- US Tech Solutions (May, OK)
- …+ Responsible for reviewing and completing criteria based on prior authorization as per policy and procedure. **Responsibilities:** + This individual must have ... excellent interpersonal skills. + Will be responsible for: Reviewing and completing criteria based on prior authorization as per policy and procedure. **Experience:** + Prior authorization experience required. + Previous pharmacy experience in retail or… more
- US Tech Solutions (May, OK)
- …+ The clinical pharmacist is an operation based role that conducts clinical reviews of medical data collected to perform prior authorization for commercial and ... specialty medications. + The clinical pharmacist will apply clinical knowledge to plan approved criteria for prospective and concurrent reviews of cases. + This role will work from Virtual systems and take inbound calls from physician or members regarding… more
- Paychex (May, OK)
- …+ As part of the PEO senior leadership team, identifies ongoing enhancements to the value proposition, service strategy, and pricing approach for the national PEO ... Imagine Your Future with Us! Since 1971, Paychex has been at the forefront of simplifying HR, payroll, and benefits for American businesses. Our digital HR technology and advisory solutions cater to the changing needs of employers and their employees. With our… more
- Paychex (May, OK)
- …+ Develop, test, deploy, maintain and improve software to meet requirements + Design and develop test automation code + Complete complex program changes; ... Imagine Your Future with Us! Since 1971, Paychex has been at the forefront of simplifying HR, payroll, and benefits for American businesses. Our digital HR technology and advisory solutions cater to the changing needs of employers and their employees. With our… more
- Paychex (May, OK)
- …+ Develop, test, deploy, maintain and improve software to meet requirements + Design and develop test automation code + Complete well-defined, complex program changes ... Imagine Your Future with Us! Since 1971, Paychex has been at the forefront of simplifying HR, payroll, and benefits for American businesses. Our digital HR technology and advisory solutions cater to the changing needs of employers and their employees. With our… more
- US Tech Solutions (May, OK)
- …+ As a Pharmacist Advisor you will be directly supporting Medicare Part D members and providers with requests related to their pharmacy benefits. ... **Location:** Fully remote **Duration:** 06+ months contract **Note:** + Ideal candidates must have experience of Prior Authorization, Medicare Part D and Pharmacy Benefit Management experience. + **Shift Timing:** Business Hours are 7am - 8pm EST Monday -… more
- US Tech Solutions (May, OK)
- …+ The clinical pharmacist is an operation based role that conducts clinical reviews of medical data collected to perform prior authorization for specialty ... medications. The clinical pharmacist will apply clinical knowledge to plan approved criteria for prospective and concurrent reviews of cases. This role will work for supported systems and take inbound calls from physicians or members regarding their pending,… more
- US Tech Solutions (May, OK)
- …This is a remote position and requires the ability to effectively support a work from home environment. Must have the ability to work in a HIPAA compliant work area ... away from distractions, and must have their own secure private internet services of at least 25mbps download/3mbps upload in order to ensure sufficient speed to adequately perform work duties. Must provide a screenshot of internet speeds with resume and… more
- Paychex (May, OK)
- …+ Develop and Maintain Applications: Design, develop, and maintain cloud based, scalable, high-performing software applications using Ruby on Rails, React, and ... Imagine Your Future with Us! Since 1971, Paychex has been at the forefront of simplifying HR, payroll, and benefits for American businesses. Our digital HR technology and advisory solutions cater to the changing needs of employers and their employees. With our… more
- US Tech Solutions (May, OK)
- …This is a remote position and requires the ability to effectively support a work from home environment. Must have the ability to work in a HIPAA compliant work area ... away from distractions, and must have their own secure private internet services of at least 25mbps download/3mbps upload in order to ensure sufficient speed to adequately perform work duties. Must provide a screenshot of internet speeds with resume and… more
- US Tech Solutions (May, OK)
- …+ It is an operation based role that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical ... pharmacist will apply clinical knowledge to plan approved criteria for prospective and concurrent reviews of cases. **Responsibilities:** + Collaborates with the CRU Technician to process referrals, including answering clinical questions, collecting… more
- US Tech Solutions (May, OK)
- …This position is responsible for reviewing and completing criteria based on prior authorization as per policy and procedure. **Responsibilities:** + This individual ... must have excellent interpersonal skills. + Will be responsible for: Reviewing and completing criteria based on prior authorization as per policy and procedure. **Skills:** + Managed Care exp and Medicare/Medicaid knowledge Counseling + Prior Authorization +… more
- US Tech Solutions (May, OK)
- …Training will be provided prior to the start of the assignment. **Duties:** * Outreach to members to complete survey to address Social Determinants of Health (SDoH) ... barriers and provide helpful resources * Outreach to members and clinical providers to effectively coordinate care, obtain medical records and ensure patients receive preventive and chronic disease management services. The goal of these messages is to remind… more
- US Tech Solutions (May, OK)
- …+ The Pharmacist/Clinician is an operation-based role that conducts criteria based & clinical review of medical data collected to perform prior authorization as per ... policy and procedure. + The Pharmacist/Clinician will apply clinical knowledge to plan approved criteria for reviews of cases. + This role will work from supported systems and take inbound calls from physicians or members regarding their pending, approved, or… more
- US Tech Solutions (May, OK)
- …1. Patient-Centered Quality and Safety * Evaluate primary care, acute, chronically ill, and transitional care patients, in addition to providing healthcare education ... and counseling, and disposition planning for our patients ranging in age 18 months and above * Provide patient counseling; inclusive of pregnancy prevention, STI Prevention/safer sex practices, contraceptive care counseling and medication management * Educate… more
- US Tech Solutions (May, OK)
- …Nurse Practitioner leverages administrative support in addition to delivering patient care services through virtual technology. The ratio of work is dependent upon ... patient demand. You will work in collaboration with a dedicated team of professionals as you independently provide holistic, evidenced-based care inclusive of accurate assessment, diagnosis, treatment, management of health problems, health counseling, and… more
- US Tech Solutions (May, OK)
- …+ The Pharmacy tech takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous phone assistance to all callers through the ... criteria based prior authorization process. + Maintains complete, timely and accurate documentation of reviews. + Transfers all clinical questions, escalations and judgement calls to the pharmacist team. + The pharmacy Tech will also assist with other duties… more
- US Tech Solutions (May, OK)
- …+ This position is responsible for reviewing and completing criteria based on prior authorization as per policy and procedure. **Responsibilities:** + Reviewing and ... completing criteria based on prior authorization as per policy and procedure. **Experience:** + Previous pharmacy experience in PBM (Pharmacy Benefits Management) required. + Since the job duties consist of reviewing and completing criteria based on prior… more
- US Tech Solutions (May, OK)
- …+ As an RPh Advisor you will be directly supporting Medicare Part D members and providers with requests related to their pharmacy benefits. You will be responsible ... for ensuring cases are accurately set up for our members, review clinical information for decisioning the request, performing outreach to providers for more information when needed, and ensuring accurate decisions that comply with compendia and Medicare… more
- US Tech Solutions (May, OK)
- …The clinical pharmacist is an operation based role that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. ... The clinical pharmacist will apply clinical knowledge to plan approved criteria for prospective and concurrent reviews of cases. authorizations. **Responsibilities:** 1. Collaborates with the CRU Technician to process referrals, including answering clinical… more