Top 86 Prior authorization pharmacy Jobs in Miami, Fl

Medication Access Specialist - Pharmacy Technician - FT - Days - Memorial Home Infusion
Memorial Healthcare System —Miramar, FL
- Full-time
- Customer service
- Data analysis skills
- Mid-level
Medication Access Specialist - Pharmacy Technician - FT - Days - MSP
Memorial Healthcare System —Miramar, FL
- Full-time
- Customer service
- Data analysis skills
- Mid-level
Pharmacy Technician - Medication Access Specialist - FT - Days - MSS
Memorial Healthcare System —Hollywood, FL
- Full-time
- Customer service
- Data analysis skills
- Mid-level
Pharmacy Authorization Specialist, JHS Specialty Pharmacy Services, Full Time, Days (8am-4:30pm)
Jackson Health —Miami, FL
- Full-time
- High school diploma or GED
- Entry level
- Under 1 year
Quick Apply
9d
Prior Authorization Coordinator
ProMod Rx —Miramar, FL
- $21 - $23 an hour
- Full-time
- Spanish
- HIPAA
- English
- Health insurance
Quick Apply
Medical Assistant
Cano Health LLC —Pembroke Pines, FL
- Full-time
- Spanish
- Oracle
- BLS Certification
- Paid holidays
- Disability insurance
Quick Apply
Pharmacy Technician Liaison - Specialty
Southeastern Health Management —Miami, FL
- Full-time
- Bilingual
- HIPAA
- Mid-level
Quick Apply
Clinical Services/Prior Authorization Representative
ProCare Rx —Miramar, FL
- $19 an hour
- Full-time
- Microsoft Word
- Computer literacy
- Mid-level
- Wellness program
- Paid holidays
Quick Apply
Field Reimbursement Manager, Miami, FL
Amgen —Miami, FL
- $145,470.70 - $196,813.30 a year
- Hybrid work
- Spanish
- Clean driving record
- Doctoral degree
- Disability insurance
- Health insurance
Pharmacy CSR Bilingual Spanish (Remote, Must Live in Florida)
Molina Healthcare —Miami, FL
- $14.00 - $24.02 an hour
- Full-time
- Remote
- Spanish
- 1 year
- Communication skills
4d
Pharmacy Benefits Coordinator
Independent Living Systems —Miami, FL
- Full-time
- Mid-level
- Bachelor's degree
- Business
Quick Apply
Specialty Pharmacy Technician
NEXTPLAT CORP —Hallandale Beach, FL
- HIPAA
- Mid-level
- Data entry
Quick Apply
Bilingual Clinical Pharmacy Technician (Medication Access & PrEP Services)
Keter Medical Center and Spa, LLC —Miami, FL
- $17 - $20 an hour
- Full-time
- Background check
- Spanish
- Ability to walk for extended periods
- Paid training
- Health insurance
Quick Apply
4d
Oncology Provider Relations Representative (Pharmacy Technicians)
Southeastern Health Management —Miami, FL
- $70,000 - $85,000 a year
- Full-time
- Spanish
- Marketing
- 5 years
- Paid holidays
- Paid time off
Quick Apply
Epic Certified Willow Inpatient Analyst 5340180
Accenture —Miami, FL
- $52 - $56 an hour
- Full-time
- Remote
- System design
- HIPAA
- Mid-level
- Disability insurance
- Health insurance
Clinical Business Operations Representative 2
University of Miami —Miami, FL
- Weekends as needed
- Hybrid work
- Mid-level
- High school diploma or GED
- University
- Health insurance
- Dental insurance
Medical Assistant
Gastromed, LLC —Miami, FL
- $18 - $20 an hour
- Full-time
- CPR Certification
- Computer literacy
- BLS Certification
- Health insurance
- Dental insurance
Quick Apply
4d
Oncology Scheduler - FT - Days - MRH - Medical Office Centre
Memorial Healthcare System —Hollywood, FL
- Full-time
- Customer service
- Mid-level
- High school diploma or GED
Epic Certified Willow Ambulatory Analyst 6341788
Accenture —Miami, FL
- $52 - $56 an hour
- Full-time
- Remote
- Mid-level
- High school diploma or GED
- US work authorization
- Disability insurance
- Health insurance
Account Executive Healthcare
Kaizen Stackup —Miami, FL
- $100,000 - $150,000 a year
- Full-time
- Mid-level
- Neurology
Quick Apply

