Remote PBM Prior Authorization Tech
A-Line Staffing Solutions
- Remote job
A-Line Staffing Solutions is seeking a Remote PBM Prior Authorization Pharmacy Technician based in California. This role involves taking inbound calls, providing assistance with the prior authorization process, and maintaining documentation. Candidates should have at least 2 years of experience in a high-volume call center and must hold an active Pharmacy Technician license. Benefits for full-time employees include health, optical, dental, life insurance, and a 401(k) plan with a company match after one year of service. #J-18808-Ljbffr A-Line Staffing Solutions
- ...Remote, TX Contract Job Title: Prior Authorization Pharmacist Location:Remote Duration: 6+ months contract... ...Have Pharmacy Benefit Management (PBM) experience. Education: Pharm... ...authorization and appeals? About US Tech Solutions: US Tech Solutions...Remote workContract work
- ...reviewing and completing criteria based on prior authorization as per policy and procedure.... ...Must Have Pharmacy Benefit Management (PBM) experience. Education: Pharm D. required... ...residence in good standing. About US Tech Solutions: US Tech Solutions is a global...Remote workContract work
$18 - $19 per hour
$18-$19 per hour Remote, RI Contract Job Description: The Tech I Prior Auth takes in-bound calls from providers,... ...through the criteria based prior authorization process. Maintains complete,... ...Skills: Prior authorization PBM Education: Verified GED...Remote workHourly payContract work- ...contract Job Description: The Pharmacy tech takes in-bound calls from providers,... ...all callers through the criteria based prior authorization process. Maintains complete, timely... ...~6 months of experience working in PBM on managed care environments Skills...Remote workContract work
- Gainwell Technologies LLC is seeking a remote Licensed Clinical Pharmacist to support pharmacy benefit management initiatives. The role involves developing clinical prior authorization criteria and collaborating on Preferred Drug List strategies while ensuring operational...Remote job
- ...Remote, RI Contract Job Title: Prior Authorization Specialist Location: Fully remote Duration: 12 months contract... ...managing 75 calls/day. ~ Six months of PBM/pharmaceutical related work... ...School diploma or GED About US Tech Solutions: US Tech Solutions is...Remote workContract work
$85k - $121.4k
...operations through impactful training programs. This fully remote role requires expertise in managed care and strong communication... .... Responsibilities include developing training aligned with prior authorization processes and facilitating engaging training sessions. The...Remote job$134.6k - $230.8k
...Join Optum Tech Optum Tech is a global leader in health care... ...enjoy the flexibility to work remotely from anywhere within the U.S.... ...initiatives aligned with PBM business goals Oversee the... ...models into PBM workflows such as prior authorization, formulary management,...Remote workMinimum wageFull timeWork experience placementWork at officeLocal area$53 per hour
-Line Staffing is now hiring Clinical Pharmacist – Prior Authorization / Medicare (Remote) in United States. The Clinical Pharmacist would be working for... ...Prior experience in Managed Care or PBM environment Experience with prior authorizations, appeals...Remote workHourly payFull timeContract workImmediate startMonday to FridayShift work$159.3k - $273.2k
...Growing together. You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some... ...Qualifications P&L Ownership Experience working with / for a PBM and closely to Prior Authorization platforms Experience with digital capabilities and/or...Remote workMinimum wageFull timeWork experience placementWork at officeLocal area- ...pharmacy review process, supporting PBM clients by ensuring the... ..., and properly attributed prior to release Report / Case Review... ...workflows, including prior authorization, appeals, and exception processes... ...stipend are provided for remote workspace. ABOUT DANE STREET...Remote jobTemporary workWork at officeWork from home
$106.3k - $151.8k
...PBM Leveraged Clinical Pharmacist- Remote It takes great medical minds to create powerful solutions that solve some of healthcare's most complex... ..., and ongoing support of pharmacy programs through prior authorization (PA) criteria development, coordination of Pharmacy...Remote workFull timeWork at officeFlexible hours$19.23 - $28.85 per hour
...JobRx, Inc. is seeking a Clinical Pharmacy Technician Sr to evaluate and authorize prior authorization pharmacy requests. This remote position requires a GED or high school diploma, along with active pharmacy technician licensure and at least 2 years of pharmacy experience...Remote work$17 - $34.15 per hour
