• Remote - Prior Authorization

    Actalent (Phoenix, AZ)
    …+ Prior Authorizations + Insurance Verifications Qualifications: + 2+ year of Prior Authorization pharmacy experience is Mandatory + Pharmacy ... Immediate Hiring for Remote Pharmacy Technician Job Description: + Order Entry for new/refill medications. + Respond to customer inquiries as necessary. + Assist… more
    Actalent (07/15/25)
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  • Clinical/MTM pharmacy Tech (Bilingual…

    Molina Healthcare (Phoenix, AZ)
    …those involved in formulary management (such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and pharmacy costs ... pharmacies, and health plan providers in resolving member prescription claim, prior authorization , or pharmacy services access issues. + Articulates … more
    Molina Healthcare (06/06/25)
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  • Remote Pharmacy Technician

    Actalent (Phoenix, AZ)
    …entry and customer service. + Registered Pharmacy Technician and Certified Pharmacy Technician credentials. + Prior authorization experience. Additional ... Job Title: Remote Pharmacy Technician Job Description ...technicians will operate in an EST timezone, primarily reviewing Prior Authorizations for coverage determination within a Pharmacy more
    Actalent (07/13/25)
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  • Supervisor, Clinical Pharmacy /MTM…

    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...These staff may also be involved in providing utilization management/ prior authorization services as needed. * Supervises… more
    Molina Healthcare (07/09/25)
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  • Pharmacy Technician, Clinical/MTM…

    Molina Healthcare (Phoenix, AZ)
    …Member Services, pharmacies, and health plan providers in resolving member prescription claim, prior authorization , or pharmacy services access issues. + ... **Job Summary** Molina Healthcare is hiring for several Pharmacy Technicians. These roles are 100% Remote and require you be licensed either State or Nationally.… more
    Molina Healthcare (06/25/25)
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  • Pharmacy Technician Senior Representative…

    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
    The Cigna Group (07/03/25)
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  • Medication Therapy Management (MTM) Specialist…

    Prime Therapeutics (Phoenix, AZ)
    …Specialist - 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
    Prime Therapeutics (06/25/25)
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  • Clinical Account Manager - Georgia PDL…

    Prime Therapeutics (Phoenix, AZ)
    …functions, DUR committees and responsibilities. + Supports elevated customer service and prior authorization inquiries specific to assigned accounts. + Manages ... **Job Posting Title** Clinical Account Manager - Georgia PDL - Remote **Job Description** Innovative business clinician accountable for building and maintaining… more
    Prime Therapeutics (04/24/25)
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  • Sr/Care Manager, Patient Support Services…

    IQVIA (Phoenix, AZ)
    …correct eligibility information, perform benefit investigations, copay assistance and check prior authorization and/or appeal status. Care Managers may also ... breakthroughs in the real world. **Position Summary:** AllCare Plus Pharmacy , an IQVIA company, is seeking a Care Manager!...assistance programs and/or varied adherence support. This is a ** remote ** position. **Hours:** Must be available for an 8… more
    IQVIA (07/04/25)
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  • Patient Navigator

    Cardinal Health (Phoenix, AZ)
    …healthcare providers regarding the patient journey. + Support healthcare providers with Prior Authorization and Appeals submission to Insurance carrier. + ... billing and Coding work experience is preferred + 1-2 years of experience with Prior Authorization and Appeal submissions + 2-4 years of Case Management… more
    Cardinal Health (06/28/25)
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  • Reimbursement Coordinator

    Cardinal Health (Phoenix, AZ)
    …and pharmacy insurance benefit practices, preferred + 1-2 years experience with Prior Authorization and Appeal submissions, preferred + Ability to work with ... streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas,… more
    Cardinal Health (06/21/25)
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  • Reimbursement Coordinator

    Cardinal Health (Phoenix, AZ)
    …and pharmacy insurance benefit practices, preferred + 1-2 years' experience with Prior Authorization and Appeal submissions, preferred + Ability to work with ... patient population + Follow through on all benefit investigation rejections, including Prior Authorizations, Appeals, etc. All avenues to obtain coverage for the… more
    Cardinal Health (06/21/25)
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  • Case Manager- Patient Access

    Cardinal Health (Phoenix, AZ)
    …care and timely access to necessary services + Assist in obtaining insurance, prior authorization , and appeal requirements and outcomes + Help patients ... streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas,… more
    Cardinal Health (06/18/25)
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