• Intermountain Healthcare (Midvale, UT)
    …action, up to termination, at the hiring manager's discretion. Preferred Prior Authorization processing preferred Physical Requirements: Physical Requirements ... Job Description: The Pharmacy Technician demonstrates consistent application of knowledge and...each essential duty satisfactorily. The requirements list must be representative of the knowledge, skills, minimum education, training, licensure,… more
    Upward (07/21/25)
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  • The University of Miami (Miami, FL)
    …to achieve faster PA approval Manage in basket patient calls from UHealth Pharmacy Prior Authorization Confirm patient appointments ie obtain medical ... calls, responds to questions, directs calls, and documents messages in Epic Manage Prior Authorization (PA) Requests, inbox, and tracking sheet; enter all PA… more
    Upward (07/19/25)
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  • Healthcare Outcomes Performance Co. (HOPCo) (Glen Mills, PA)
    Premier Orthopedics and Sports Medicine is looking for a Patient Service Representative to work at our Glen Mills, PA physician's office. The Company: Premier ... business! Our robust benefits package includes the following: Competitive Health, Pharmacy , Vision, and Dental Plan Benefits Disability and Protective Benefits HSA… more
    Upward (07/09/25)
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  • Mindlance (Lewisville, TX)
    …care and timely access to necessary services *Assist in obtaining insurance, prior authorization , and appeal requirements and outcomes *Help patients understand ... streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas,… more
    Upward (06/23/25)
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  • EVERSANA (Mason, OH)
    …required. Strong pharmacy reimbursement experience, especially understanding of prior authorization process Experience conducting benefit verifications with ... Payers by providing reimbursement support for activities related to benefit coverage, prior authorization , claim denials, appeals, triage to third party support… more
    Upward (07/04/25)
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  • Coffman Nursing Home (Hagerstown, MD)
    …solicit, collect, or divulge any Information to any third party without the prior written consent of Fahrney-Keedy. This information is Company property which may ... resident are examined and identified by the attending physician or the facility pharmacy . Follows the labeling policies and practices of the facility. Ensures that… more
    Upward (07/20/25)
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  • Pharmacy Access Rep III - Home Infusion

    University of Rochester (Rochester, NY)
    …duties as required, including work relating to the Intake Pharmacy Access Representative ** Prior Authorization Management** + Maintains expertise of the ... including pharmacists, pharmacy technicians, medical/clinical staff, and central prior authorization staff. External interactions include third party payors,… more
    University of Rochester (07/19/25)
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  • Pharmacy Access Rep III - Specialty…

    University of Rochester (Rochester, NY)
    …duties as required, including work relating to the Intake Pharmacy Access Representative ** Prior Authorization Management** + Maintains expertise of the ... including pharmacists, pharmacy technicians, medical/clinical staff, and central prior authorization staff. External interactions include third party payors,… more
    University of Rochester (06/18/25)
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  • Prior Authorization Pharmacy

    Intermountain Health (Columbus, OH)
    …to termination, at the hiring manager's discretion. **Preferred** + Prior Authorization processing preferred **Physical Requirements:** **Physical Requirements** ... **Job Description:** The Pharmacy Technician demonstrates consistent application of knowledge and...each essential duty satisfactorily. The requirements list must be representative of the knowledge, skills, minimum education, training, licensure,… more
    Intermountain Health (07/18/25)
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  • Pharmacy Help Desk Representative

    Independent Health (Buffalo, NY)
    …and a culture that fosters growth, innovation and collaboration. **Overview** The Pharmacy Help Desk Representative will be responsible for providing assistance ... our goals in achieving service levels and increasing the pharmacist satisfaction rate, the pharmacy help desk representative will function as a pharmacy more
    Independent Health (07/22/25)
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  • Customer Service Representative , Medicare…

    Molina Healthcare (Roswell, NM)
    …regulations, NCQA guidelines, and CMS standards. + Provides coordination and processing of pharmacy prior authorization requests and/or appeals. + Explains ... those involved in formulary management (such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and pharmacy costs… more
    Molina Healthcare (07/23/25)
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  • Pharmacy Call Center Representative

