California Pharmacy Resolution SpecialistVirtualVocations • Flushing, New York, United States
California Pharmacy Resolution Specialist
VirtualVocations • Flushing, New York, United States
job_description.job_card.variable_hours_ago
serp_jobs.job_preview.job_type
- serp_jobs.job_card.full_time
job_description.job_card.job_description
A company is looking for a Pharmacy Resolution Specialist who will handle inquiries and resolve issues related to pharmacy benefits.
Key Responsibilities
Receive and respond to calls from members, providers, and pharmacies regarding benefit questions and prior authorization requests
Log, track, and resolve inquiries and complaints while adhering to regulatory and corporate guidelines
Maintain expert knowledge of pharmacy benefits and formularies, and assist with special projects as assigned
Required Qualifications
High School Diploma or GED
One year of job-specific call center or customer service experience
Knowledge of pharmacy and medical benefits
Ability to interpret CMS regulations related to pharmacy benefits
Experience in handling prior authorization and coverage determination processes
serp_jobs.job_alerts.create_a_job
Pharmacy Specialist • Flushing, New York, United States
Job_description.internal_linking.related_jobs
Are you ready to turn your passion for helping others into a rewarding career adventure?.As a Relocation Specialist, you'll be at the heart of our mission to support senior citizens as they embark ...serp_jobs.internal_linking.show_more
Our team members are the heart of what makes us better.At Hackensack Meridian Health we help our patients live better, healthier lives and we help one another to succeed.With a culture rooted in c...serp_jobs.internal_linking.show_more
CLIA-approved, NYS-licensed, and CAP-accredited Diagnostics Division that includes Molecular, Genetic, and FISH testing.Acupath is a 24 hour / 7 day a week facility.
We are looking for a dedicated Cli...serp_jobs.internal_linking.show_more
Billing & Invoicing Specialist.Billing & Invoicing work is focused on designing and ensuring compliance with billing and invoicing processes including : .
Monitoring customer accounts (e.Resolving bil...serp_jobs.internal_linking.show_more
PRIDE Health is seeking a travel Pharmacist for a travel job in Brooklyn, New York.Job Description & Requirements.Pay package is based on 8 hour day shift and 40.
Posted job title : Allied : Pharm...serp_jobs.internal_linking.show_more
Upward Health is an in-home, multidisciplinary medical group providing 24 / 7 whole-person care.Our clinical team treats physical, behavioral, and social health needs when and where a patient needs h...serp_jobs.internal_linking.show_more
Compensation : $20 / hour + commission.Hours : 4 hours / day, Monday–Friday (20 hours / week).HealthReach Partners is a fast-growing marketing agency that works exclusively with ABA therapy companies.Our m...serp_jobs.internal_linking.show_more
Position Title : Claims Resolution Manager Company Overview : Upward Health is an in-home, multidisciplinary medical group providing 24 / 7 whole-person care.
Our clinical team treats physical, behavior...serp_jobs.internal_linking.show_more
Regional Infusion Services Director.Vivo Infusion is searching for an experienced and dynamic sales leader with a background in Healthcare and / or Pharma to help drive our presence in New York! This...serp_jobs.internal_linking.show_more
About Our Company We're a physician-led, patient-centric network committed to simplifying health care and bringing a more connected kind of care.
Our primary, multispecialty, and urgent care provide...serp_jobs.internal_linking.show_more
THE ARMY HEALTH CARE ADVANTAGE As a member of the Army health care team, you’ll receive benefits that you won’t be able to get in a civilian career.
Challenging Work Feel inspired with great case di...serp_jobs.internal_linking.show_more
NYC Health + Hospitals is the largest public health care system in the nation.We are a network of 11 hospitals, trauma centers, neighborhood health centers, nursing homes, post-acute care centers, ...serp_jobs.internal_linking.show_more
NYC Health + Hospitals is the largest public health care system in the nation.We are a network of 11 hospitals, trauma centers, neighborhood health centers, nursing homes, post-acute care centers, ...serp_jobs.internal_linking.show_more
Serves as a liaison between doctor's offices, the hospital, and patients.Schedules appointments for various hospital departments and physician office visits.
The scheduler receives routine functiona...serp_jobs.internal_linking.show_more
Who we are - Community Medicine, Mobile Veterinary Services : .Have you ever wondered what happens to cats and dogs whose owners are unable to afford veterinary care? We did.The ASPCAs Community Medi...serp_jobs.internal_linking.show_more
Overview Triages incoming calls from patients and / care givers, assesses needs, gives appropriate clinical recommendations, and guides patient to appropriate level of care or resources.Communicates...serp_jobs.internal_linking.show_more
Regional Director Of Clinical Services.If you are a Vice President of Clinical Operations, Senior Vice President of Clinical Outcomes, or you have senior level Home Care leadership experience then ...serp_jobs.internal_linking.show_more
About HPD, the Office of Housing Access and Stability : The New York City Department of Housing Preservation and Development (HPD) is the nation's largest municipal housing preservation and developm...serp_jobs.internal_linking.show_more
This role will be responsible for activities relating to the proper initiation, clinical review, submission, and follow up of prior authorizations.
This role requires working knowledge of pharmacy b...serp_jobs.internal_linking.show_more
Vivian is looking for Travel Physical Therapist Therapys in Seattle, Washington paying up to $3,091 / week At Vivian, we ensure your next step is a step forward.
That's why we built a jobs marketplace...serp_jobs.internal_linking.show_more
Relocation Specialist
Caring Transitions • Dix Hills, NY, US
serp_jobs.job_card.full_time +1
serp_jobs.filters_job_card.quick_apply
serp_jobs.last_updated.last_updated_30
Patient Access Specialist
Hackensack Meridian Health • Hackensack, NJ, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Client Services Representative
Acupath Laboratories Inc. • Plainview, NY, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Medical Billing Specialist - Massapequa, NY
ConvaTec • Massapequa, NY, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Travel Pharmacist
PRIDE Health • New York, NY, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Clinical Solutions Specialist
Upward Health • Hauppauge, New York, United States, 11752
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.new
ABA Intake & Follow-Up Specialist
Health Reach Partners • Lawrence, NY, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Claims Resolution Manager
Upward Health • Islip Terrace, NY, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
Regional Infusion Services Director - New York Region
Vivo Infusion • New York, NY, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
RN - Multi Specialty - Float
Summit Health • Clifton, NJ, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
Reserve Pharmacist
United States Army • Babylon, NY, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Pharmacy Manager, Correctional Health Services (Queens)
NYC Health + Hospitals • Queens, NY, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Pharmacy Manager, Correctional Health Services
NYC Health + Hospitals • Queens, NY, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Scheduling Specialist
Hudson Regional Hospital • Secaucus, NJ, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Lead Veterinary Clinic Support Specialist (New York City)
Placed App • New York City, New York, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
Clinical Specialist, RN - Contact Center
VNS Health • New York, NY, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Regional Director of Clinical Services - Home Health / Home Care
Simi Tree • New York, NY, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Client Services Specialist
NYC Jobs • New York, NY, US
serp_jobs.job_card.temporary
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Prior Authorization Specialist / Remote
BrightSpring Health Services • New Hyde Park, NY, US
serp_jobs.filters.remote
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Travel Home Health Physical Therapist - Paying up to $3,091 / week
Vivian Health • Times Square, WA, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_less • serp_jobs.job_card.promoted • serp_jobs.job_card.new