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USTECH SOLUTIONS is the largest privately owned diversity workforce partner with a global footprint. For 20+ years, we have partnered with leading MSPs and some of the world’s largest enterprises to deliver a flexible workforce. We serve Fortune 500 giants and growing businesses alike, reinventing the role of humans in a digital workforce.
‘Reinventing Human’ is about connecting you with top talent and seamlessly integrating new hires into your programs through our next gen AI powered Talent platforms. As the largest private diversity supplier in the US, we champion inclusion and unlock hidden potential. We work with leading MSPs and are a trusted strategic partner to the world’s top brands.
At USTECH SOLUTIONS, we're inverting the talent hiring pyramid by offering a range of solutions from curated talent pools, workforce management services, and IT services resourcing to IC compliance. Our legacy and close affinity to the computing industry has equipped us with the expertise and vision to provision AI platform solutions that help organizations to innovate faster.
Considering Statement of Work? Meet US Tech Digital (ustechdigital.com). We're helping businesses achieve digital leadership through our tailored SOW solutions, utilizing market-leading technology products and our proprietary in-house developed platform solutions.
Explore our full range of services and solutions by visiting our website: ustechsolutions.com
Responsible for reviewing and completing criteria based on prior authorization as per policy and procedure.
Responsibilities:
This individual must have excellent interpersonal skills.
Will be responsible for: Reviewing and completing criteria based on prior authorization as per policy and procedure.
Experience:
Prior authorization experience required.
Previous pharmacy experience in retail or hospital preferred.
Appropriate state license required. Basic computer skills required.
Strong organizational skill, interpersonal skills and detail orientation important for this position.
Skills:
MUST HAVE MANAGED CARE exp and Medicare/Medicaid knowledge.
MUST HAVE 6 months of experienced with Prior Authorization(required).
MUST HAVE experience with Medicare Part D
Must Have Pharmacy Benefit Management (PBM) experience.
Education:
Pharm D. required with at least two years experience as a pharmacist in Managed care environment.
Must have an active license in the state of residence in good standing.
Questionnaire:
How many years of prior-authorization experience do you have?
Haw many Prior Auth cases have you handled in your last role?
Do you have experience in handling calls regarding prior authorization and appeals?
About US Tech Solutions:
US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit www.ustechsolutions.com.
US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Required profile
Experience
Industry :
Human Resources, Staffing & Recruiting
Spoken language(s):
English
Check out the description to know which languages are mandatory.