- Cedars-Sinai (Los Angeles, CA)
- …Colorado, Minnesota, Florida, or Georgia** The full time - remote role of Pharmacy Technician Prior Authorization at Cedars-Sinai Medical Center in Los ... Title** : Pharmacy Technician - Prior Authorization & Medication Assistance - Remote **Department** : Pharmacy Training **Business Entity** :… more
- Ochsner Health (New Orleans, LA)
- …to medication therapy, authorizing medication refills, maintaining accurate pharmacy preferences, identifying discrepancies or problems with medication history ... information, assisting patients with the medication authorization process, and assisting patients with overcoming barriers to accessing medications. Communicates… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …Type Full Time Category Pharmaceutical Description PRIOR AUTHORIZATION SPECIALIST ( REMOTE ) WHO WE ARE At Polaris Pharmacy Services, we're more than a ... those who need it most, we invite you to grow with us. OVERVIEW The Prior Authorization Specialist is responsible for managing and identifying a portfolio of… more
- Fallon Health (Worcester, MA)
- **Overview** **This is 3 months temporary contract position for a Prior Authorization RN.** **About us:** Fallon Health is a company that cares. We prioritize ... setting required. * 2 years' experience as a Utilization Management/ Prior Authorization nurse in a managed care...o DME o Ambulatory Procedures o Genetic Testing o Pharmacy o Nutritional supplies **Inpatient authorization requests… more
- Trinity Health (Albany, NY)
- … authorization and denials within assigned service line ensuring appropriate prior authorization for related services, drugs, treatments, and supplies. ... **Employment Type:** Full time **Shift:** Day Shift **Description:** ** Authorization and Denial Supervisor - Remote ...patient population and types of services patients receive. + Prior authorization experience involving drugs and ancillary… more
- Molina Healthcare (West Valley City, UT)
- …for remote Certified Pharmacy Technicians. These roles will be in our Prior Authorization department. You will review prior auth requests that are ... Duties** + Performs initial receipt and review of non-formulary or prior authorization requests against pharmacy plan approved criteria; requests additional… more
- PeaceHealth (Longview, WA)
- **Description** PeaceHealth is seeking a ** Remote Pharmacy Technician Ambulatory for a Full Time, 1.00 FTE, Day position.** The salary range for this job opening ... supervision of a registered pharmacist. + Participates in refill management and prior authorization services across the assigned network. + Supports patient… more
- Actalent (Lake Mary, FL)
- Job Title: REMOTE Pharmacy Technician Job Description We...in retail pharmacy and call centers + Prior authorization and insurance billing + ... verifying patient data, and submitting prescription orders into the pharmacy data system. Responsibilities + Handle a high volume...School Diploma or GED Work Environment This is a remote position based in Lake Mary, FL. Employees will… 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
- Elevance Health (San Juan, PR)
- …is responsible for interpretation and data entry of complex prescriptions, prior authorization processing, and troubleshooting adjudication issues. Reviews ... inputs data for the pharmacists and other clinicians to review. + Processes prior authorization requests from physicians' offices and ensures compliance with all… more
- Parkview Health (Fort Wayne, IN)
- …a potential transition to remote work. Key Responsibilities Patient Intake & Authorization : + Initiate, complete, and document prior authorization (PA) ... communication and coordination among these teams to facilitate efficient prior authorization and financial processes. This position...Cycle team and PHIS staff, including nursing, intake, and pharmacy staff and the PH Revenue Cycle Team. +… more
- Henry Ford Health System (Rochester Hills, MI)
- …medications. Responsibilities include prescription intake, insurance benefits investigation, prior authorization management, financial assistance support, refill ... intake, adherence reminder calls, delivery coordination, insurance benefits investigation, prior authorization management, and financial assistance research. The… more
- Elevance Health (St. Louis, MO)
- …a HS diploma or GED and a minimum of 1 year of experience processing pharmacy prior authorizations; or any combination of education and experience which would ... **Be Part of an Extraordinary Team** _BioPlus Specialty Pharmacy is now part of CarelonRx (formerly IngenioRx), and a proud member of the Elevance Health family of… more
- Centene Corporation (Austin, TX)
- …+ Takes member/prescriber/pharmacist inquiry calls for benefit questions including prior authorization requests + Offers options including submission ... Applicants for the job have the flexibility to work remote from home anywhere in the United States. Candidates...of a prior authorization request + Thoroughly researches issues… more
- Humana (Washington, DC)
- …Deep understanding of pharmacy operations, PBM models, benefits coordination, prior authorization workflows, and specialty care dynamics + Exceptional ... to deliver scalable, secure, and repeatable solutions that power pharmacy growth. **Technology Implementation Lead - Pharmacy ...ongoing interruptions to protect member PHI / HIPAA information \#LI- Remote Travel: While this is a remote … more
- MD Anderson Cancer Center (Houston, TX)
- …to comply with institutional standards, initiatives, and guidelines (ABN's, prior authorization requirements, reimbursement optimization, formulary management, ... *Clinical Pharmacy Specialist - Hematology * The Pharmacy...required and preferred licenses, certifications, training, and continuing education prior to the deadlines including but not limited to… more
- Centene Corporation (Tallahassee, FL)
- …care professionals with medication-related information and education. + Participates in the prior authorization review and appeals processes. + Participates in ... Pharmacy (PharmD) from an ACPE-accredited college/school of pharmacy prior to start date. Exposure to...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
- Ascension Health (Tulsa, OK)
- …information. + **This role requires current or previous Grant, PAP, Prior Authorization , Specialty Medication and Financial Assistance experience.** ... **Details** + **Department: Pharmacy ** + **Schedule: Monday-Friday** + **Location: Remote...required: + Pharmacy Tech credentialed from the Pharmacy Technician Certification Board (PTCB) obtained prior … more
- Ochsner Health (New Orleans, LA)
- …Microsoft Office. **Job Duties** + Performs patient assessment and care. + Performs prior authorization and insurance resolution services. + Oversees the Patient ... multidisciplinary pharmaceutical care environment. Assumes responsibility for the management of pharmacy services with the goal of ensuring the patient receives… more
- Texas Health Resources (Fort Worth, TX)
- …Health hospital pharmacy required * 2 years of previous Retail Pharmacy experience, previous prior authorization processing and prescription benefit ... Registered Pharmacy Technician II - Retail _Bring your passion...or designated Provider offices, with the potential to become remote in the future. Department highlights: Join our team… more
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