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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 ...
Pharmacy Tech (Pharmacy Care Coordinator) - Evernorth - California
Summary:
The Pharmacy Care Coordinator helps analyze client data to identify members that would benefit from Evernorth intervention, contact members and execute select intervention activity. Interventions include, but are not limited to, recommending low-cost pharmacy options, assessing member’s drug therapy readiness, educati...
NTT DATA Corporation is a top 10 global services company and part of the NTT Group, a Fortune 29 telecommunications and services company based in Japan. We operate with 60,000 professionals in 36 countries. Every day around the world we help clients explore new ways to respond to market dynamics with flexibility and speed, reduce costs with less risk, and increase productivity to enable growth....
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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...
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.
* ...
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...
Inizio Engage has a long-standing partnership with a leading Biotechnology company, across Commercial, Patient Solutions and Medical Affairs businesses.
A frontline specialist responsible for delivering virtual or telephonic support to identified clients engaging customers, patients, and/or healthcare professionals, in a robust clinical dialogue. The specialist serves as a primary resource to p...
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 their markets...
Job Description:
The Tech I is the initial point of contact for Prior Authorization requests from members, providers, and a diverse customer base. The Tech I will make the determination if a complex request should be transferred to a pharmacist for assistance. Additionally, the Tech I is responsible for maintaining complete, timely, and accurate documentation of all approvals and denials.
R...
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...
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:
* 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...
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...
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:
As an RPh Advisor you will be directly supporting Medicare Part D members and providers with requests related to their pharmacy benefits. Responsible for ensuring cases are accurately set up for our members, review clinical information for decisioning the request, performing outreach to providers for more information when needed, and ensuring accurate decisions that comply wit...
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...
7 days ago
Description:
SEEKING Pharmacy Technicians who are Registered in Texas . Strong computer skills, attention to details and ability to change. 2 plus years of experience - retail, payor, hospital experience is fine.
* Candidates MUST be Texas certified
* Candidates may or may not need to be nationally certified
* Candidates will need about 2 years experience as a certified tech - DO N...
