- Trinity Health (Muskegon, MI)
- …Full time **Shift:** Day Shift **Description:** **Job Posting Title:** ** Prior Authorization - Ambulatory Pharmacy Technician 40 Hours** ** Pharmacy ... a centralized prior authorization clinic in Muskegon, MI. Pharmacy technician support involves resolving and appealing prior authorization claims… more
- University of Virginia (Charlottesville, VA)
- As a Prior Authorization Technician at UVA Specialty Pharmacy , you will play a crucial role in positively impacting the lives of patients in the fastest ... Triages and escalates any questions or issues outside the pharmacy technician scope of practice to the... Certification Board (PTCB) required. For team members hired prior to February 1, 2020, certification as CPhT through… more
- Intermountain Health (Butte, MT)
- …to accurately prepare a compounded prescription. Evaluate and process approval of prior authorization pharmacy requests from prescribers received by ... the pharmacy team. Scope As an Outpatient Pharmacy Tech you need to know how...staff, and medical management staff. Research, resolve and document prior authorization outcomes in pharmacy … more
- Henry Ford Health System (Troy, MI)
- …of daily pharmacy duties such as drug claim adjudication issues, prior authorization , and pharmacy benefit inquiries from members/patients, physicians, ... of pharmacy benefit coverage issues and coordinating prior authorization and exception processes. PRINCIPLE DUTIES... pharmacy experience required. + State of Michigan Pharmacy Technician Licensure preferred. + Strong understanding… more
- Actalent (Mcallen, TX)
- …medical terminology, health care, medicare, Pharmacy , Cpht, Pharmacy technician certification, Prior authorization , Retail pharmacy , insurance, ... certificate Top Skills Details: medical,medical terminology,health care,medicare, Pharmacy ,Cpht, Pharmacy technician certification, Prior authorization… more
- Henry Ford Health System (West Bloomfield, MI)
- …Benefits Specialist is responsible for handling drug claim adjudication issues, prescription prior authorization , and pharmacy benefit inquiries from ... of pharmacy benefit coverage issues and coordinating prior authorization and exception processes. PRINCIPLE DUTIES...GED Associates degree preferred. + Requires State of Michigan Pharmacy Technician License. + Requires a minimum… more
- TEKsystems (Nashville, TN)
- …work on a scripted outbound dialer Skills: Pharmacy , Cpht, Pharmacy technician certification, PTCB, Prior authorization , Retail pharmacy , Call ... technician certificate, insurance Top Skills Details: Pharmacy ,Cpht, Pharmacy technician certification,PTCB, Prior authorization ,Retail … more
- Henry Ford Health System (Rochester Hills, MI)
- …Benefits Specialist is responsible for handling drug claim adjudication issues, prescription prior authorization , and pharmacy benefit inquiries from ... of pharmacy benefit coverage issues and coordinating prior authorization and exception processes. PRINCIPLE DUTIES...ordering of prescriptions submitted to pharmacies. + May perform pharmacy technician duties (ie, data entry, product… more
- US Tech Solutions (May, OK)
- …authorization as per policy and procedure. **Experience:** + Prior authorization experience required. + Previous pharmacy experience in retail or hospital ... HAVE experience with Medicare Part D + Must Have Pharmacy Benefit Management (PBM) experience. **Education:** + Pharm D....have experience in handling calls regarding prior authorization and appeals? **About US Tech Solutions:**… more
- CVS Health (Philadelphia, PA)
- …- Previous Retail environment. - Previous Customer Service experience. - Previous Prior Authorization experience. - Previous Pharmacy Claim Adjudication ... health has an exciting new opportunity as a Specialty Pharmacy Technician on our CarePlus Specialty ...required to have received at least one COVID-19 shot prior to your first day of employment and to… more
- Actalent (Orlando, FL)
- Job Title: Pharmacy Technician Job Description Prior Authorization Team hiring Pharmacy Technicians across time zones for a 100% remote opportunity. ... These Technicians will review Prior Authorizations for determination for a department that is...outbound patient or physician calls. Hard Skills + Registered pharmacy technician + Strong computer skills +… more
- CVS Health (Phoenix, AZ)
- …and/or Medicare pharmacy services including intake and processing of pharmacy authorization requests. - Promotes and supports quality effectiveness of ... request requires extensive clinical review or denial. **Required Qualifications** - National Pharmacy Technician certification (PTCB or ExCPT) and State License,… more
- Sutter Health (Los Altos, CA)
- …regulatory agencies accreditation and licensure requirements. **EDUCATION:** Graduation from an accredited Pharmacy Technician program OR " Met Board of ... Pharmacy requirements to obtain registration" **CERTIFICATION & LICENSURE:** PHRMTECHR-Registered Pharmacy Technician OR PHARMT- Pharmacy Technician OR… more
- Banner Health (AZ)
- …Health Pharmacy Technician ** you will be responsible for processing pharmacy prior authorization (PA) requests, supporting the internal and external ... pharmacy claims data. Previous pharmacy benefit management, health plan, and/or prior authorization experience is required for this role. **This is a… more
- Highmark Health (Wexford, PA)
- … department. Coordinates and administers the effective and efficient processing of the pharmacy benefits prior authorization process, ensuring that ... department needs. **EXPERIENCE** **Required** + 2 years of experience as a Pharmacy Technician in a hospital, retail, or managed care setting **Preferred** +… more
- G-TECH Services, Inc. (Detroit, MI)
- … requests under the supervision of a Clinical Pharmacist. 3. Assists in maintaining pharmacy prior authorization criteria used in the adjudication of ... physicians and/or members and effectuate such decisions within the authorization tool. 6. Troubleshoot problems, inquiries, and new processing...2. Two (2) years experience in retail or hospital Pharmacy required. 3. Pharmacy Technician … more
- Molina Healthcare (Bowling Green, KY)
- …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
- Centene Corporation (Phoenix, AZ)
- …Part D/Part B, Appeals, Medicare Part D Operations and State Health Programs Pharmacy Operations or Prior Authorization . Using established company ... a fresh perspective on workplace flexibility. **Position Purpose:** The Pharmacy Technician may perform duties in one...Pharmacists or Regional Medical Director on related issues. + Prior Authorization Medicare Part D and Part… more
- US Tech Solutions (San Antonio, TX)
- …not required at a State or National level. **Skills:** ** Pharmacy technician , Prior Authorization , Calling** **About US Tech Solutions:** US Tech ... phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and...clinical questions and judgment calls to the pharmacist. The Pharmacy Technician certification is preferred but not… more
- Omnicell (Kinston, NC)
- …1 year in (retail/specialty) pharmacy technician experience + Specialty Pharmacy experience + Prior Authorization experience **Work Environment and ... ** Pharmacy Technician ** ** Pharmacy : Kinston Community Health Center Pharmacy ** Glad you're here. Before you scroll, thanks for considering Omnicell as… more