- Actalent (Houston, TX)
- …+ Prior Authorizations + Insurance Verifications Qualifications: + 2+ year of Prior Authorization pharmacy experience is Mandatory + Pharmacy ... Immediate Hiring for Remote Pharmacy Technician Job Description: + Order Entry for new/refill medications. + Respond to customer inquiries as necessary. + Assist… more
- Intermountain Health (Austin, TX)
- **Job Description:** The Pharmacy Technician demonstrates consistent application of knowledge and skills in assisting the pharmacist in execution of appropriate, ... care. The position participates in many procedural aspects of pharmacy practice under the supervision of a licensed pharmacist...is required. Work may be performed on site or remote as appropriate to practice site. + Ability to… more
- Actalent (Houston, TX)
- Remote Pharmacy Technician Job Description We are seeking an enthusiastic Remote Pharmacy Technician to join our team! In this role, you will primarily ... 1 year of experience as a Medical Assistant or Pharmacy Technician. + Bilingual - Spanish (Preferred) + Proven...preferred. + High School Diploma required. + Experience in prior authorization and insurance billing. Work Environment… more
- 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
- Prime Therapeutics (Austin, TX)
- …functions, DUR committees and responsibilities. + Supports elevated customer service and prior authorization inquiries specific to assigned accounts. + Manages ... **Job Posting Title** Clinical Account Manager - Georgia PDL - Remote **Job Description** Innovative business clinician accountable for building and maintaining… more
- Molina Healthcare (Austin, 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
- Prime Therapeutics (Austin, TX)
- …processing and documenting of Utilization Management requests (ie formulary exceptions, prior authorization , step therapy, quantity limit exceptions) for ... + Responsible for the clinical evaluation for coverage determination requests for prior authorization (PA) or other utilization management (UM) programs,… more
- US Tech Solutions (TX)
- **Job Title:** ** Prior Authorization Pharmacist** **Location: Remote ** **Duration: 6+ months contract** **Job Description:** + Responsible for reviewing and ... authorization as per policy and procedure. **Experience:** + Prior authorization experience required. + Previous pharmacy experience in retail or hospital… more
- US Tech Solutions (Houston, TX)
- … (PA) requests reviewed by the Aetna Specialty Medical Prior Authorization department. Reporting to the Pharmacy Operations Manager, you will work ... Time zone are preferred. **Job Description:** This is a remote position and requires the ability to effectively support...admissions and pharmacy operations departments to communicate prior authorization status. You will also oversee… more
- Cardinal Health (Austin, TX)
- …intake, investigating all patient health insurance benefits, identifying & initiating prior authorization and step therapy reviews, proactively following up ... guidance on the appeals process if needed. + Assist in obtaining insurance, prior authorization , and appeal requirements and outcomes. + Demonstrate expertise in… 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
- Cardinal Health (Austin, TX)
- …care and timely access to necessary services + Assist in obtaining insurance, prior authorization , and appeal requirements and outcomes + Help patients ... streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas,… more