- Elevance Health (St. Louis, MO)
- **Title: Authorization Representative I** _BioPlus Specialty Pharmacy is now part of CarelonRx (formerly IngenioRx), and a proud member of the Elevance ... ST., ST. LOUIS, MO** Elevance Health PulsePoint location. The ** Authorization Representative . I** is responsible for the...and a minimum of 1 year of experience processing pharmacy prior authorizations; or any combination of… more
- Elevance Health (Altamonte Springs, FL)
- …affordability, and personalized support throughout the consumer's treatment journey._ ** Authorization Representative II** **Location:** This position will work ... days may be required based on operational needs. **The Authorization Representative II** is responsible for the...and a minimum of 2 years of experience processing pharmacy prior authorizations, and a minimum of… more
- Apex Health Solutions (Houston, TX)
- …benefit information, including but not limited to, formulary information, copay amounts, pharmacy location services and prior authorization outcomes. ... Position Summary: The Pharmacy Care Representative performs duties to...Prior experience working in a call center, specialty pharmacy , patient assistance program, or customer service role or… more
- Molina Healthcare (Columbus, OH)
- …regulations, NCQA guidelines, and CMS standards. + Provides coordination and processing of pharmacy prior authorization requests and/or appeals. + Explains ... those involved in formulary management (such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and pharmacy costs… more
- Elevance Health (Altamonte Springs, FL)
- …eligibility; provides authorization for inpatient admission, outpatient precertification, prior authorization , and post service requests. + Obtains intake ... **Be Part of an Extraordinary Team** BioPlus Specialty Pharmacy is now part of CarelonRx (formerly IngenioRx),...to screen basic and complex requests for precertification and/or prior authorization . + Verifies benefits and/or eligibility… more
- PeaceHealth (Bellingham, WA)
- **Description** PeaceHealth is seeking a **Ambulatory Pharmacy Representative for a Per Diem/Relief, 0.000001 FTE, Day position.** The salary range for this job ... coverage and ensures all insurance requirements are met, as well as obtaining all prior authorization and/or referrals as appropriate prior to patient… more
- Geisinger (Danville, PA)
- … Customer Service leadership in processing provider, and member prior authorization requests. Works with the pharmacy team in implementing policies to ... understanding of all policies and procedures related to the pharmacy benefit. + Provides the highest level of customer...a timely manner. + Documents accurately all inquiries and prior authorization requests according to departmental policy.… more
- The Cigna Group (Fairfield, OH)
- **POSITION SUMMARY** The Senior Representative will process supplier delivery receipt information in perpetual inventory system. Ensure all paperwork is received and ... product and recalls. Prepare product and process return request authorization . **Key Qualifications** + High school diploma or GED...Health Services, a division of The Cigna Group, creates pharmacy , care and benefit solutions to improve health and… more
- CVS Health (Oklahoma City, OK)
- …will possess good written and verbal communication skills - Hours of operation for Aetna Pharmacy Prior Authorization are between 5:00am to 7:00pm (may vary ... physical demands and work environment characteristics described herein are representative of those that must be met by an...to renewal requirement restrictions - Between 1-5+ years of Pharmacy Prior Authorization processing experience… more
- Highmark Health (Harrisburg, PA)
- …clearly defines the medical necessity of non-formulary and prior authorization medication exception requests. Interacts with pharmacy network providers to ... requests for drug authorizations or denials. + Review of prior authorization criteria for drug products. +...billing practices through paid clams review. + Participate as pharmacy representative in onsite member appeals and… more
- Intermountain Health (Butte, MT)
- …staff, medical management staff and/or pharmacists. 11. Researches, resolves and documents prior authorization outcomes in pharmacy system. Communicates ... selected prior authorization criteria, pharmacy benefit coverage and formulary alternatives to physicians, physician's office staff, medical management staff… more
- Sharp HealthCare (San Diego, CA)
- …issues including, but not limited to, refills, refill too soon, and Prior Authorization Requests (PAR).Notifies pharmacist of computer warnings, drug allergies, ... and pharmacy procedures, including pharmacist check of all work prior to dispensing.Understands and maintains knowledge of contracted third party formularies and… more
- Bon Secours Mercy Health (Youngstown, OH)
- …hospital) and/or outpatient (ambulatory; retail; home infusion) services. The Certified Pharmacy Technician will have a variety of job responsibilities within the ... pharmacy that may encompass various activities. **Essential Job Functions**...agent as authorized by state law and responsible pharmacist authorization . *Entering information into and retrieving information from an… more
- Roper St. Francis (Charleston, SC)
- …Days (United States of America) **8:00am-5:00pm** **Reports to Title:** Pharmacy Supervisor, Manager, or Director **Summary of Primary Function/General Purpose ... hospital) and/or outpatient (ambulatory; retail; home infusion) services. The Certified Pharmacy Technician will have a variety of job responsibilities within the… more
- Bon Secours Mercy Health (Portsmouth, VA)
- …where associates want to work and help communities thrive. **Certified Pharmacy Technician - Maryview Medical Center** **Hours: PRN (as needed)** **Summary ... hospital) and/or outpatient (ambulatory; retail; home infusion) services. The Certified Pharmacy Technician will have a variety of job responsibilities within the… more
- Bon Secours Mercy Health (Youngstown, OH)
- …for clinical and operational excellence. **PRN Position - As Needed** **Retail/Hospital Outpatient Pharmacy ** Put your pharmacy skills to use in a different ... patients (meds to beds) and loyal regulars. It's retail pharmacy with a twist. Current business hours are M-F...agent as authorized by state law and responsible pharmacist authorization . + Entering information into and retrieving information from… more
- Owens & Minor (Salt Lake City, UT)
- …+ Knowledge in pharmacy regulations and documentation; + Knowledge in pharmacy compliance issues; + Knowledge in prescription authorization processes. + Utah ... service + Employee stock purchase plan + Tuition reimbursement Description: Licensed Pharmacy Technician works under the supervision of a pharmacist and is… 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
- Roper St. Francis (Charleston, SC)
- …care; hospital) and/or outpatient (ambulatory; retail; home infusion) services. A Registered Pharmacy Technician will be evaluated for advancement to a Certified ... Pharmacy Technician after knowledge achieved from an approved training...agent as authorized by state law and responsible pharmacist authorization . *Entering information into and retrieving information from an… more
- Roper St. Francis (Summerville, SC)
- …care; hospital) and/or outpatient (ambulatory; retail; home infusion) services. A Registered Pharmacy Technician will be evaluated for advancement to a Certified ... Pharmacy Technician after knowledge achieved from an approved training...agent as authorized by state law and responsible pharmacist authorization . *Entering information into and retrieving information from an… more