    SUNY Upstate Medical University (Syracuse, NY)
    …Ability to multitask. Preferred Qualifications: Experience with healthcare insurance prior authorization /coding and performing insurance carrier/managed care ... Job Summary: The Pharmacy Call Center Representative answers all incoming lines to the Call Center (phone, web chat, email, fax, text) for all outpatient … more
    SUNY Upstate Medical University (05/13/25)
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  • Pharmacy Representative Ambulatory

    PeaceHealth (Bellingham, WA)
    **Description** PeaceHealth is seeking a ** Pharmacy Representative Ambulatory for a Per Diem/Relief, 0.000001 FTE, Day position.** The salary range for this job ... coverage and ensures all insurance requirements are met, as well as obtaining all prior authorization and/or referrals as appropriate prior to patient… more
    PeaceHealth (06/03/25)
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  • Pharmacy Access Representative

    University of Rochester (Rochester, NY)
    …calls, resolving issues efficiently. + Assist patients with financial support and prior authorization for specialty medications. + Advocate for patients by ... Join the University of Rochester's Specialty Pharmacy team as a Pharmacy Access Representative (PAR) and play a vital role in ensuring patients receive their… more
    University of Rochester (05/02/25)
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  • Patient Authorization and Referral…

    Providence (Spokane Valley, WA)
    …responsible for front-end reimbursement duties such as insurance benefit checks, prior authorizations, providing phone and clerical component of home infusion. Other ... simply valued - they're invaluable. Join our team at Providence Infusion and Pharmacy Services and thrive in our culture of patient-focused, whole-person care built… more
    Providence (07/16/25)
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  • Pharmacy Coordinator Senior

    Highmark Health (Richmond, VA)
    prior authorizations. Clearly defines the medical necessity of non-formulary and prior authorization medication exception requests, by reviewing member claims ... requests for drug authorizations or denials. + Review of prior authorization criteria for drug products. +...billing practices through paid clams review. + Participate as pharmacy representative in onsite member appeals and… more
    Highmark Health (07/22/25)
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  • Certified Pharmacy Technician PRN…

    Bon Secours Mercy Health (Portsmouth, VA)
    …where associates want to work and help communities thrive. **Certified Pharmacy Technician - Maryview Medical Center** **Hours: PRN (as needed)** **Summary ... hospital) and/or outpatient (ambulatory; retail; home infusion) services. The Certified Pharmacy Technician will have a variety of job responsibilities within the… more
    Bon Secours Mercy Health (07/22/25)
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  • Certified Pharmacy Technician-…

    Bon Secours Mercy Health (Youngstown, OH)
    …are recognized for clinical and operational excellence. **Reports to Title:** Pharmacy Supervisor, Manager, or Director **Summary of Primary Function/General Purpose ... hospital) and/or outpatient (ambulatory; retail; home infusion) services. The Certified Pharmacy Technician will have a variety of job responsibilities within the… more
    Bon Secours Mercy Health (07/17/25)
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  • Pharmacy Tech Certified - Oncology - Bon…

    Roper St. Francis (Charleston, SC)
    …Days/Afternoons (United States of America) PRN** **Reports to Title:** Pharmacy Supervisor, Manager, or Director **Summary of Primary Function/General Purpose ... hospital) and/or outpatient (ambulatory; retail; home infusion) services. The Certified Pharmacy Technician will have a variety of job responsibilities within the… more
    Roper St. Francis (05/27/25)
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  • Clinical Pharmacist - Specialty Pharmacy

    Ochsner Health (New Orleans, LA)
    …Microsoft Office. **Job Duties** + Performs patient assessment and care. + Performs prior authorization and insurance resolution services. + Oversees the Patient ... multidisciplinary pharmaceutical care environment. Assumes responsibility for the management of pharmacy services with the goal of ensuring the patient receives… more
    Ochsner Health (07/11/25)
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