...CVS Health is seeking a Pharmacy Technician for Prior Authorization to work from home in Hawaii. This role involves processing and communicating prior authorization referrals for specialty medications while collaborating with customer service and pharmacy operations. Candidates...Remote workHourly payFull timeWork from home- ...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 in...Remote work
- ...conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply... ...you reside in that is in good standing. Skills: Pharmacy tech, Prior authorization About US Tech Solutions: US Tech...Remote workWork experience placement
- ...conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply... ...'s Degree Required, Pharm D Preferred. About US Tech Solutions: US Tech Solutions is a global staff augmentation...Remote work
- ...Job Title: Pharmacist Location: Remote Duration: 12+ months contract Job... ...provides a Clinical decision regarding Prior Authorizations, Tier Exceptions and Non-Formulary... ...Current state you are residing. About US Tech Solutions: US Tech Solutions is a...Remote workContract work
$113.7k - $162.4k
...PBM Implementation Pharmacist- Remote It takes great medical minds to create powerful solutions that solve some of healthcare's most complex... ...prospective and retrospective drug utilization review (DUR), prior authorization (PA) criteria and rule configuration, and...Remote workFull timeFlexible hours- ...PHIL is looking for a full-time Prior Authorization Specialist - with a focus on pharmacy support... ...a San Francisco-based Series D health-tech startup, pioneering the first Software... ...high-speed internet to meet the needs of remote processing (required) Reliable transportation...Remote workFull timeWork at officeMonday to FridayShift work
- ...Remote Prior Authorization Nurse This is a remote position and requires the ability to effectively support a work from home environment. Must... ...by the applicant. Skills LPN, Prior auth About US Tech Solutions US Tech Solutions is a global staff augmentation...Remote workWork from homeShift work
- ...Remote, RI Contract Job Description: Responsible for the review and evaluation... ...with Medcompass ~ Must have prior authorization utilization experience. ~ Managed Care... ...unrestricted state licensure About US Tech Solutions: US Tech Solutions is a global...Remote workContract work
- Title: PBM Business Integration Specialist (Pharmacist) Location: Raleigh, NC (Hybrid/Remote) Webcam Interview Only The PBM Business Integration Specialist will provide... ...Business team for Clinical policies and Prior Authorizations, Drug Utilization Review (DUR) and...Remote job
- Actalent is hiring 100% remote Certified Pharmacy Technicians to work across time zones. You will review prior authorizations related to a large healthcare insurance provider. Responsibilities include approving or denying requests and ensuring compliance in a computer-based...Remote job
$18 - $20 per hour
Actalent is hiring Certified Pharmacy Technicians for a 100% remote role across multiple time zones. Candidates will process prior authorizations, resolve claim issues, and handle prescription information in a fully computer-based setting. The ideal applicant will possess...Remote jobHourly pay$31.5 - $43.64 per hour
...including doctors, nurses, business people, tech experts, researchers, and systems... ...when appropriate. - Prepare and process prior authorizations and disability forms. Follow-up in a... ...Additional Job Details (if applicable) Remote Type Onsite Work Location 1...Remote workHourly payRelocation packageShift work- ...12:00pm est to 8:30pm est, Monday‑Friday. This position is remote. Candidates must reside in one of the following states: District... ...HIPAA and 42 CFR Part2 regulations Determine the need for Prior Authorizations and process as required Troubleshoot these issues when...Remote workFull timeWork experience placementWork at officeWork from homeMonday to Friday
- Actalent is seeking a Remote Pharmacy Technician specializing in reviewing prior authorization requests. You will evaluate requests for various health plans, document decisions, and collaborate with pharmacists. This position offers minimal phone work and career growth...Remote jobPermanent employmentFull time
- ...including doctors, nurses, business people, tech experts, researchers, and systems... ...correct insurance entered and appropriate prior authorization. Manages all incoming faxes/emails... ...Working Conditions This full-time remote role is Monday through Friday, with work...Remote workFull timeCasual workMonday to FridayShift work
- ...~ Registered Nurse in state of residence ~ Must have prior authorization utilization experience ~ Experience with Medcompass... ...you have an Active Registered Nurse License? About US Tech Solutions: US Tech Solutions is a global staff augmentation...Remote work
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