Remote Pharmacy Ops Specialist - Prior Auth & Support
$20.19 - $28.37 per hourWellSense Health Plan
- Remote job
WellSense Health Plan is seeking a Pharmacy Operations Specialist to handle pharmacy utilization management programs, processing prior authorization requests, and providing exceptional customer service. The role is full‑time remote, ideal for candidates with prior pharmacy-related experience. This position requires excellent communication skills, strong organizational abilities, and attention to detail. The compensation ranges from USD 20.19 to 28.37 per hour, based on Boston-area data and qualifications. #J-18808-Ljbffr WellSense Health Plan
$44.6k - $59.75k
Horizon Blue Cross Blue Shield of New Jersey is looking for a Pharmacy Technician to manage prior authorization requests, engage with healthcare professionals, and maintain compliance with regulations. The ideal candidate should have a high school diploma or GED, relevant...SuggestedFull time$17 - $34.15 per hour
...Enhancement is seeking a customer service representative for a work-from-home position in Hawaii. The role involves processing medication prior authorization referrals and assisting prescriber office staff. Candidates should have a high school diploma, at least one year of...Remote workHourly payFull timeWork at officeWork from home$33.5k - $47.9k
...JobRx, Inc. is seeking a Pharmacy Prior Authorization Call Center Representative in Connecticut. This role involves supporting the Connecticut Medicaid account by answering pharmacy... ...communication skills. Work is primarily remote but may require in-office attendance in...Remote workWork at officeFlexible hours- ...Prior Authorization Specialist Reports to: Pharmacy Prior Authorization Manager Job Type: Full-Time – Remote – Pharmacies: West Virginia, Ohio, Indiana and Maryland Position Overview: The Prior Authorization Specialist will maintain the Prior Authorization's...Remote workFull time
$23 per hour
...Pharmacy Prior Authorization Specialist - Onco360 Pharmacy Houston, TX| Full-Time | Starting at $23.00/hr... ...for candidates local to the area. Remote work possible after initial on-site... ...access life-saving medications. Supportive culture: We value teamwork,...Remote workFull timeTemporary workLocal area- ...University Health is looking for a Reimbursement Specialist to improve revenue collection for high-cost medications requiring prior authorization. This position involves... ...candidate should have at least one year of relevant pharmacy experience and possess a High School Diploma...Remote workFull time
$70k - $85k
...redefining specialty pharmacy by improving access to... ...delivering personalized support, and helping patients... ...The Implementation Specialist at Clearway Health will... ...from the individual's remote home base to the client... ...documentation as needed for prior authorizations...Remote workFull timeWork at officeLocal areaWork from homeShift workNight shift- Pharmacy Solutions Group (PSG) is looking for a Prior Authorization Specialist to support remote workflows primarily in West Virginia, Ohio, Indiana, and Maryland. The role involves maintaining authorization workflows, submitting requests to insurance plans, and ensuring...Remote job
$17.98 - $32.12 per hour
JobRx, Inc. is seeking a pharmacy technician for a remote role in Massachusetts focused on managing prior authorizations for medications not covered by insurance. This position requires excellent communication and organizational skills, along with at least 1 year of relevant...Remote jobHourly pay- ...seeking a dedicated individual for a role focused on handling prior authorizations in Hopewell, NJ. Responsibilities include... ...conducting interventions to ensure formulary compliance, and supporting pharmacy department functions. The ideal candidate will have a minimum...
- JobRx, Inc. is hiring a Prior Authorization Specialist to manage prior authorization workflows remotely. The role includes submitting authorizations, working with insurance... ...have prior authorization or long-term care pharmacy experience. Benefits include health insurance...Remote job
- JobRx, Inc. seeks a Pharmacy Prior Authorization Specialist in Woodridge, IL, to ensure patients receive timely pre-authorizations for medications.... ...knowledge of pharmacy terminology. This position offers a supportive culture, professional development opportunities, and...Remote job
- JobRx, Inc. is seeking a Pharmacy Prior Authorization Specialist to join their team in Scottsdale, AZ. This full... ...and a High School Diploma or GED. Remote work is possible after initial on-... ...position offers a meaningful career in a supportive culture focused on teamwork and...Remote jobFull time
$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/hr. Candidates... ...Medicare Part B drug coverage inquiries and prior authorizations. #J-18808-Ljbffr...Remote workTemporary work- ...Independent Health is looking for a Prior Authorization Coordinator to manage authorization... ...Responsibilities include administrative support like faxing and decision notifications to... ...with at least two years of experience in pharmacy or insurance operations. Strong...
