- Ochsner Health (New Orleans, LA)
- …to medication therapy, authorizing medication refills, maintaining accurate pharmacy preferences, identifying discrepancies or problems with medication history ... information, assisting patients with the medication authorization process, and assisting patients with overcoming barriers to accessing medications. Communicates… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …Type Full Time Category Pharmaceutical Description PRIOR AUTHORIZATION SPECIALIST ( REMOTE ) WHO WE ARE At Polaris Pharmacy Services, we're more than a ... those who need it most, we invite you to grow with us. OVERVIEW The Prior Authorization Specialist is responsible for managing and identifying a portfolio of… more
- Fallon Health (Worcester, MA)
- **Overview** **This is 3 months temporary contract position for a Prior Authorization RN.** **About us:** Fallon Health is a company that cares. We prioritize ... setting required. * 2 years' experience as a Utilization Management/ Prior Authorization nurse in a managed care...o DME o Ambulatory Procedures o Genetic Testing o Pharmacy o Nutritional supplies **Inpatient authorization requests… more
- Prime Therapeutics (Madison, WI)
- …Liaison - Remote **Job Description** Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone ... office staff, medical management staff and/or pharmacists. Researches, resolves and documents prior authorization outcomes in pharmacy system. + Communicates… more
- Molina Healthcare (Idaho Falls, ID)
- …for remote Certified Pharmacy Technicians. These roles will be in our Prior Authorization department. You will review prior auth requests that are ... Duties** + Performs initial receipt and review of non-formulary or prior authorization requests against pharmacy plan approved criteria; requests additional… more
- Actalent (Phoenix, AZ)
- …experience in retail, hospital, or mail order pharmacy . + Current state Pharmacy Technician license. + Prior authorization experience. Additional Skills ... We are hiring for a 100% REMOTE Pharmacy Technician ASAP! Leading healthcare...involves tracking and triaging all coverage determination requests for prior authorizations and Medicare Part D recipients. The successful… more
- Actalent (St. Louis, MO)
- Pharmacy Technician - Prior Authorization ( Remote ) Location: Must be located in central or mountain time zones Employment Type: Full‑Time Experience ... a detail‑oriented Pharmacy Technician to support our Prior Authorization team. This role focuses on...or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to… more
- PeaceHealth (Longview, WA)
- …supervision of a registered pharmacist. + Participates in refill management and prior authorization services across the assigned network. + Supports patient ... Pharmacy Technician Ambulatory for a Full Time, Remote , 0.80 FTE, Day position. The salary range for...Required: experience in ambulatory-related work (ie retail, refill processing, prior authorization processing, clinic, etc.) and +… more
- Teva Pharmaceuticals (Raleigh, NC)
- …with Patient Support Service team with regards to education on Prior Authorization process at the HCP and local pharmacy level + Utilizes networks ... Associate Director of Specialty Pharmacy Operations - Remote Date: Jan 8, 2026 Location: Raleigh, United States, North Carolina, 07054 Company: Teva… more
- Actalent (Charleston, SC)
- …of coverage determination request decisions. Essential Skills + Prior authorization experience. + Data entry proficiency. + Pharmacy technician license. ... Job Title: Remote Pharmacy Technician Job Description As...determination request decisions. + Respond to client inquiries regarding authorization approvals and PBM online applications. + Refer coverage… more
- Prime Therapeutics (Salt Lake City, UT)
- …or Near Salt Lake, UT) **Job Description** Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone ... staff, medical management staff and/or pharmacists. + Researches, resolves and documents prior authorization outcomes in pharmacy system. + Communicates… more
- Cardinal Health (Lansing, MI)
- …either at a health system or payor) highly preferred + Experience with prior authorization approvals and medical/ pharmacy benefit billing & coding, ... to secure coverage and reimbursement rate for advanced therapy / CGT products. + ** Prior Authorizations:** Manage the prior authorization process for CGT… more
- Henry Ford Health System (Rochester Hills, MI)
- …medications. Responsibilities include prescription intake, insurance benefits investigation, prior authorization management, financial assistance support, refill ... intake, adherence reminder calls, delivery coordination, insurance benefits investigation, prior authorization management, and financial assistance research. The… more
- Parkview Health (Fort Wayne, IN)
- …a potential transition to remote work. Key Responsibilities Patient Intake & Authorization : + Initiate, complete, and document prior authorization (PA) ... communication and coordination among these teams to facilitate efficient prior authorization and financial processes. This position...Cycle team and PHIS staff, including nursing, intake, and pharmacy staff and the PH Revenue Cycle Team. +… more
- Elevance Health (St. Louis, MO)
- …a HS diploma or GED and a minimum of 1 year of experience processing pharmacy prior authorizations; or any combination of education and experience which would ... ** Authorization Representative I** **Location:** This role requires associates...approach combines structured office engagement with the autonomy of remote work, promoting a dynamic and adaptable workplace. This… more
- Actalent (Lake Mary, FL)
- Job Title: REMOTE Pharmacy Technician Job Description We...in retail pharmacy and call centers + Prior authorization and insurance billing + ... verifying patient data, and submitting prescription orders into the pharmacy data system. Responsibilities + Handle a high volume...School Diploma or GED Work Environment This is a remote position based in Lake Mary, FL. Employees will… more
- Centene Corporation (Austin, TX)
- …+ Takes member/prescriber/pharmacist inquiry calls for benefit questions including prior authorization requests + Offers options including submission ... Applicants for the job have the flexibility to work remote from home anywhere in the United States. Candidates...of a prior authorization request + Thoroughly researches issues… more
- Humana (Washington, DC)
- …Deep understanding of pharmacy operations, PBM models, benefits coordination, prior authorization workflows, and specialty care dynamics + Exceptional ... to deliver scalable, secure, and repeatable solutions that power pharmacy growth. **Technology Implementation Lead - Pharmacy ...ongoing interruptions to protect member PHI / HIPAA information \#LI- Remote Travel: While this is a remote … more
- Centene Corporation (Tallahassee, FL)
- …care professionals with medication-related information and education. + Participates in the prior authorization review and appeals processes. + Participates in ... Pharmacy (PharmD) from an ACPE-accredited college/school of pharmacy prior to start date. Exposure to...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
- MD Anderson Cancer Center (Houston, TX)
- …to comply with institutional standards, initiatives, and guidelines (ABN's, prior authorization requirements, reimbursement optimization, formulary management, ... * Clinical Pharmacy Specialist - Hematology * The * Pharmacy...required and preferred licenses, certifications, training, and continuing education prior to the deadlines including but not limited to… more
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