- Intermountain Health (Atlanta, GA)
- …hiring manager's discretion. **Preferred Qualifications** + Previous prior authorization experience + Previous retail pharmacy experience **Physical ... **Job Description:** The Pharmacy Technician demonstrates consistent application of...No weekends or holidays.** **Applicants must have an active Pharmacy Tech license in the state you… more
- Molina Healthcare (Atlanta, GA)
- …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 (Atlanta, GA)
- …those involved in formulary management (such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and pharmacy costs ... Member Services, pharmacies, and health plan providers in resolving member prescription claim, prior authorization , or pharmacy services access issues. +… more
- Prime Therapeutics (Atlanta, GA)
- … Technician Sr **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
- Prime Therapeutics (Atlanta, GA)
- … Technician I **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
- Molina Healthcare (Atlanta, GA)
- …Member Services, pharmacies, and health plan providers in resolving member prescription claim, prior authorization , or pharmacy services access issues. + ... **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** 2 years' experience as a Pharmacy Technician **PREFERRED EXPERIENCE:** 3+ years **REQUIRED LICENSE,… more
- Elevance Health (Atlanta, GA)
- **Title:** Pharmacy Technician II **Schedule:** 10:30am - 7:00pm eastern time zone **Location:** Virtual. This role enables associates to work virtually ... of new technologies and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care. The ** Pharmacy Technician II** is responsible for… more
- Highmark Health (Atlanta, GA)
- …clearly defines the medical necessity of non-formulary and prior authorization medication exception requests. Interacts with pharmacy network providers to ... + Prioritize requests for drug authorizations or denials. + Review of prior authorization criteria for drug products. + Recommend staffing adjustments… more
- Walgreens (Atlanta, GA)
- …all external billing practices including but not limited to third party adjudications, prior authorization , and patient financial assistance programs in order to ... **External Basic Qualifications:** + High School Diploma or equivalent. + Pharmacy Technician license, in states where required. + Maintains… more