- Penn State Health (Hershey, PA)
- …L. Stuckey at ###@pennstatehealth.psu.edu (MAILTO://###@pennstatehealth.psu.edu) **SUMMARY OF POSITION:** The Pharmacy Insurance Authorization Specialist ... while maintaining the highest standards of safety and efficacy. The Pharmacy Insurance Authorization Specialist drives our medication procurement… more
- Penn State Health (Hershey, PA)
- …information._ **Union:** Non Bargained **Position** Insurance Authorization Specialist - VARIED SHIFT - Pharmacy Outpatient **Location** US:PA: Hershey ... at ###@pennstatehealth.psu.edu (MAILTO://###@pennstatehealth.psu.edu) **SUMMARY OF POSITION:** Researches, obtains authorizations, insurance verifications, clinical documentation, prescription information and financial ability… 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 ... programs that provide funding or provision of infusion medications * Provide insurance authorization and patient assistance program information and education to… more
- Henry Ford Health System (Rochester Hills, MI)
- Exciting opportunity to join Henry Ford Health as a Pharmacy Benefits Specialist . Make an impact on patient care and contribute to Pharmacy Advantage ... success. GENERAL SUMMARY: Eligible for $2,500 Sign on Bonus The Pharmacy Benefits Specialist is responsible for handling drug claim adjudication issues,… more
- AscellaHealth (Berwyn, PA)
- …or equivalent is required. + 2 or more years of experience with medical/ pharmacy insurance verification, including benefit investigation. + Knowledge of prior ... we are looking for Optime Care seeks a Prior Authorization and Appeals Specialist for our Berwyn,...BOP Pharmacy Technician license + Knowledge of medical/ pharmacy insurance benefits language, such as EOBs,… more
- UPMC (Pittsburgh, PA)
- …Prior Authorization , Step Therapy, Quantity Limit, and all other pharmacy utilization requests in accordance with quality, timeliness, and efficiency standards. ... UPMC Corporate Quality is hiring a Clinical Pharmacist Specialist to join our team! This role will...US School of Pharmacy . + Experience in pharmacy benefit management, insurance , managed care preferred… more
- St. Luke's Health System (Boise, ID)
- …of pharmacy staff, patient financial advocates, the pharmacy authorization team, clinic staff, and providers. Issues insurance overrides and processes ... ambitious journey. We'd love to hear from you! The Pharmacy Benefits Specialist assists our members in...+ PTCB Preferred Qualifications + PBM Experience + Strong Pharmacy Insurance Experience **What's in it for… more
- SSM Health (Monroe, WI)
- …the healing power of presence begins with compassionate employees like you. As a Pharmacy Access Specialist , you've chosen a career where patients matter-a lot. ... The Pharmacy Access Specialist plays an integral role...and adherence to medically necessary pharmaceuticals by managing patient's insurance benefits and utilizing established patient assistance programs. Provides… more
- SUNY Upstate Medical University (Syracuse, NY)
- … Authorization Specialist works with providers, patients, ancillary departments, pharmacy and insurance carriers to ensure that all information is coded ... physician orders and insurance claim submission. Experience with healthcare insurance prior authorization /coding and performing insurance carrier/managed… more
- Rush University Medical Center (Chicago, IL)
- …veteran status, and other legally protected characteristics. **Position** Clinical Pharmacy Specialist HemeOnc **Location** US:IL:Chicago **Req ID** 17749 ... to outpatient pharmacies or alternate site of care. c. Assist in assessing insurance coverage and assist in prior authorization for medications (when necessary)… more
- Centene Corporation (Oklahoma City, OK)
- …must be available to work 10AM-6:30PM EST Monday-Friday **Position Purpose:** The Pharmacy Resolution Specialist receives and responds to calls from members, ... offices, and pharmacies. This role makes outbound calls and enters pharmacy overrides into systems based on approved guidelines and approvals provided… more
- Independent Health (Buffalo, NY)
- …that fosters growth, innovation and collaboration. **Overview** The Patient Care Specialist , under the supervision of Manager, Operations & Compliance, assists in ... the various activities of the pharmacy operations not requiring the professional judgment of the...the professional judgment of the pharmacist. The Patient Care Specialist is primarily responsible for incoming and outgoing calls… more
- CDPHP (Albany, NY)
- …these values and invites you to be a part of that experience. The Pharmacy Benefit Technical Specialist is responsible for implementing and monitoring the ... community-based not-for-profit health plan that offers high-quality affordable health insurance to members throughout New York. The company values...technical aspects of pharmacy benefits. This individual implements medical exception/prior … more
- Sanford Health (ND)
- …reported. Provide information via multiple sources of technology applications to insurance companies and contracted vendors to assure authorization for ... experience required. Specific background or experience in healthcare reimbursement, insurance industry, and/or authorization experience would be critical… more
- Amergis (Providence, RI)
- Salary: $1000 / Week The Pharmacy Prior Authorization Specialist is responsible for managing and completing prior authorization (PA) requests for ... requiring prior authorization . * Complete and submit prior authorization requests to insurance companies, pharmacy benefit managers (PBMs), or other… more
- Beth Israel Lahey Health (Boston, MA)
- …the day to day operations and oversight of a team of specialty pharmacy liaison's, medication access specialist and patient assistance program coordinators. This ... 1. Associates or Bachelor's degree. 2. Supervisor or management experience in pharmacy / authorization setting Job Description Job Profile: BID_A4360 - Supervisor… more
- Ardon (Portland, OR)
- As we continue to grow, we are seeking a Billing & Insurance Specialist to join our award-winning specialty pharmacy team. About Ardon Health At Ardon, we ... an elevated role. We are recruiting a Billing & Insurance Specialist to join our team of...Ability to work in a fast-paced environment. Knowledge of pharmacy benefit investigation, prior authorization support, and… more
- University of Washington (Seattle, WA)
- …the Outpatient Pharmacies * Act as a liaison between the program operations specialist and the pharmacy staff, to ensure effective communication regarding ... #: 245349 Department: UW MEDICAL CENTER - MONTLAKE - PHARMACY Posting Date: 05/14/2025 Closing Info: Open Until Filled...caseworkers and patients with regard to missing documents for insurance plans. * Submit prior authorization requests,… more
- HonorHealth (Phoenix, AZ)
- …also respond to patient queries, maintain records, assist in patient insurance authorization and manufacture assistance programs. Medication Reconciliation ... technician may specialize in a certain skill set, such as pharmacy buyer/inventory specialist , automation technician, IV room sterile processing technician,… more
- Fairview Health Services (Minneapolis, MN)
- …a **1.0FTE(80 hours/2 weeks) on the day shift!** As a member of the pharmacy team, the Reimbursement Specialist uses strong customer service skills and knowledge ... to ensure patients fast, easy and appropriate access to pharmacy services. The Reimbursement Specialist accepts and...efficient patient flow as assigned Using strong knowledge of insurance , pharmacy practice, revenue cycle and in… more