- CVS Health (Austin, TX)
- …will possess good written and verbal communication skills. - Hours of operation for Aetna Pharmacy Prior Authorization are between 5:00am to 7:00pm (may vary ... to perform the essential functions. **Required Qualifications** - National Pharmacy Technician certification and applicable state ...and must be maintained. - Between 1-5+ years of Pharmacy Prior Authorization processing experience.… more
- Prime Therapeutics (Austin, TX)
- …Technician Sr - Remote **Job Description** Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by ... office staff, medical management staff and/or pharmacists. Researches, resolves and documents prior authorization outcomes in pharmacy system. + Communicates… more
- Molina Healthcare (Austin, TX)
- …Essential Job Duties * Performs initial receipt and review of non-formulary or prior authorization requests against pharmacy plan approved criteria; requests ... JOB DESCRIPTION Job Summary Provides support for pharmacy technician activities. Contributes to overarching...Accurately enters approvals or denials of requests. * Facilitates prior authorization requests within established pharmacy… more
- Molina Healthcare (Austin, TX)
- …services, pharmacies, and health plan providers in resolution of member prescription claim, prior authorization , and pharmacy service access issues. * ... and others as needed. Required Qualifications * At least 2 years pharmacy technician experience, preferably supporting Medication Therapy Management (MTM), or… more
- Adecco US, Inc. (Austin, TX)
- …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
- Ascension Health (Austin, TX)
- …compounding, medication history, nuclear, and Patient Assistance Program (PAP) as a pharmacy technician . + Refill and maintain automated dispensing system. ... and assist with patient medication access including, benefit investigation, prior authorization , and financial assistance. + Assist... Tech credentialed from the Texas State Board of Pharmacy obtained prior to hire date or… more
- Highmark Health (Austin, TX)
- …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
- Molina Healthcare (Austin, TX)
- …Medicare and Medicaid Services (CMS) standards. * Provides coordination and processing of pharmacy prior authorization requests and/or appeals. * Explains ... plan benefit information, including but not limited to: formulary information, copay amounts, pharmacy location services and prior authorization outcomes. *… more
- Centene Corporation (Austin, TX)
- …+ Takes member/prescriber/pharmacist inquiry calls for benefit questions including prior authorization requests + Offers options including submission ... of a prior authorization request + Thoroughly researches issues...operations, managed care, pharmacy hospitals and or pharmacy retail settings) **License/Certification:** Pharmacy technician… more