- Molina Healthcare (Salt Lake City, UT)
- …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 (Salt Lake City, UT)
- …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 (Salt Lake City, UT)
- … 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 (Salt Lake City, UT)
- … 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
- Adecco US, Inc. (Salt Lake City, UT)
- …may or may not include a weekend day(s). **Responsibilities of the Pharmacy Technician :** + Respond to Prior Authorization Requests: Answer inbound calls ... and resolve issues or complaints related to coverage, benefit interpretation, or prior authorization delays. Escalate complex cases appropriately, maintaining a… more
- Molina Healthcare (Salt Lake City, UT)
- …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
- Adecco US, Inc. (Draper, UT)
- …which may or may not include a weekend day(s). **Responsibilities of the Pharmacy Technician :** . Navigate across multiple computer systems to identify ... Make outgoing calls as needed to provide information on prior authorization case outcome, follow-up or consultation...act as a resource for others **Qualifications for the Pharmacy Technician :** . HS Diploma or GED… more
- Intermountain Health (Midvale, UT)
- **Job Description:** The Pharmacy Technician demonstrates consistent application of knowledge and skills in assisting the pharmacist in execution of appropriate, ... site. **Qualifications** + High School or equivalent is required + Current pharmacy technician certification and/or license applicable to state of practice.… more
- Highmark Health (Salt Lake City, UT)
- …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 (Salt Lake City, UT)
- …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