- Actalent (Phoenix, AZ)
- …+ Prior Authorizations + Insurance Verifications Qualifications: + 2+ year of Prior Authorization pharmacy experience is Mandatory + Pharmacy ... Urgent Hiring for Remote Pharmacy Technician Job Description: + Order Entry for new/refill medications. + Respond to customer inquiries as necessary. + Assist in… more
- Prime Therapeutics (Phoenix, AZ)
- …Sr - 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
- Actalent (Phoenix, AZ)
- Job Title: Remote Pharmacy Technician Job Description We are seeking a dedicated Pharmacy Technician to join our team, specializing in working with Medicare ... intake and tech review processes. This is a fully remote position, providing flexibility and the opportunity to contribute...+ Experience with managed care and claims processing. + Prior Authorization expertise. + Strong customer service… more
- The Cigna Group (Phoenix, AZ)
- …and your strong communication skills to handle patient questions, payment method processing, and prior authorization follow up. **What you need to do the job:** ... As a Pharmacy Technician Senior Representative, you will be working...spend the majority of your day researching benefits, obtaining prior authorizations, processing orders and talking to patients and/or… more
- Molina Healthcare (Phoenix, AZ)
- …those involved in formulary management (such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and pharmacy costs ... **JOB DESCRIPTION** **Job Summary** Molina Pharmacy Services/Management staff work to ensure that Molina...responsible for creating, operating, and monitoring Molina Health Plan's pharmacy benefit programs in accordance with all federal and… more
- Cognizant (Phoenix, AZ)
- …Excellent problem-solving and communication skills **These will help you stand out** + Prior experience in healthcare or pharmacy systems (RxClaim) + Familiarity ... testing and provide technical support throughout the project lifecycle **Work model: Remote ** We strive to provide flexibility wherever possible. Based on this… more
- CVS Health (Phoenix, AZ)
- …professional and courteous phone assistance to all callers through the criteria based prior authorization process. Certified Pharmacy Technicians (CPhT) are ... attention to detail and the ability to multi-task effectively. ** Remote Work Requirements:** + Prior remote...I, Level II, and Level III positions within the Prior Authorization (PA) team is a structured… more
- Sanofi Group (Phoenix, AZ)
- …field subject matter expert relating to patient support, access, reimbursement, prior authorization , appeal, financial assistance, and other business-related ... HIPAA compliant contact + Support field in education of office personnel on prior authorization and appeals processes, reimbursement support, free drug programs,… more
- Adecco US, Inc. (Phoenix, AZ)
- …a computer, reviewing prior authorizations and receiving phone calls from prior authorization pharmacy technicians and/or healthcare providers to gather, ... Adecco Healthcare & Life Sciences is hiring remote pharmacists! For this role you must reside...guideline criteria, and provide decisions on prior authorization requests. . Collaborate with pharmacy technicians… more
- Cardinal Health (Phoenix, AZ)
- …through all steps of the patient journey, including referral intake, benefit investigation ( pharmacy and medical), prior authorization , and therapy delivery. ... coverage, out-of-pocket costs, and appeals processes. . Assist in obtaining insurance, prior authorization , and appeal requirements and outcomes. . Remain… more
- Humana (Phoenix, AZ)
- …conducting medical necessity and comprehensive medication reviews for prescriptions requiring prior authorization . This role involves evaluating complex clinical ... until that date to be eligible to receive the payment."** **Location:** ** Remote - United States** **Schedule:** + 8-hour shifts, Monday through Friday, between… more
- Humana (Phoenix, AZ)
- …conducting medical necessity and comprehensive medication reviews for prescriptions requiring prior authorization . This role involves evaluating complex clinical ... that require critical thinking and in-depth analysis of variable factors. **Location:** ** Remote - United States** **Schedule: This is a VSP (Variable Service… more
- Cardinal Health (Phoenix, AZ)
- …performing customer service, enrollment and reimbursement activities, benefit investigations for pharmacy benefit coverage, prior authorization assistance, ... streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas,… more
- Cardinal Health (Phoenix, AZ)
- …performing customer service, enrollment and reimbursement activities, benefit investigations for pharmacy benefit coverage, prior authorization assistance, ... streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas,… more
- Humana (Phoenix, AZ)
- …help facilitate clinical medication review decision making. + Responsible for operationalizing prior authorization criteria into Humana systems in alignment with ... Humana's Pharmacy and Therapeutics Committee and in collaboration with healthcare...team setting to achieve goals and meet deadlines + Prior demonstrated experience with process improvement and documentation **Desired… more
- Cardinal Health (Phoenix, AZ)
- …enrollment /reimbursement activities, benefit investigations for product benefit coverage, prior authorization assistance, copay enrollment, and other patient ... streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas,… more