- NTT DATA North America (Plano, TX)
- …professional phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation ... ** Pharmacy Technician - Customer Service** Type: Long Term...months - 1 year) Start: June 2025 Location: 100% Remote Shifts (8 hrs) are between: Monday- Friday 8:00am… more
- Molina Healthcare (Fort Worth, TX)
- …those involved in formulary management (such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and pharmacy costs ... **JOB DESCRIPTION** **Job Summary** Molina Pharmacy Services/Management staff work to ensure that Molina...responsible for creating, operating, and monitoring Molina Health Plan's pharmacy benefit programs in accordance with all federal and… more
- Adecco US, Inc. (Irving, TX)
- …patient reimbursement challenges for a specific drug (including Benefit Investigation, Prior Authorization , Claims Assistance, and Appeals) and educating the ... Irving, TX. This role is paying $51.92/h-$55.29/hr. and is remote in the Irving, TX area. The Field Reimbursement...average 15 per week. 2. Educate on Benefit Investigation, Prior Authorization Process, Support Center Services, Medicare… more
- Sanofi Group (Dallas, TX)
- …create process delays for patients like required Benefits Investigations (BI), Prior Authorization (PA), Denial Appeals, detailed Clinical Documentation, and ... knowledge on the local and national payer landscape, including Specialty Pharmacy and Utilization Management criteria for assigned products. + Monitor commercial,… more
- Elevance Health (Grand Prairie, TX)
- … Pharmacy technician license and/or experience preferred. + Formulary, clinical rules, pharmacy claims analysis, and/or prior authorization experience for ... balance. This approach combines structured office engagement with the autonomy of remote work, promoting a dynamic and adaptable workplace. Alternate locations may… more