FEATURED JOBS
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Pharmacy Prior Authorization Representative- BioPlus Specialty Pharmacy
Elevance Health
…minimum of 1 year of experience applying knowledge of Medicare, Medicaid and Managed Care reimbursement guidelines; or any combination of education and
…Capabilities and Experiences:** + Bilingual in Spanish preferred. + Understanding of managed care or Medicaid/Medicare strongly preferred. + Experience working
…decision-making skills. + Knowledge of insurance regulations, specifically Medicare, BC/BS, managed care plans and workers compensation carriers regarding
…Improvement skills and/or behavioral health, risk management, and/or utilization review in a managed care setting as well as process improvement; or any
…equivalent background. **Preferred Skills, Capabilities and Experiences:** + Understanding of managed care or Medicaid/Medicare strongly preferred. + Comfortable
…decision-making skills. + Knowledge of insurance regulations, specifically Medicare, BC/BS, managed care plans, and workers compensation carriers regarding
…in Pharmacy or a PharmD and minimum of 5 years of experience in managed care , authorization, or related pharmacy experience; or any combination of education
…minimum of 1 year of experience applying knowledge of Medicare, Medicaid and Managed Care reimbursement guidelines; or any combination of education and
…physicians. **Minimum Requirements:** . Requires BA/BS in Pharmacy. Minimum of 2 years of managed care pharmacy (PBM) experience or residency in lieu of work
…Capabilities and Experiences:** + Bilingual in Spanish preferred. + Understanding of managed care or Medicaid/Medicare strongly preferred. + For URAC accredited