- The Cigna Group (Montgomery, AL)
- …personalized, and focused on helping the whole person. In this pivotal role, Pharmacy Prior Authorization Representatives respond to phone inquiries from ... responses to inquiries is crucial for success. As a Prior Authorization Representative , you will...+ Prior work from home experience + Prior medical or pharmacy knowledge + Reliable… more
- Highmark Health (Montgomery, AL)
- …clearly defines the medical necessity of non-formulary and prior authorization medication exception requests. Interacts with pharmacy network providers to ... 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