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prior authorization pharmacy jobs near miami, fl

Medication Access Specialist - Pharmacy Technician - FT - Days - Memorial Home Infusion

Memorial Healthcare System -
Miramar, FL

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Job Details

Full-time

Qualifications

Pharmacy Technician License
PTCB Certification
High school diploma or GED
Registered Pharmacy Technician

Full Job Description

Location:

Miramar, Florida

At Memorial Healthcare System (MHS), our ever-growing pharmacy career options present unlimited opportunities to individuals passionate about advancing pharmacy practice. As a nationally recognized and respected leader for providing “A-rated” patient care and safety, MHS prides itself on being able to grow and adapt to the rapidly evolving needs of our community and healthcare industry.

Summary:

Responsible for performing benefit coverage investigations, initiating, processing, resolving prior authorizations (including denials), helping patients obtain financial assistance from pharmacy related services. Coordinates enrollment, utilization, and ongoing eligibility for manufacturer patient assistance programs to ensure access to medications and compliance with program requirements. Responsible preparing monthly pharmaceutical savings reports and responding to patient assistance program audits.

Responsibilities:

Assesses, assists and enrolls patients that require financial assistance for pharmacy services. Contacts pharmaceutical companies to obtain information and enrolls patients into pharmaceutical patient assistance programs. Monitors and coordinates re-enrollment or transition into additional pharmacy service lines.Participates in pharmacy reimbursement initiatives that increase patient access to pharmaceutical services and promotes cost savings to the health system.Performs pharmacy benefit investigation and applies knowledge and understanding of the coverage rules by third party payers, including Medicare and Medicaid. Identifies therapies that require certification of medical necessity. Works with providers and payers to obtain approval. Initiates support for appeals to denied authorizations for pharmacy services.Processes patient financial documentation for pharmacy financial assistance eligibility. Develops reimbursement payments schedules for patients with special needs. Tracks status of expiring reimbursements and processes renewals for patients as appropriate.Tracks, trends and reports financial data related to drug reimbursement and replacement transactions.Improves access to pharmaceutical therapy by performing pharmacy benefit investigation, prior authorizations, copay assistance, enrollment in manufacturer free drug programs, including medication replacement and appeals as appropriate.Coordinates receipt, delivery and distribution of free drug, drug replacements and bulk pharmaceuticals.Ensures compliance with financial and regulatory requirements. Coordinates and ensures appropriates credit to patient accounts when applicable.

Competencies:

ACCOUNTABILITY, ANALYSIS AND DECISION MAKING - PHAP, CUSTOMER SERVICE, FINANCIAL COUNSELING - PATIENT SERVICES, PATIENT AND FAMILY CENTERED CARE, PROBLEM SOLVING, RESPONDING TO CHANGE, STANDARDS OF BEHAVIOR, VERIFY INSURANCE

Education and Certification Requirements:

High School Diploma or Equivalent (Required)Certified Pharmacy Technician (CPHT) - Pharmacy Technician Certification Board (PTCB), Certified Pharmacy Technician Exam (EXCPT) - National Healthcareer Association (NHA), Registered Pharmacy Technician (RPT LICENSE) - State of Florida (FL)

Additional Job Information:

Complexity of Work: Requires critical thinking skills, effective communication skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.Required Work Experience: Three (3) years of pharmacy experience. Proficient understanding of the delivery of healthcare across multiple service lines.Other Information: Certified pharmacy technician through a nationally accredited organization.

