- Pinehurst Medical (Pinehurst, NC)
- …130 providers, approximately 750 employees, and 16 locations. What will you do as a PMC Prior Authorization Specialist As a PMC Prior Authorization ... locations. A day in the life of a PMC Prior Authorization Specialist may include:...training; or equivalent combination of education and experience. National Pharmacy Technician Certification (PTCB) preferred. Registration with the NC… more
- Advanced Pain Care (Austin, TX)
- Job Type Full-time Description Prior Authorization Job Purpose: Assists patients in prior authorization process, including reviewing of medications and ... within the scope of approved protocols *Contacts insurance companies to obtain prior authorization on medications and documents coverage determination in… more
- Franciscan Health (Munster, IN)
- …companies, drug companies, and/or physician offices to facilitate medication refill and prior authorization approvals or denials. Staff pharmacists will also ... Practice and/or Patient issues and concerns promptly and satisfactorily. REFILL and PRIOR AUTHORIZATION MANAGEMENT: - Medication Refill Order Review: Reviews… more
- Beth Israel Lahey Health (Boston, MA)
- …and Patient Assistance programs. 2. Collects and reviews all data needed for pharmacy and medical prior authorization approvals. Provides formulary ... making a difference in people's lives. The Medication Access Specialist will fulfill all of the job responsibilities as... 3-5 years related work experience required in specialty pharmacy and medical prior authorization … more
- Native American Connections (Phoenix, AZ)
- …care, both behavioral health and medical. Ensures that pending intake and prior authorization gaps are addressed to increase service outcomes. RESPONSIBILITIES ... behalf of the patient. Assist MA with coordination of Specialist referrals. Coordinate care on behalf of patients with...and other specialty care providers. Follows up with the pharmacy , patients, and staff and coordinates a response back… 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
- Polaris Pharmacy Services of Minnesota, LLC (Covina, CA)
- Prior Authorization Specialist Job Details Job Location Polaris Specialty Pharmacy LLC - Covina, CA Salary Range $21.00 - $22.00 Job Category ... Pharmaceutical Description WHO WE ARE Polaris Pharmacy Services is an industry leader in both the...advancement to all our team members. JOB SUMMARY: The Prior Authorization Specialist is responsible… 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: 07/29/2025 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
- 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
- Polaris Pharmacy Services of Minnesota, LLC (Covina, CA)
- …Type Full Time Job Category Pharmaceutical Description PRIOR AUTHORIZATION SPECIALIST WHO WE ARE Polaris Pharmacy Services is an industry leader in ... Prior Authorization Job Details Job Location Polaris Pharmacy... Technicians to join the Polaris team. OVERVIEW The Prior Authorization Specialist is responsible… 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
- Independent Health (Buffalo, NY)
- …collecting co-payments. + Coordination of benefits. + Financial assistance coordination. + Prior Authorization assistance with offices. + Billing. + Work as ... that fosters growth, innovation and collaboration. **Overview** The Patient Care Specialist , under the supervision of Manager, Operations & Compliance, assists in… more
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