Remote Pharmacy Tech - Medicare Coverage & PA
Actalent
Actalent is hiring for a 100% remote Pharmacy Technician. This remote opportunity requires an AZ State Pharmacy Technician License and involves supporting Medicare Part D coverage determinations and prior authorizations. The role includes reviewing requests, obtaining clinical information, and documenting decisions in the PBM system, while coordinating with prescribers, providers, and members to ensure timely processing. #J-18808-Ljbffr
$22 per hour
...workforce management provider is seeking a Pharmacy Tech Support Call Center Representative in Detroit, MI. This is a temporary remote position, offering a pay rate of $22/... .... Join a dynamic team supporting Medicare Part B drug coverage inquiries and prior authorizations....Remote workTemporary work- ...and submitting claims to Medicare Part B, Major Medical... ...facility staff, Omnicare pharmacy operations staff,... ...the site (Monroeville, PA) LIST CITY AND STATE ON... ...Currently the position is remote but until their equipment... ...diploma or GED is required. US Tech SolutionsRemote workWork at office
$100k - $150k
...objects — claims, policies, coverages, reserves, payments,... ...bill review (MBR), pharmacy benefit managers (PBM),... ...(EDI claims reporting, Medicare Section 111). Qualifications... ..., broker, or insurance-tech environment. ~Deep... ...independently in a remote-first environment....Remote workFull timeWork at office- ...authorization experience required. Previous pharmacy experience in retail or hospital... ...Skills MUST HAVE Managed Care exp and Medicare/Medicaid knowledge. MUST HAVE 6 months... ...authorization and appeals? About Us Tech Solutions US Tech Solutions is a global...Remote work
$96.25k - $125k
...COBOL Developer with deep Pharmacy Benefit Management (PBM... ...of benefits, and Medicare Part D processing. You... ...Support prior authorization (PA) workflows and quantity... ..., you can expect: Remote work: Enjoy the convenience... ...health insurance coverage, voluntary dental and vision...Remote workWork from homeFlexible hours- ...Title: Pharmacist Location: Remote Duration: 12+ months... ...you will be directly supporting Medicare Part D members and providers with requests related to their pharmacy benefits. You will be... ...you are residing. About US Tech Solutions: US Tech Solutions...Remote workContract work
$25 - $35 per hour
...nurses, business people, tech experts, researchers,... ...with patients, Specialty Pharmacy staff, and clinic staff... ...employee back-up coverage is trained and knowledgeable... ...: Understand Medicare/Medicaid regulations and... ...range between $25-35/hr Remote Type Hybrid Work...Remote workHourly payFull timeWork at officeFlexible hours2 days per week1 day per week$23.89 - $42.69 per hour
...directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here... ...~3+ years of outpatient coding experience ~2+ years of Medicare/Medicaid experience ~ Mastery level of knowledge of AHA Coding...Remote jobHourly payMinimum wageFull timeWork experience placementLocal area- ...Nurse Navigator - Specialty Pharmacy Berwyn, PA Patient Navigator... ...and follow up for patient coverage and explain benefits to patients... ...multiple days and connect for remote work as needed. Dually... ...of the insurance process, Medicare, and Medicaid billing. Knowledge...Remote workWork at officeLocal areaWorldwideFlexible hours
- A healthcare staffing firm is seeking a Pharmacy Technician to support retail pharmacy operations remotely. This role involves processing prescriptions, performing prior authorization reviews, and coordinating care for patients. Candidates should have at least 2 years...Remote work
- ...Remote, RI Contract Job Title: Prior... ...calls from providers, pharmacies, members, etc... ...prior authorization (PA) and drug benefit... ...in accordance with Medicare Part D CMS... ...information to process coverage requests and complete... ...GED About US Tech Solutions: US...Remote workContract work
$60.2k - $107.4k
...outcomes by connecting people with the care, pharmacy benefits, data and resources they need... ..., you will have the flexibility to work remotely* as you take on some tough challenges.... ...~2+ years of experience with Medicare and Medicaid regulations ~ Intermediate...Remote jobMinimum wageFull timeWork experience placementLocal area- ...prior authorization requests and determines coverage eligibility based on plan guidelines and... ...with healthcare providers and pharmacies to obtain necessary documentation, clarify... ...information, and administrative support related to PA workflows. Performs other duties as...Remote jobLocal area
$18 - $20.7 per hour
...Adecco Healthcare & Life Sciences is hiring Pharmacy Technicians in Arizona! This role is work... ...Requests: Efficiently process PA requests using multiple clinical information... ...established clinical criteria, formulary coverage, benefit design, and applicable regulations...Remote workHourly payWeekly payFull timeContract workTemporary workWork at officeLocal areaWork from homeMonday to FridayFlexible hoursNight shift$22 per hour
...Assignment Work Type: Remote Pay Rate: $ 22.00... ...of health care coverage plans that include individual... ...Description: ~ PA Specialist in Pt B Pharmacy will support Client... ...medical care) with Medicare Part B drug coverage... ..., MI . Pharmacy Tech Support Call Center...Remote workHourly payContract workTemporary workWork at officeWork from homeNight shift- ...Engineer based in the Philadelphia, PA regional area. This field‑... ...and customer service for pharmacy automation systems used in hospital... ...Participate in regional field coverage rotation, including occasional... ...and work-life balance. Remote or field-based positions will...Remote workWork at officeShift workNight shift
