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Job Description:
The Tech I Prior Auth takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of reviews. Transfers all clinical questions, escalations and judgement calls to the pharmacist team.
The Tech I ...

Job Summary:
* The Tech I Prior Auth. takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of reviews. Transfers all clinical questions, escalations and judgement calls to the pharmacist team.
* ...

Job Description
Our pharmacy technician positions have undergone an exciting transformation, moving from a transaction-based environment to a much more patient-centric one. As a Walgreens Pharmacy Technician or Pharmacy Technician Apprentice, you'll be front and center – interacting with our customers and developing strong patient relationships. Pharmacy is the core of our business, and our p...

REMOTE TUTOR – PHARMACY – PART TIME
MALCOLM X COLLEGE
The mission of Malcolm X College is to provide accessible liberal arts and health-focused education that fosters personal and professional achievement. To fulfill this mission, we focus on the following core values: accountability, community, diversity, empowerment, learning, and respect. We are currently seeking a part-time R...

Bi-lingual Pharmacy Support Call Center Representative
Contract Remote Role - Location (Open to Remote US)
As the only global provider of commercial solutions, IQVIA understands what it takes to deliver nationally and internationally. Our teams help biopharma, medical device and diagnostic companies get their therapies to the people who need them. We help customers gain insight and access to th...

Bi-lingual Pharmacy Support Call Center Representative
Contract Remote Role – Location (Open to Remote US)
As the only global provider of commercial solutions, IQVIA understands what it takes to deliver nationally and internationally. Our teams help biopharma, medical device and diagnostic companies get their therapies to the people who need them. We help customers gain insight and access to...

As the only global provider of commercial solutions, IQVIA understands what it takes to deliver nationally and internationally. Our teams help biopharma, medical device and diagnostic companies get their therapies to the people who need them. We help customers gain insight and access to their markets and ultimately demonstrate their product’s value to payers, physicians, and patients. A sign...

Job Description:
* This position is responsible for reviewing and completing criteria based on prior authorization as per policy and procedure.
Responsibilities:
* Reviewing and completing criteria based on prior authorization as per policy and procedure.
Experience:
* Previous pharmacy experience in PBM (Pharmacy Benefits Management) required.
* Since the job duties consis...

Job Summary:
The clinical pharmacist is an operation based role that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply clinical knowledge to plan approved criteria for prospective and concurrent reviews of cases. authorizations.
Responsibilities:
1. Collaborates with the CRU Techni...

Duration: 6+ months contract
Job Description:
* Responsible for reviewing and completing criteria based on prior authorization as per policy and procedure.
Responsibilities:
* This individual must have excellent interper...

You could be the one who changes everything for our 28 million members as a Customer Care professional at Centene. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
• Respond to telephone or written correspondence inquiries from members and/or providers within established timeframes utilizing current ref...

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
Position Purpose: Obtain and verify complete insurance information, including the prior authorization proces...

Job Description:
* Responsible for reviewing and completing criteria based on prior authorization as per policy and procedure.
Responsibilities:
* This individual must have excellent interpersonal skills.
* Will be responsible for: Reviewing and completing criteria based on prior authorization as per policy and procedure.
Experience:
* Prior authorization experience r...

Job Description:
* It is an operation based role that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply clinical knowledge to plan approved criteria for prospective and concurrent reviews of cases.
Responsibilities:
* Collaborates with the CRU Technician to process referrals, including an...

You could be the one who changes everything for our 28 million members as a Customer Care professional at Centene. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
• Respond to telephone or written correspondence inquiries from members and/or providers within established timeframes utilizing current ref...

Job Description:
This is a remote position and requires the ability to effectively support a work from home environment. Must have the ability to work in a HIPAA compliant work area away from distractions.
You will provide processing and communication of specialty medication prior authorization (PA) requests reviewed by the Specialty Medical Prior Authorization department. Reporting to the Ph...

The clinical pharmacist is an operation based role that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply clinical knowledge to plan approved criteria for prospective and concurrent reviews of cases. This role will work for supported systems and take inbound calls from physicians or members regarding ...

Job Description:
The Tech I Prior Auth takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of reviews. Transfers all clinical questions, escalations and judgement calls to the pharmacist team.
Responsibil...

Job Details
Job Location: Ross College Online - Clinton Township, MI Salary Range: Undisclosed
Online PHT
ONLINE PHARMACY TECHNICIAN – INSTRUCTOR – PART TIME
Pharmacy Technician Instructors help take care of students through their lifecycle with Ross!
Pharm Tech Instructor duties include:
We are looking for experienced online instructors for hybrid and full online students in o...

PDMI is looking to add a Call Center Supervisor to our team! We're looking for a people-first leader who thrives on coaching, motivating, and driving performance in a fast-paced call center environment to oversee a team of Support Specialists. This position is responsible for ensuring a high standard of customer service and operational efficiency on our second shift (1:00 PM - 10:00 PM ET). Thi...