- US Tech Solutions, Inc. (Atlanta, GA)
- Job Title: Prior Authorization Representative Location: Fully remote Duration: 10 months contract Job Description: The Rep I, Clinical Services will also ... the leadership team. Work closely with providers to process prior authorization (PA) and drug benefit exception...Authorization . Medicare and Medicaid . Call handling experience. . PBM Education: . High School diploma or… more
- US Tech Solutions, Inc. (Atlanta, GA)
- …write, speak and understand English Good customer service skills Skills: . Calling . PBM . Prior authorization Education: . Verifiable High School diploma ... Job Title: Pharmacy Tech II Location: Remote Duration: 6+ months contract Job Description: Pharmacy...HIPAA. Other duties as assigned; Handle the calls regarding Prior Authorization . Experience: . Must understand basic… more
- 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 ... within the designated service level agreements. - Evaluate and review all prior authorization requests and render coverage determinations based on clinical… more
- Actalent (Honolulu, HI)
- …has to reside in Hawaii. They will support pharmacy operations, assist with prior authorization processes, and collaborate with healthcare providers and patients ... drug utilization, improving patient outcomes, and ensuring compliance with PBM policies. This is a fully remote ...+ Assist with the submission, review, and documentation of prior authorization requests, ensuring timely and accurate… more
- Adecco US, Inc. (Woonsocket, RI)
- …a National Pharmaceutical client, recruiting for a Licensed Practical Nurse to work REMOTE . **Must have prior authorization experience** The anticipated ... PM CST Provide processing and communication of Specialty medication prior authorization (PA) referrals reviewed by the...work experience as an LPN/LVN in a medical office, PBM or clinical setting + Experience using MS Office,… more
- US Tech Solutions (May, OK)
- …on prior authorization as per policy and procedure. **Experience:** ** Prior authorization experience is required.** ** PBM Experience is required.** ... skills, and detail orientation are important for this position. **Skills:** ** Prior Authorization ** **Pharmacy Benefit Management** **Medicare Part D**… more
- Health First (Rockledge, FL)
- …determinations for the clinical reviewer; which includes, all Formulary Exception, Prior Authorization and Administrative Authorization requests for ... transitions of care and disease management. *Primary Accountabilities * 1. Apply proper authorization requirements to all prior authorization requests. 2.… more
- Adecco US, Inc. (Woonsocket, RI)
- …day per week. You will provide processing and communication of specialty medication prior authorization (PA) requests reviewed by the Caremark Specialty Medical ... Prior Authorization department. Reporting to the Pharmacy...PBM ) + Must have 3 to 5 years prior related work experience as an LPN/LVN in a… more
- Elevance Health (Mason, OH)
- …outreach to patients and prescribers for resolution on open issues. + Processes prior authorization requests from physicians and ensures compliance with all ... Dispensing)** _Location: This position will work a hybrid model ( remote and office). The ideal candidate will live within...regulatory requirements; informs relevant parties of all prior authorization determinations. + Provides resolution to… more
