Top 7 Prior authorization pharmacist Jobs in Milwaukee, Wi

Pharmacy Tech- Medication Access Specialist- 1.0 FTE- Days
ProHealth Care —Waukesha, WI
- Temporary
- Microsoft Word
- Customer service
- Entry level
- Health savings account
- Tuition reimbursement
11d
Retail Pharmacy Technician - Part-Time
Progressive Community Health Centers, Inc. —Milwaukee, WI
- Part-time
- Computer literacy
- Internal Medicine
- HIPAA
Quick Apply
1d
Registered Manager Local Specialty
Walgreens —Milwaukee, WI
- $130,275 - $191,209 a year
- Full-time
- Bachelor of Science
- Merchandising
- Master's degree
4d
Therapy Care Specialist - Specialty Infusion Pharmacy Technician
Soleo Health Inc —Pewaukee, WI
- Urgently hiring
- Microsoft Word
- Microsoft Outlook
- Mid-level
- Paid parental leave
- Health savings account
Quick Apply
14d

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Retail Pharmacy Technician - Part-Time
Progressive Community Health Centers, Inc. —Milwaukee, WI
LPT - Licensed Pharmacy Tech Active: current pharmacy technician license in good standing in Wisconsin required.
Quick Apply
1d
Inpatient Pharmacy Tech- Waukesha Memorial Hospital- 1.0 FTE- Days/PMs
ProHealth Care —Waukesha, WI
Retail Tier 1 technicians will show proficiency in applicable insurance adjudication, prescription entry, cash handling and inventory control.

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Pharmacist (Pharmacologist)
State of Ohio - Medicaid —Columbus, OH
Or, in order to operate a state vehicle, you must have a valid driver's license from the state of residence. Providing managed care pharmacy program oversight.
$52.86 - $73.46 an hour
2d
Prior Authorization Specialist
Equitas Health, Inc. —Columbus, OH
Reliable transportation, driver’s license and proof of auto insurance required. Essential job functions include, but are not limited to, driving or having…
$18.13 - $21.78 an hour
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Pharmacy Tech- Medication Access Specialist- 1.0 FTE- Days

ProHealth Care -
Waukesha, WI

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Job Details

Temporary | Full-time
11 days ago

Benefits

Health savings account
Tuition reimbursement
Paid time off
401(k) matching

Qualifications

Microsoft Word
Customer communication
Spreadsheets
Word embeddings

Full Job Description

Location: N16 W24131 Riverwood Drive, Waukesha WI 53188, United States Job Type: Days - 1st Shift Job ID: 112723

Ready to apply? You have options. For a faster and easier application & interview scheduling process, Chat with Olivia, our AI Recruiting Assistant. You'll answer a few quick questions and be done in minutes. Or, submit a Standard Application.

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We Are Hiring: Pharmacy Tech- Medication Access Specialist- 1.0 FTE- Days

Begin your story with ProHealth Care. Here we offer a culture that's warm, welcoming, and vibrant. Additionally, we offer a generous benefits plan and resources to help you further your education. After all, it's the way you should be treated. Enjoy our video series featuring our own employees sharing why they choose ProHealth Care and what they enjoy about working here.

Culture is built every day, and we want you to be a part of this. If you're like us and are passionate about providing exceptional patient care, we'd like to meet you!

Schedule Details: This 1.0 FTE commits to 40 hours per week. This position is M-F 8-4:30, No holidays, or weekends.

This is not a seasonal or temporary position.

What You Will Do:

The Medication Access Specialist is a patient-facing position focused on seeking grants, disease-specific foundation and/or pharmaceutical sponsored copay assistance or free medication programs to offset patient financial toxicity from oral and injectable therapies including chemotherapy/biotherapy and support medications. Additionally, will coordinate with insurer directed prior authorization for Specialty Pharmacy fulfillment, the patient and the clinical team.

Responsibilities:

Supports ProHealth Care Mission and Value statements, including compliance with USP 797 and 800 guidelines, TJC standards, Federal and State Laws and Regulations.

Demonstrates exceptional interpersonal and customer service skills in all interactions with patients as well as internal and external healthcare team members.

Ensures all demographic, insurance, and eligibility information is obtained and up-to-date

Perform insurance verification in a timely manner for initial and subsequent pre-authorizations with all third-party payers for oral chemotherapy and other therapies to minimize disruption to care

Interacts with prescribers (or team) to obtain appropriate clinical documentation to ensure accurate indications from EMR prior to completion of third party prior authorizations.

Maintaining up-to-date knowledge of requirements for enrolling patients in: manufacturer, state, and local medication assistance programs; disease-specific assistance grants from non-profit organizations (foundations).

Document in electronic medical record all prior authorization of medications that ensures accuracy and within the date range and quantity of medication received.

Working collaboratively with the healthcare team (nurses, physicians, pharmacists, others) to obtain clinical and financial information for timely copay and medication assistance program enrollment for oral and injectable therapies including chemotherapy/biotherapy and support medications

Working with patients and their family/caregivers to apply to the programs for which they qualify.

Assisting with applications for patient assistance and co-pay programs to ensure demographic, insurance, and eligibility information is current.

Obtaining patient financial records (as needed/required for eligibility)

Liaising between the patient, the clinical program (i.e. Cancer, etc.), and the patient assistance program(s).

Utilize tools to manage and track all financial assistance obtained, metrics, and patient interactions with governmental and non-governmental payer(s), as well as patient assistance, drug replacement, and grant or foundation programs

Willingness to train new hires/existing employees on process and procedure

Collaborate on pharmacy SOP, Policy and Procedure development (Retail and Hospital)

Communicate and collaborate with PHC Specialty/Retail Pharmacies for dispensing of oral and self-injected medications

Organizes procurement of medications and supplies for the pharmacy

Requirements:

PTCB Pharmacy Technician Certification preferred upon hire or within 2 years of hire.

2 years of pharmacy technician experience preferred.

Basic competency using Microsoft Excel and Word.

Prior experience obtaining prescription prior authorizations preferred.

Completes organizational, departmental and job specific competencies, as assigned

Why Join ProHealth Care:

We have nearly 5,000 dedicated clinical and non-clinical employees and physicians who work together every day to serve the health and well-being of our community. At ProHealth Care everyone contributes to the care our patients receive. And, everyone is treated with kindness and respect in our welcoming environment.

This Position Will Offer You:

Engaging and community focused culture
Competitive Salaries
Opportunity for professional career growth
Robust benefits for full-time and regular part-time roles, including Generous PTO; Choices in insurance; HSA; Tuition reimbursement; immediate 401K match; discounted tickets to various entertainment, social, and sporting events

ProHealth Care is an equal opportunity employer and is committed to an inclusive work environment and values the perspectives of our people. We maintain a drug-free workplace and perform pre-employment substance abuse testing. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.

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Refine Your Search

prior authorization pharmacist jobs in milwaukee, wi

Pharmacy Tech- Medication Access Specialist- 1.0 FTE- Days

Retail Pharmacy Technician - Part-Time

Registered Manager Local Specialty

Therapy Care Specialist - Specialty Infusion Pharmacy Technician

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