$11.09 - $24.02 per hour
...Molina Healthcare is seeking dedicated candidates to provide customer service support for inbound/outbound pharmacy calls. The role includes handling pharmacy prior authorization requests and assisting members with plan benefits. Candidates should possess at least one...Hourly payWork at office$20.19 - $28.37 per hour
...Wellsense-Health-Plan is seeking a Pharmacy Operations Specialist to support pharmacy utilization management and prior authorization processes. This full-time remote position requires excellent customer service skills and experience in pharmacy settings. The ideal candidate...Remote workFull time- ...Description Job Description Description: This role is full-time, remote. This individual will support the Customer Service, prior authorizations, and other needs of the TruCard Product and Pharmacy team. Resolve and log all inbound member or client concerns...Remote workFull time
$90k - $115k
A prominent academic medical institution is seeking a Consultant Pharmacist II to join their remote Clinical Pharmacy Services team. This role involves reviewing prior authorization requests and providing pharmaceutical expertise to staff and clients. Candidates should...Remote work$80.41k - $156.8k
...Healthcare is hiring for a Pharmacist in our UM/Prior Authorization department. Candidates must... ...90 days of starting. This position is remote and can be worked from a variety of... ...weekends depending on business needs. Molina Pharmacy Services/Management staff work to ensure...Remote workWork experience placementShift work$18 per hour
...A global healthcare provider is seeking a Pharmacy Support Call Center Representative to work from home. This position involves providing... ...the ability to troubleshoot and explain program benefits. This remote role offers a salary of $18.00 per hour. #J-18808-Ljbffr...Remote workHourly payWork from home- ...A healthcare staffing firm is seeking a Remote Clinical Pharmacist with prior authorization experience to join their team. The role involves evaluating and reviewing prior authorization requests, consulting with healthcare providers, and ensuring timely communication of...Remote work
$18 per hour
...A leading healthcare solutions company is seeking a remote Pharmacy Support Call Center Representative. This role involves providing payment assistance solutions and managing requests such as card activation and program eligibility. Candidates should possess high school...Remote workHourly payFull time$74 - $75 per hour
...IT Ops Sme / Engineer Global financial firm located in Tampa... ...computer and android or iphone for remote access into the client systems... .../ f2f interviews are required prior to all offers. Pay rate range:... ...of experience in production support for enterprise applications...Remote workContract workWork at officeImmediate start- ...Tech I Prior Authorization 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...Remote workTraineeshipWork experience placement
$18 per hour
IQVIA is seeking a remote Pharmacy Support Call Center Representative to handle inquiries from patients, pharmacies, and medical professionals. The role requires a High School Diploma or equivalent, Pharmacy Technician experience, and 3+ years in a call center. Responsibilities...Remote workHourly payFull time$18 per hour
...A healthcare solutions company is seeking a remote Pharmacy Support Call Center Representative to join their team. This role involves assisting patients, pharmacies, and medical professionals with payment assistance solutions through various means of contact. Ideal candidates...Remote workHourly payFull time$18 per hour
...A healthcare solutions provider is looking for a remote Pharmacy Support Call Center Representative to provide assistance with payment solutions. Key responsibilities include fielding requests about program benefits and troubleshooting submission issues. Candidates must...Remote workHourly payFull timeContract work$18 per hour
...A healthcare technology company is seeking a Bi-lingual Pharmacy Support Call Center Representative to act as the primary contact for patients and pharmacies. This remote position requires handling patient requests and providing initial support for medical programs. Ideal...Remote workShift work$18 per hour
...A leading healthcare solutions company is seeking a remote Pharmacy Support Call Center Representative to assist patients, pharmacies, and medical professionals. Responsibilities include providing payment assistance and resolving customer inquiries through various communication...Remote workHourly payFull timeContract workFlexible hours
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