- The Cigna Group (Nashville, TN)
- …personalized, and focused on helping the whole person. In this pivotal role, Pharmacy Prior Authorization Representatives respond to phone inquiries from ... health care professionals and assist them with the medication prior authorization process, by delivering straight forward...+ Prior work from home experience + Prior medical or pharmacy knowledge + Reliable… more
- Intermountain Health (Nashville, TN)
- …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 (Bowling Green, KY)
- …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 (Bowling Green, KY)
- …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 (Nashville, TN)
- … 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 (Nashville, TN)
- … 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 (Bowling Green, KY)
- …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
- Ascension Health (Nashville, TN)
- …+ Certified Pharmacy Tech credentialed from the Pharmacy Technician Certification Board (PTCB) obtained prior to hire date or job transfer date. ... compounding, medication history, nuclear, and Patient Assistance Program (PAP) as a pharmacy technician . + Refill and maintain automated dispensing system.… more
- Highmark Health (Nashville, TN)
- …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