- CVS Health (Austin, TX)
- …Pharmacist with CVS Health. This position is for a Clinical Pharmacist working in the Prior Authorization team. - Collaborates with the technicians and prior ... designated service level agreements. - Evaluate and review all prior authorization requests and render coverage determinations...PBM setting. * Current experience working with commercial Prior Authorizations in PBM * Experience using… 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...center environment managing 75 calls/day. + Six months of PBM /pharmaceutical related work strongly desired + At least two… more
- US Tech Solutions (May, OK)
- **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....Medicare Part D + Must Have Pharmacy Benefit Management ( PBM ) experience. **Education:** + Pharm D. required with at… 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...as per policy and procedure. **Skills:** Prior Authorization Medicare Part D Pharmacy Benefit Management ( PBM… more
- Actalent (Mcallen, TX)
- …for Remote Certified Pharmacy Technician Must have 2+ years of prior authorization experience $18.00/hour Job Description: * Obtain verbal authorizations and ... + 2+ Years of Experience of working as Pharmacy Technician is Mandatory ( prior Authorization Experience) + Should Hold Active PTCB and state License… more
- Actalent (Houston, TX)
- …for Remote Certified Pharmacy Technician Must have 2+ years of prior authorization experience $18.00/hour Job Description: * Obtain verbal authorizations and ... + 2+ Years of Experience of working as Pharmacy Technician is Mandatory ( prior Authorization Experience) + Should Hold Active PTCB and state License… more
- CVS Health (Columbus, OH)
- …Clients as assigned. The Medical Director transacts Utilization Management UM activities ( prior authorization and appeals) and responds to prescriber inquiries ... Clients as assigned. The Medical Director transacts Utilization Management UM activities ( prior authorization and appeals) and responds to prescriber inquiries… more
- UNC Health Care (Morrisville, NC)
- …and plan designs are implemented according to requirements. + Oversee completion of prior authorization requests for members through collaboration with Prior ... strategies that will be implemented for multiple types of patient populations. The PBM Pharmacist will create benefit designs that lead to optimal clinical outcomes… more
- Actalent (Fresno, CA)
- …on defined criteria. Enters and documents coverage determination and/or prior authorization request decisions into the PBM system and notifies providers ... Medical Director on related issues. Tracks and triages coverage determination and/or prior authorization requests submitted from providers and determines if a… more
- US Tech Solutions (May, OK)
- …experience working in PBM on managed care environments + **Skills:** + Prior Authorization + Medicare and Medicaid + Call handling experience. + ... Tech I is the initial point of contact for Prior Authorization requests from members, providers, and...GED is required. **Job Title: Pharmacy Tech** **Location: Fully remote ** **Duration: 12 months contract** **Job Description:** + The… more
- Actalent (Orlando, FL)
- …and notify providers and/or members. - Respond to client inquiries regarding authorization approvals and PBM online applications. - Refer coverage determination ... Pharmacy Technician Job Description These Technicians review Prior Authorizations for determination for a department that...of 6 Month(s). Work Site This is a fully remote position. Interested parties can send updated resumes to:… more
- Elevance Health (Indianapolis, IN)
- …completion of various business deliverables. + Maintains clinical formulary/utilization management ( prior authorization , step therapy & quantity limits) in web ... **Location** : This position will work a hybrid model ( remote and office). The Ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint… more
- The Cigna Group (Bloomfield, CT)
- …Chronic Condition support + Physician referrals + Referral to Case Management for authorization assistance + Retail/mail order and benefit questions + Assist on any ... experience; 2 or more years in managed care, the PBM industry, or pharmaceutical sales preferred + Ability to...same time, with multiple tabs/programs open This role is remote but Pharmacy Care Coordinator must reside in California.… more
- Elevance Health (Norfolk, VA)
- …as a resource to users of the software to address questions/issues for multiple prior authorization platforms. + Acts as a resource supporting BPL formulary ... **Location:** This position will work a hybrid model ( remote and office). The ideal candidate will live...to team members and serves as an expert of prior authorization requirements including workflows, letters, timers,… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …Plan's formulary, formulary structure and different benefit stages + Enter and maintain accurate prior authorization records + Answer provider calls as this is a ... GREAT PAY AND BENEFITS! AMAZING WORK LOCATION! NOT A REMOTE POSITION. Position Purpose: As a Certified Pharmacy Technician...between the Pharmacy department and the Pharmacy Benefit Manager ( PBM ) + Work as a Liaison between the Pharmacy… more