Top 39 Pharmacy prior authorization Jobs in Ogden, Ut

Medication Prior Authorization Specialist
Tanner Clinic —Kaysville, UT
- Urgently hiring
- Customer service
- Writing skills
- Medical office experience
Quick Apply
11d
Payroll Clerk
Costco Wholesale Corporation —Ogden, UT
- Office
- Driving
- US work authorization
- AD&D insurance
- Employee stock purchase plan
Non-Licensed Optician
Costco Wholesale Corporation —Ogden, UT
- Merchandising
- Driving
- US work authorization
- AD&D insurance
- Employee stock purchase plan
Medical Assistant - Part Time
Mountain Orthopaedics —Bountiful, UT
- $18 - $22 an hour
- Part-time
- Microsoft Word
- Anatomy knowledge
- Microsoft Outlook
Quick Apply
Licensed Optician
Costco Wholesale Corporation —Syracuse, UT
- Merchandising
- Driving
- US work authorization
- AD&D insurance
- Employee stock purchase plan
Receiving Clerk
Costco Wholesale Corporation —Ogden, UT
- Driving
- US work authorization
- Warehouse
- AD&D insurance
- Employee stock purchase plan
Forklift Driver
Costco Wholesale Corporation —Ogden, UT
- Forklift
- Driving
- US work authorization
- AD&D insurance
- Employee stock purchase plan
Field Reimbursement Manager - Kidney (NYC Metro)
Vertex Pharmaceuticals —United States
- $136,000 - $204,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- 5 years
- