- Henry Ford Health System (Rochester, MI)
- …Specialist is responsible for handling drug claim adjudication issues, prescription prior authorization , and pharmacy benefit inquiries from ... a rewarding career with Henry Ford health as a Pharmacy Technician / Pharmacy Benefits Specialist...of pharmacy benefit coverage issues and coordinating prior authorization and exception processes. PRINCIPLE DUTIES… more
- VCU Health (Richmond, VA)
- …Completes pharmacy benefits investigation and coordination, initiate and complete prior authorization approval and/or denials (appeals), track progress, and ... The Medication Access Specialist (MAS) is responsible for completing necessary functions...patient to minimize out of pocket cost while maximizing pharmacy reimbursement. Essential Job Statements Reviews prescription for accuracy… more
- Augusta Health (Fishersville, VA)
- …the future, please ensure to attach a full resume or include all your prior work history, education and other qualifications for future consideration. The Pre-Visit ... Specialist I : provides scheduling, pre-registration and other pre-visit...emphasis on filling first available appointment and considering payer pre- authorization time-frames informs patients of any/all necessary pre-procedure preparations… more
- Actalent (Houston, TX)
- … or healthcare insurance setting Strong understanding of insurance processes and prior authorization workflows Excellent computer skills and ability to navigate ... Remote Pharmacy Technician - Insurance & Coverage Determination Specialist Location: Remote (US Based) Job Type: Full-Time Schedule: Monday-Friday, Rotating… more
- The Cancer & Hematology Centers (Flint, MI)
- …Patient Care Technician, New Patient Referral Specialist , Operator, and Prior Authorization Specialist . Performs routine administrative and patient ... and your family, such as oncology-certified nurses, social workers, experienced lab and pharmacy personnel and a psychologist. Our focus is not just on healing but… more
- ResCare Community Living (Charlotte, NC)
- … authorization of payroll actions and Validates/organizes payroll checks prior to distribution Inputs employee work schedules into workforce timekeeper system ... Provides support during open enrollment process, Serves as a benefits specialist for employee populations, Addresses benefits questions as needed, and Processes… more
- Landmark Recovery Management Company LLC (Westerville, OH)
- …Physician or Nurse Practitioner Receives and stores all orders from the pharmacy Takes and records patient vital signs Assesses patient symptoms regularly, reporting ... meetings as necessary in the absence of an available Patient Engagement Specialist Participates in Performance Improvement Committee meetings as needed In the… more
- Penn State Health (Hershey, PA)
- …Stuckey at ###@pennstatehealth.psu.edu (MAILTO://###@pennstatehealth.psu.edu) **SUMMARY OF POSITION:** The Pharmacy Insurance Authorization Specialist must ... maintaining the highest standards of safety and efficacy. The Pharmacy Insurance Authorization Specialist drives...equivalent required. + Two (2) years of experience in Prior Authorizations in either a Pharmacy or… more
- Cedars-Sinai (Beverly Hills, CA)
- …and patients. The Clinical Prior Authorization Pharmacist Specialist will also supervise the associated pharmacy technicians. **Qualifications** ... row on the "Best Hospitals" Honor Roll. The Clinical Prior Authorization Pharmacist Specialist at...Cedars-Sinai Medical Center will work in collaboration with the Prior Authorization Pharmacy Technician, Drug… more
- Penn State Health (Hershey, PA)
- …or genetic information._ **Union:** Non Bargained **Position** Insurance Authorization Specialist - VARIED SHIFT - Pharmacy Outpatient **Location** US:PA: ... or equivalent required. Two (2) years of experience in Prior Authorizations in either a Pharmacy or...experience in Prior Authorizations in either a Pharmacy or a Clinical setting required. **KNOWLEDGE, SKILLS, &… more
- Fairview Health Services (Minneapolis, MN)
- **Job Overview** The Prior Authorization Specialist is responsible for verifying health insurance, obtaining benefits and meeting payer requirements to ... any issues with authorization and escalates complicated issues to appropriate manager. Prior Authorization Specialist acts as a liaison between patients,… more
- Dana-Farber Cancer Institute (Brookline, MA)
- Working in a fast-paced, high volume, dynamic environment, the Clinical Authorization Specialist will bring clinical expertise to the prior authorization ... Prior Authorization Supervisor , the Clinical Authorization Specialist is responsible for managing all...is also responsible for managing denials related to front-end prior authorization , biosimilar drugs, pharmacy -benefit… more
- University of Washington (Seattle, WA)
- …CENTER PHARMACY DEPARTMENT** is looking for an outstanding **AMBULATORY INFUSION AUTHORIZATION SPECIALIST .** . **WORK SCHEDULE** * Full-Time / 40 hours per ... Req #: 245295 Department: HARBORVIEW - PHARMACY Posting Date: 07/17/2025 Closing Info: Open Until...funding or provision of infusion medications * Provide insurance authorization and patient assistance program information and education to… more
- St. Luke's Health System (Boise, ID)
- …etc.) + Interpret medical terminology and accurately process prior authorization requests for medications under the pharmacy benefits. + Facilitate ... truly a great place to work. **Overview:** The Senior Pharmacy Benefits Specialist assists our members in... benefits management (PBM) and third-party issues such as prior authorization , step therapy, reviewing denied claims,… more
- Henry Ford Health System (Rochester Hills, MI)
- …Specialist is responsible for handling drug claim adjudication issues, prescription prior authorization , and pharmacy benefit inquiries from ... a rewarding career with Henry Ford health as a Pharmacy Technician / Pharmacy Benefits Specialist...of pharmacy benefit coverage issues and coordinating prior authorization and exception processes. PRINCIPLE DUTIES… more
- Veterans Affairs, Veterans Health Administration (Monterey, CA)
- …Northern California, is in search of a well-trained, knowledgeable GS-13 Mental Health Clinical Pharmacy Specialist (CPS) to join our Mental Health CPP team! The ... Mental Health Clinical Pharmacy Specialist (CPS) functions at the highest...and local committees and work groups as assigned. Adjudicates prior authorization drug requests (PADR) for non-formulary/restricted… more
- AscellaHealth (Berwyn, PA)
- …fosters teamwork, cooperation, respect, and diversity. + Accurate and timely data entry of prior authorization requests within the prior authorization ... Fulfillment Specialist - Specialty Pharmacy What we...to meet all client-specific and/or contract requirements. + Receive prior authorization requests telephonically while utilizing multiple… more
- University of Rochester (Rochester, NY)
- …clinics. Duties will include collaboration with clinical staff to acquire prior authorization for relevant providers, benefit investigation, enrollment of ... medications are available, safe and affordable for patients. The Medication Access Specialist holds an important role within Specialty Pharmacy . Through… more
- Rush University Medical Center (Chicago, IL)
- …site of care. c. Assist in assessing insurance coverage and assist in prior authorization for medications (when necessary) in advance of discharge. Other ... veteran status, and other legally protected characteristics. **Position** Clinical Pharmacy Specialist HemeOnc **Location** US:IL:Chicago **Req ID** 19685 more
- MD Anderson Cancer Center (Houston, TX)
- …to comply with institutional standards, initiatives, and guidelines (ABN's, prior authorization requirements, reimbursement optimization, formulary management, ... residency on a one to one basis. *Preferred Experience:* Experience as a clinical pharmacy specialist *Onsite Presence: Is Required * It is the policy of… more
