enter, access, and verify the accuracy ... of data in the pharmacy and PBM systems. + Establish and...work schedule. + High School Diploma or Equivalent. + Pharmacy Technician License that is current and… more
- UPMC (Pittsburgh, PA)
- **UPMC Mercy is hiring a Full-Time Pharmacy Technician , Intermediate to support our Pharmacy department!** This position will work rotating shifts primarily ... of $5,000 with a 2 year commitment to UPMC. Pharmacy Technician career advancement and certification opportunity...laws such as HIPAA, regulations such as OSHA, and PBM contracting requirements such as FWA and CMS. +… more
- Beth Israel Lahey Health (Westwood, MA)
- …1. (CPht) Certified Pharmacy Technician preferred. 2. Call center, Pharmacy data entry, and PBM billing experience. 3. Bilingual verbal and written ... pharmacy of choice for all our patients and employees. The Shared Services Pharmacy Technician will assist the overall operation of the call center and data… more
- Actalent (Fresno, CA)
- Job Title: Pharmacy Technician Job Description Using established company guidelines, the Pharmacy Technician reviews requests made by physicians, medical ... and members for the use of prescription drugs and pharmacy benefits. The technician researches and resolves...on defined criteria. Enters and documents coverage determination and/or prior authorization request decisions into the PBM … more
- Trinity Health (Fort Wayne, IN)
- …**Description:** **POSITION PURPOSE - located in Fort Wayne, Indiana** The Patient Assistance Pharmacy Technician in Training will participate in a work learning ... program to become a licensed pharmacy technician in the state of Indiana...computer systems, demographics, DEA, NPI numbers. 4. Inputs insurance, pharmacy and medical information; Initiates required prior … more
- Actalent (Orlando, FL)
- Pharmacy Technician Job Description These Technicians review Prior Authorizations for determination for a department that is part of a large healthcare ... Enter and document coverage determination request decisions into the PBM system and notify providers and/or members. - Respond...operation. - Basic computer skills. Hard Skills + Certified Pharmacy Technician + Registered pharmacy … more
- Actalent (Mcallen, TX)
- Immediate Hiring for Remote Certified Pharmacy Technician Must have 2+ years of prior authorization experience $18.00/hour Job Description: * Obtain verbal ... Enter and document coverage determination request decision into the PBM system and notify providers and/or members * Respond...Qualifications: + 2+ Years of Experience of working as Pharmacy Technician is Mandatory ( prior … more
- Actalent (Mcallen, TX)
- Immediate Hiring for Remote Certified Pharmacy Technician Must have 2+ years of prior authorization experience $18.00/hour Job Description: * Obtain verbal ... Enter and document coverage determination request decision into the PBM system and notify providers and/or members * Respond...Qualifications: + 2+ Years of Experience of working as Pharmacy Technician is Mandatory ( prior … more
- Highmark Health (Wexford, PA)
- …for all preauthorization entries into applicable databases (ie internal medical claims systems, PBM pharmacy systems) to ensure swift and appropriate payment of ... and administers the effective and efficient processing of the pharmacy benefits prior authorization process, ensuring that...**EXPERIENCE** **Required** + 2 years of experience as a Pharmacy Technician in a hospital, retail, or… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …AMAZING WORK LOCATION! NOT A REMOTE POSITION. Position Purpose: As a Certified Pharmacy Technician (CPT), the employee will be responsible for answering incoming ... Liaison between the Pharmacy department and the Pharmacy Benefit Manager ( PBM ) + Work as...an "on-call" basis. Qualifications: + State of Florida Certified Pharmacy Technician License (CPhT) required + Managed… more
- US Tech Solutions (May, OK)
- … or healthcare industry. + Associate or bachelor's Degree. + Pharmacy Technician License **Skills** : + Prior Authorization **Education:** + Verifiable High ... School diploma or GED is required. **Job Title: Pharmacy Tech** **Location: Fully remote** **Duration: 12 months contract**...PBM on managed care environments + **Skills:** + Prior Authorization + Medicare and Medicaid + Call handling… more
- The Cigna Group (Nashville, TN)
- **Cigna Healthcare is looking for a Pharmacy Technician that is licensed in the State of Tennessee and lives within 30 miles from Nashville. This role is Remote, ... or equivalent work experience. + Experience in a retail pharmacy , PBM , or Health Plan setting strongly..., or Health Plan setting strongly preferred + Licensed Pharmacy Technician required (CPhT preferred) + … more
- Mount Sinai Health System (New York, NY)
- …telephone correspondence and EHR documentation. **Qualifications** 3+ years of retail pharmacy technician experience or related health care administrative, and ... related billing and benefits investigation 1 year of retail pharmacy experience 1 year of PBM payer... and, if not, coordinates service with the correct pharmacy group. 11.Obtains prior authorizations from intermediaries… more
- Sharp HealthCare (San Diego, CA)
- …**FTE** 1 **Shift Start Time** **Shift End Time** HS Diploma or Equivalent; Certified Pharmacy Technician (CPhT) - Pharmacy Technician Certification ... Diploma or Equivalent + 3 Years experience in specialty pharmacy , home infusion, or other prior authorization...Part D, Medicaid, or Commercial Health Insurance. + California Pharmacy Technician License (TCH) - CA State… more
- Hackensack Meridian Health (Eatontown, NJ)
- …The Navigator I functions will include all job functions of an Ambulatory Pharmacy Technician plus additional duties described below. Employee will do initial ... includes: 1. The Navigator duties includes all job functions of an Ambulatory Pharmacy Technician plus additional duties; 2. Establish an initial greeting to… more
- InnovaCare (San Juan, PR)
- …clinical guidelines of MMM/PMC.and MMMultihealth/PMC ("MUMG/PMCG"). Assist in the training of pharmacy technician staff and others as required. Performs any ... of gaps in care, etc. EDUCATION AND EXPERIENCE Puerto Rico Board of Pharmacy Technician Certification. Minimum one year experience in a healthcare environment.… more
- Elevance Health (Indianapolis, IN)
- …skills (formulas such as vlookup etc.) strongly preferred. + PBM or pharmacy experience (eg pharmacy technician , Formulary Product Manager) strongly ... technologies and a strong, clinical- first lens, to deliver member-centered, lasting pharmacy care. The **Business Analyst II - Health Insurance Exchange** will be… more
- US Tech Solutions (May, OK)
- … Prior Authorization Pharmacist is required. **Skills:** + Prior authorization + PBM **Education:** + Bachelor's degree in pharmacy or Pharm D. Must have ... role that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply clinical… more
- Prime Therapeutics (Columbus, OH)
- …**Preferred Qualifications** + Healthcare or PBM industry experience + Prior pharmacy technician experience and/or CPhT certification **Minimum ... health fairs + Work directly with existing, small employer accounts to optimize the pharmacy spend at the account through use of Prime products and services +… more
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