Under the direction of a Pharmacy Team Coordinator (TC), the Pharmacy Prior Authorization Coordinator II (PAC II) is responsible for supporting the day-to-day operations for the call center and prior authorization cases for all lines of business (, Medicare, Exchange and Commercial). Under the direc...
A company is looking for a Prior Authorization Pharmacy Technician. ...
Acentra seeks a Prior Authorization Reviewer to join our growing team. Reviews verbal and electronic prior authorization requests based upon pre-established criteria and approves or denies authorization. Enters data project-specific information into the prior authorization processing system. May app...
A company is looking for a Prior Authorization Specialist. ...
Ideal candidate will have an RN Compact license, prior experience working in prior authorization, utilization management or med surg clinical setting, located in eastern or central time zones. Ideal candidate will have an RN Compact license, prior experience working in prior authorization, utilizati...
A company is looking for a Specialist I, Prior Authorization for a remote position. ...
Acentra seeks a Prior Authorization Reviewer to join our growing team. Reviews verbal and electronic prior authorization requests based upon pre-established criteria and approves or denies authorization. Enters data project-specific information into the prior authorization processing system. May app...
Ideal candidate will have an RN Compact license, prior experience working in prior authorization, utilization management or med surg clinical setting, located in eastern or central time zones. Ideal candidate will have an RN Compact license, prior experience working in prior authorization, utilizati...
The Prior Authorization Tech II is responsible for starting all clinical prior authorization requests via telephone or email which includes creating and faxing cases for prior authorization while maintaining complete, timely and accurate documentation of all requests. Support prior authorization cal...
The ideal candidate is one who can bring to the table the right mix of work ethic and integrity, and who enjoys the idea of a career that centers around helping people.Although experienced insurance agents are welcome to apply, .In fact, in many cases we prefer to work with people coming from other ...
Adhere and perform timely prospective review for services requiring prior authorization as well as timely concurrent review for continuation of care services. Proactive communication with leadership regarding barriers and or potential delays in care Identifies opportunities for expedited requests an...
We are seeking a Health Plan-Pharmacist for an assignment in Remote NC North Carolina....
As the Director, Prior Authorization Center, you will be a subject matter expert accountable for leading a team of Prior Authorization Pharmacists and Technicians dedicated to the prior authorization and appeals processes. The Director of Prior Authorization Center will create and maintain policies ...
Do you want to work for a fortune 500 company and be a part of a new area of growth? We need Pharmacy Prior Authorization Specialists that are looking for a new and exciting opportunity!. The Pharmacy Prior Authorization Specialists responsibilities include:. Pharmacy Prior Authorization experience....
Assists the Pharmacist in the preparation, dispensing, distribution, and control of medications throughout the facility.All job duties shall be performed in accordance with all applicable State and Federal laws, regulatory agency standards, professional practice standards, and policies and procedure...
Prior Authorization Technician. ...
PRIOR Daycare/Park Handler EXPERIENCE is REQUIRED. PRIOR Daycare/Park Handler EXPERIENCE is REQUIRED. ...
Under the direction of a Pharmacy Team Coordinator (TC), the Pharmacy Prior Authorization Coordinator II (PAC II) is responsible for supporting the day-to-day operations for the call center and prior authorization cases for all lines of business (, Medicare, Exchange and Commercial). Under the direc...
Perform duties to assist in all clinical functions of the prior authorization required to access drug benefits. Maintain clinical accuracy of prior authorizations with appropriate prescriber; initiate requests, track progress, and expedite responses from insurance carriers and other payers, and main...
Prioritizes and processes incoming Insurance Verifications and Prior Authorization requests. Refers authorization requests that require clinical judgment to Prior Authorization Supervisor and clinical support staff. Coordinates with members, providers and key departments to promote an understanding ...
Under general supervision of a licensed pharmacist, the Specialty Pharmacy Prior Authorization Specialist must be able to provide patient care by working with third party pharmacy payers and clinician offices to facilitate approval of medications through prior authorizations. Requires a minimum of 2...
Adhere and perform timely prospective review for services requiring prior authorization as well as timely concurrent review for continuation of care services. Proactive communication with leadership regarding barriers and or potential delays in care Identifies opportunities for expedited requests an...
The Senior Analyst will act as the Prior Authorization system Subject Matter Expert to provide support for the Medical Prior Authorization/Appeals Operational teams. Additional responsibilities include: Collaborate with multiple cross-functional partners such as Operations, Legal, and IT Teams to id...
Centene is currently seeking a remote Clinical Review Nurse -Prior Authorization to join our team, with a focus on reviewing Medicaid authorizations. Candidates should possess a Florida nursing license and Prior Authorization experience. Analyzes all prior authorization requests to determine medical...
Under general supervision of a licensed pharmacist, the Specialty Pharmacy Prior Authorization Specialist must be able to provide patient care by working with third party pharmacy payers and clinician offices to facilitate approval of medications through prior authorizations. Requires a minimum of 2...