- Penn State Health (Hershey, PA)
- …L. Stuckey at ###@pennstatehealth.psu.edu (MAILTO://###@pennstatehealth.psu.edu) **SUMMARY OF POSITION:** The Pharmacy Insurance Authorization Specialist ... while maintaining the highest standards of safety and efficacy. The Pharmacy Insurance Authorization Specialist drives our medication procurement… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …right for you, we encourage you to apply! Job Description: Summary: The Pharmacy Prior Authorization Technician performs functions as permitted by law including ... the initial level processing and review of prior authorization requests for both pharmacy reviews and...staff to resolve issues and escalated problems. Own a specialist title designation on the team. + Independently develops… more
- Polaris Pharmacy Services, LLC (Des Plaines, IL)
- Prior Authorization Specialist Job Details Job Location Polaris Pharmacy Services of Illinois, LLC - Des Plaines, IL Salary Range $20.00 - $23.00 Hourly Job ... Category Pharmaceutical Description WHO WE ARE At Polaris Pharmacy Services, we're more than a pharmacy ...you to grow with us. JOB SUMMARY: The Prior Authorization Specialist is responsible for managing and… more
- University of Southern California (Newport Beach, CA)
- The Clinical Authorization Specialist will take the lead in securing medical authorizations from third party payers (commercial and government) for outpatient ... obtaining written documentation, submitting tracking, reporting and documenting outcomes of each authorization request. The Specialist will be in a position to… more
- Ardon (Portland, OR)
- As we continue to grow, we are seeking a Billing & Insurance Specialist to join our award-winning specialty pharmacy team. About Ardon Health At Ardon, we ... an elevated role. We are recruiting a Billing & Insurance Specialist to join our team of...Ability to work in a fast-paced environment. Knowledge of pharmacy benefit investigation, prior authorization support, and… more
- BrightSpring Health Services (Totowa, NJ)
- …Amerita, Inc. is a leading provider in home Infusion therapy. We are looking for an Prior Authorization Specialist to join our team as we grow to be one of the ... follow up of prior authorizations. This role requires working knowledge of pharmacy benefits and prior authorization process. Amerita is an… more
- Henry Ford Health System (Troy, MI)
- The purpose of the Central Authorization Specialist position is to centrally facilitate the successful procuring of insurance authorizations for ordered ... of care and providing timely and accurate information to payors'. The Central Authorization Specialist helps drive change by identifying areas where performance… more
- St. Luke's Health System (Boise, ID)
- …of pharmacy staff, patient financial advocates, the pharmacy authorization team, clinic staff, and providers. Issues insurance overrides and processes ... is truly a great place to work. **Overview:** The Pharmacy Benefits Specialist assists our members in...etc.) + Interpret medical terminology and accurately process prior authorization requests for medications under the pharmacy … more
- Emory Healthcare/Emory University (Atlanta, GA)
- …over 380 kidney transplants so far in 2025. The **Solid Organ Transplant** **Clinical Pharmacy Specialist ** will join a team of eleven solid organ transplant ... pharmacy specialists. The clinical pharmacy ...and promotes cost-savings initiatives. Engages in review of medication insurance authorization status as applicable. Maintains and… more
- UPMC (Pittsburgh, PA)
- UPMC Health Plan has an exciting opportunity for a Senior Clinical Pharmacy Specialist in the Pharmacy Services department. This is primarily a ... efficiency improvements through the management of the Formulary, Prior Authorization , and other clinical programs. This role is responsible...US School of Pharmacy . + Experience in pharmacy benefit management, insurance , and managed care… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …and defining a new standard of care for humankind. The **Emergency Medicine Clinical Pharmacy Specialist I** practices as a clinical expert in specialty practice ... medical center with a high acuity patient population. Our pharmacy staff works side by side with our fellow...and promotes cost-savings initiatives. Engages in review of medication insurance authorization status as applicable. Maintains and… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …Supports and promotes cost-savings initiatives. Engages in review of medication insurance authorization status as applicable. Maintains and promotes ... greater impact than you ever thought possible. **Description** JOB DESCRIPTION: The clinical specialist , pharmacy I practices as a clinical expert in specialty… more
- Rush University Medical Center (Chicago, IL)
- …veteran status, and other legally protected characteristics. **Position** Clinical Pharmacy Specialist HemeOnc **Location** US:IL:Chicago **Req ID** 21728 ... Rush Medical Center Hospital: Rush University Medical Center Department: Pharmacy **Work Type:** Full Time (Total FTE between 0.9...or alternate site of care. c. Assist in assessing insurance coverage and assist in prior authorization … more
- Emory Healthcare/Emory University (Atlanta, GA)
- …and defining a new standard of care for humankind. The **Clinical Pharmacy Specialist - Inpatient/Outpatient Hematology Float** practices as a clinical expert ... medical center with a high acuity patient population. Our pharmacy staff works side by side with our fellow...and promotes cost-savings initiatives. Engages in review of medication insurance authorization status as applicable. + Maintains… more
- Centene Corporation (Austin, TX)
- …- Friday; 2:00 pm - 10:30 pm EST, schedule.** **Position Purpose:** The Senior Pharmacy Resolution Specialist will act as a subject matter expert and handles ... more complex pharmacy issues and respond to escalated calls from members,...Takes member/prescriber/pharmacist inquiry calls for benefit questions including prior authorization requests + Offers options including submission of a… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Medication Authorization Specialist Location: Greece and Medical Office Building (MOB - Irondequoit) Hours Per Week: 40 SUMMARY: This role helps ... + 2 years work experience in a healthcare settings, medical billing, pharmacy , or insurance verification. PREFERRED QUALIFICATIONS: + Associates Degree in… more
- BayCare Health System (Largo, FL)
- …responsibility and clinical excellence. We are currently seeking a **Infusion Pharmacy Reimbursement Specialist ** who is passionate about providing outstanding ... + **Weekend Work:** None + **On Call:** No **Infusion Pharmacy Reimbursement Specialist ** , under the immediate...Verify patient eligibility for Medicare billing for drugs, requests authorization based on HCPC units for each drug and… more
- MetroHealth (Cleveland, OH)
- …for medication therapy requests initiated by MetroHealth Clinicians for the Specialty Pharmacy . Serves as a primary contact for Specialty Pharmacy benefits ... in accessing pharmaceutical manufacturer patient assistance programs. Coordinates with pharmacy services, clinic physicians, the Social Work department, and patients… more
- AssistRx (Orlando, FL)
- …company's copay assistance programs. Within this role, the Quality Assurance Specialist serves customers by identifying, analyzing, and developing improvements in ... quality, client relationships, and customer service. The Quality Assurance Specialist regularly provides support to the department manager and occasionally… more
- AssistRx (Orlando, FL)
- This role works directly with healthcare providers & insurance plans/payers to gather information about a patient's insurance and the coverage provided for a ... specific pharmaceutical product. The Patient Access Specialist will support the healthcare providers addressing questions regarding coding and billing and navigating… more