Working Conditions and Physical Requirements:

Bending and Stooping = 80%
Climbing = 40%
Keyboard Entry = 80%
Kneeling = 40%
Lifting/Carrying Patients 35 Pounds or Greater = 0%
Lifting or Carrying 0 - 25 lbs Non-Patient = 80%
Lifting or Carrying 2501 lbs - 75 lbs Non-Patient = 60%
Lifting or Carrying > 75 lbs Non-Patient = 0%
Pushing or Pulling 0 - 25 lbs Non-Patient = 80%
Pushing or Pulling 26 - 75 lbs Non-Patient = 60%
Pushing or Pulling > 75 lbs Non-Patient = 40%
Reaching = 80%
Repetitive Movement Foot/Leg = 0%
Repetitive Movement Hand/Arm = 80%
Running = 60%
Sitting = 80%
Squatting = 80%
Standing = 80%
Walking = 80%
Audible Speech = 80%
Hearing Acuity = 80%
Smelling Acuity = 60%
Taste Discrimination = 0%
Depth Perception = 80%
Distinguish Color = 80%
Seeing - Far = 80%
Seeing - Near = 80%
Bio hazardous Waste = 40%
Biological Hazards - Respiratory = 40%
Biological Hazards - Skin or Ingestion = 40%
Blood and/or Bodily Fluids = 60%
Communicable Diseases and/or Pathogens = 40%
Asbestos = 0%
Cytotoxic Chemicals = 80%
Dust = 80%
Gas/Vapors/Fumes = 60%
Hazardous Chemicals = 80%
Hazardous Medication = 80%
Latex = 80%
Computer Monitor = 80%
Domestic Animals = 40%
Extreme Heat/Cold = 0%
Fire Risk = 40%
Hazardous Noise = 0%
Heating Devices = 60%
Hypoxia = 0%
Laser/High Intensity Lights = 0%
Magnetic Fields = 60%
Moving Mechanical Parts = 80%
Needles/Sharp Objects = 80%
Potential Electric Shock = 40%
Potential for Physical Assault = 0%
Radiation = 0%
Sudden Decompression During Flights = 0%
Unprotected Heights = 0%
Wet or Slippery Surfaces = 60%

Shift:

Disclaimer: This job description is not intended, nor should it be construed to be an exhaustive list of all responsibilities, skills, efforts or working conditions associated with the job. It is intended to indicate the general nature and level of work performed by employees within this classification.

Wages shown on independent job boards reflect market averages, not specific to any employer. We encourage candidates to talk to their Memorial Healthcare System recruiter to discuss actual pay rates, during the hiring process.

Memorial Healthcare System is proud to be an equal opportunity employer committed to workplace diversity.

Memorial Healthcare System recruits, hires and promotes qualified candidates for employment opportunities without regard to race, color, age, religion, gender, sexual orientation, national origin, veteran status, disability, genetic information, or any factor prohibited by law.

We are proud to offer Veteran’s Preference to former military, reservists and military spouses (including widows and widowers). You must indicate your status on your application to take advantage of this program.

Employment is subject to post offer, pre-placement assessment, including drug testing.

If you need reasonable accommodation during the application process, please call 954-276-8340 (M-F, 8am-5pm) or email [email protected]

Apply Now

Refine Your Search

prior authorization pharmacy jobs in miami, fl

Medication Access Specialist - Pharmacy Technician - FT - Days - Memorial Home Infusion

Medication Access Specialist - Pharmacy Technician - FT - Days - MSP

Pharmacy Technician - Medication Access Specialist - FT - Days - MSS

Pharmacy Authorization Specialist, JHS Specialty Pharmacy Services, Full Time, Days (8am-4:30pm)

Prior Authorization Coordinator

Medical Assistant

Pharmacy Technician Liaison - Specialty

Clinical Services/Prior Authorization Representative

Field Reimbursement Manager, Miami, FL

Pharmacy CSR Bilingual Spanish (Remote, Must Live in Florida)

Pharmacy Benefits Coordinator

Specialty Pharmacy Technician

Bilingual Clinical Pharmacy Technician (Medication Access & PrEP Services)

Oncology Provider Relations Representative (Pharmacy Technicians)

Epic Certified Willow Inpatient Analyst 5340180

Clinical Business Operations Representative 2

Medical Assistant

Oncology Scheduler - FT - Days - MRH - Medical Office Centre

Epic Certified Willow Ambulatory Analyst 6341788

Account Executive Healthcare

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