- Genmab (Berkeley Heights, NJ)
- …not limited to Medicare, Medicaid and commercial insurance carriers, Prior Authorization submissions/appealsUnderstanding of the healthcare industry, including ... feel like a fit? Then we would love to have you join us!Patient Access Specialist , Call Center Operations The Patient Access Specialist will be the dedicated… more
- National Youth Advocate Program (Madison, WI)
- …initial, follow-up, wellness, and specialist appointments; preparing Treatment Authorization Requests (TARs) prior to appointments and following up ... with children's assigned cross-functional team and medical, mental health, dental, and pharmacy providers to ensure appropriate care to the children, including but… more
- UPMC (Pittsburgh, PA)
- UPMC Health Plan is hiring a full-time Clinical Pharmacy Specialist to support the Prior Authorization Team within the Pharmacy Services department. ... licensure by examination or reciprocity is required. The Clinical Pharmacy Specialist provides clinical pharmacy ...and provides expertise in managing member care through the prior authorization and appeals process for medications.… more
- AdventHealth (Apopka, FL)
- …regarding Rx Plus Pharmacy 's state licensed data entry, claims adjudication, prior authorization , pharmacy specialist , and technician quality ... manages team members and supervisors of the processing intake, prior authorization , specialist , and quality...to enhance safety and efficiency. + Provides education on pharmacy benefits, management, prior authorization ,… more
- Polaris Pharmacy Services, LLC (Des Plaines, IL)
- Prior Authorization Specialist Job Details Job Location Polaris Pharmacy Services of Illinois, LLC - Des Plaines, IL Salary Range $20.00 - $23.00 Hourly ... Job Category Pharmaceutical Description WHO WE ARE At Polaris Pharmacy Services, we're more than a pharmacy ...invite you to grow with us. JOB SUMMARY: The Prior Authorization Specialist is responsible… more
- BrightSpring Health Services (Oklahoma City, OK)
- …follow up of prior authorizations. This role requires working knowledge of pharmacy benefits and prior authorization process. Schedule: Monday - ... + Initiate, process, and oversee the clinical review of prior authorization requests for medication and supply,...Qualifications + High School Diploma or GED or licensed/registered pharmacy technician or previous experience in Pharmacy … more
- Dana-Farber Cancer Institute (Brookline, MA)
- …Working in a fast-paced, high volume, dynamic environment, the Clinical Authorization Specialist will bring clinical expertise to the prior authorization ... Prior Authorization Supervisor , the Clinical Authorization Specialist is responsible for managing all...is also responsible for managing denials related to front-end prior authorization , biosimilar drugs, pharmacy -benefit… more
- UPMC (Bridgeville, PA)
- …dedicated team! You will oversee administrative and system processes that relate to pharmacy prior authorizations. Manage the first line clinical review of ... UPMC Rx Partners is looking for a full time Pharmacy Clinical Review Specialist to join their...prior authorization requests for Community Provider Services… more
- St. Luke's Health System (Boise, ID)
- …etc.) + Interpret medical terminology and accurately process prior authorization requests for medications under the pharmacy benefits. + Facilitate ... is truly a great place to work. **Overview:** The Pharmacy Benefits Specialist assists our members in... benefits management (PBM) and third-party issues such as prior authorization , step therapy, reviewing denied claims,… more
- Henry Ford Health System (Rochester Hills, MI)
- …Specialist is responsible for handling drug claim adjudication issues, prescription prior authorization , and pharmacy benefit inquiries from ... in the resolution of pharmacy benefit coverage issues and coordinating prior authorization and exception processes. PRINCIPLE DUTIES AND RESPONSIBILITIES: +… more
- Ardon (Portland, OR)
- …computer applications. Ability to work in a fast-paced environment. Knowledge of pharmacy benefit investigation, prior authorization support, and patient ... to grow, we are seeking a Billing & Insurance Specialist to join our award-winning specialty pharmacy ...Oregon Pharmacy Technician License. A Certified Oregon Pharmacy Technician License will be required prior … more
- Mayo Clinic (Rochester, MN)
- …Retirement: Competitive retirement package to secure your future. **Responsibilities** The Pharmacy Purchasing Specialist performs the following duties to ... OPT extension program.** **Qualifications** **Note:** These qualifications apply to the Pharmacy Purchasing Specialist , which are the minimum qualifications that… more
- Scripps Health (San Diego, CA)
- …geriatrics, obstetrics and gynecology, and gastroenterology. *Why join this team?* The Pharmacy Technician Specialist will support Ambulatory Services. The ... Pharmacy Technician Specialist will be working in an office setting assisting...prefers working in an office setting and has some prior knowledge of pharmacy and medical insurance… more
- MD Anderson Cancer Center (Houston, TX)
- *Clinical Pharmacy Specialist - Hematology * The Pharmacy Division is dedicated to ensuring safe, effective, and cost-conscious medication use while ... to comply with institutional standards, initiatives, and guidelines (ABN's, prior authorization requirements, reimbursement optimization, formulary management,… more
- Rush University Medical Center (Chicago, IL)
- …site of care. c. Assist in assessing insurance coverage and assist in prior authorization for medications (when necessary) in advance of discharge. Other ... veteran status, and other legally protected characteristics. **Position** Clinical Pharmacy Specialist HemeOnc **Location** US:IL:Chicago **Req ID** 21728 more
- Rochester Regional Health (Rochester, NY)
- Job Title: Medication Authorization Specialist Location: Greece and Medical Office Building (MOB - Irondequoit) Hours Per Week: 40 SUMMARY: This role helps ... communication across the care team. RESPONSIBILITIES: + Coordinate and submit prior authorization requests for cardiology medications, and monitor approvals,… more
- Centene Corporation (Austin, TX)
- …+ Takes member/prescriber/pharmacist inquiry calls for benefit questions including prior authorization requests + Offers options including submission ... - 10:30 pm EST, schedule.** **Position Purpose:** The Senior Pharmacy Resolution Specialist will act as a...of a prior authorization request + Thoroughly researches issues… more
- SUNY Upstate Medical University (Syracuse, NY)
- …Medical University Hospital retail pharmacy revenue through provision of prior authorization services at Upstate Medical University Hospital clinics. Minimum ... Job Summary: The primary responsibility of the Pharmacy Patient Access Specialist includes the...ordered from SUNY Upstate clinics and the associated providers prior to enrollment into the specialty pharmacy … more
- Omaha Children's Hospital (Omaha, NE)
- …department education on 340b program Works under the direct supervision of the Pharmacy Information Systems Specialist to maintain Pharmacy Information ... Orders and maintains inventory supplies and services for the provision of pharmacy services for Children's Hospital & Medical Center * Adjusts quantities based… more
- Independent Health (Buffalo, NY)
- …set up and data entry. + financial arrangements and collecting co-payments. + prior authorization assistance with offices. + coordination of benefits. + promote ... Specialist assists with the various activities of the pharmacy operations not requiring the professional judgment of the...and medications. + Confirm financial aspects of the claims prior to them leaving the facility. + Portal management… more
Related Job Searches:
Authorization,
Authorization Specialist,
Pharmacy,
Pharmacy Prior,
Prior,
Prior Authorization,
Prior Authorization Specialist,
Specialist