- ...to confirm approval/denials of coverage, co-pays and verification of specialty pharmacies dispensing medication(s) • Contact... ...to be a team player REMOTE DETAILS: All U.S. residents are... ...preferred with specific knowledge of Medicare, Medicaid and commercially...Remote workFull timeContract work
$150k - $200k
...Licensed Physician Assistant (PA)delivers high-quality, autonomous... ...care directly in the homes of Medicare beneficiaries. Reporting... ...Work Environment Hybrid remote and in office in Los Angeles... ...Health Solutions is a national tech-enabled services firm powering...Remote workFull timeWork at officeImmediate start- ...the industry’s first scale durable medical equipment (DME) and pharmacy solution. Built on a 20-year history, Dragonfly Health uses advanced... ...it takes us. What we offer Competitive Pay ($120,000 PA, $115,000 TN) Comprehensive Benefits Package (Health, Dental,...Remote work
$50k
...Remote Field Reimbursement Manager Valeris is a fully integrated... ...claims at retail pharmacies for eligible patients who have... ...regulations (e.g., Commercial, Medicare, and Medicaid) Work and compliantly... ...~ Free Basic Life and AD&D coverage equal to your annual earnings...Remote workTemporary workWork at officeLocal areaImmediate start- ...Care Centers (ACCs) APP (NP or PA) The Southeast Permanente... ..., labs, imaging services, and pharmacies. We also provide surgical services... ...500 companies, a booming tech and film industry, and a strong... ...Complete professional liability coverage, including tail coverage,...Daily paidFull timePart timeInternshipLocal areaFlexible hoursNight shift
$21.4 - $30.6 per hour
...Our non‑commercial specialty pharmacy is centralized at our custom‑... ...understand their insurance plan coverage, including out‑of‑pocket... ...reimbursement environment including Medicare, Medicaid, Managed Care, and... ...‑Friday, 7:00am‑ 8:00pm CST. REMOTE DETAILS: You will work...Remote workHourly payFull timeTemporary workLocal areaImmediate startMonday to FridayFlexible hoursShift work- Pharmacy Technician - Remote, PA and AZ - Accredo Specialty Pharmacy Join to apply for the Pharmacy Technician... ...to our patients about medication coverage. Juggle multiple tasks without sacrificing... ...as required by state laws. Tech Savvy- Strong computer / data entry ability...Remote jobFull timeWork at officeLocal areaWork from homeMonday to FridayShift work
- ...2015, PHIL is a health-tech startup that is building... ...between doctors, pharmacies, and patients to streamline... ...day. In this fully remote position, you will handle... ...pharmacy claims processes and coverage workflows Skilled in... ..., NJ, NY, OH, OK, OR, PA, SC, TN, TX, UT, VA, WA...Remote workWork at office
$50k
...Jeffersonville, Indiana. This is a remote role. Candidates must reside... ...a strong understanding of pharmacy and medical billing and... ...provides expertise on insurance coverage and common access and... ...regulations, including HIPAA and Medicare/Medicaid guidelines. ~ Bi-lingual...Remote jobFull timeTemporary workWork at officeImmediate startWork from home$115.2k - $158.4k
...Required Qualifications: Pharmacy degree from an accredited... ...technical difficulties in a remote environment. Preferred Qualifications... ...PBM) Previous Commercial, Medicare, or Medicaid experience... ...In addition to weekday coverage, this role includes rotating...Remote workBi-weekly payFull timeApprenticeshipWork at officeWork from homeHome officeMonday to FridayShift workRotating shiftAfternoon shiftWeekday work$86.3k - $118.7k
...this position is compliance related to Medicare Pharmacy and Part D programs. The Senior Compliance... ...limited to Formulary Administration, Coverage Determination, and Organization... ...Additional Information Workstyle: This is a remote position. Travel: This role may...Remote workBi-weekly payFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to Friday- ...medical, dental, and vision coverage, and options for FSA, HSA, and... ...leadership. Embrace a dynamic remote hybrid work schedule that... ...with Eligibility, Medical & Pharmacy claims data, including formats... ...Experience analyzing claims from Medicare, Medicaid, and private...Remote workFull timeWork at officeLocal areaWork visaFlexible hours
$60.2k - $107.4k
...connecting people with the care, pharmacy benefits, data and resources... ...-queue based, and is fully remote, with a Monday-Friday, 10:30... ...outpatient commercial, Medicaid and Medicare behavioral health services... ...if member care meets coverage guidelines Shaping member...Remote jobMinimum wageFull timeWork experience placementLocal areaHome officeMonday to Friday$72.8k - $130k
...connecting people with the care, pharmacy benefits, data and resources... ...EST Location: This role is Remote in Ohio. Candidates must... ...disability and Long-Term Disability coverage 401(k) Savings Plan, Employee... ...2+ years of experience with Medicare health care operations...Remote workMinimum wageFull timeTemporary workWork experience placementWork at officeLocal areaMonday to Friday
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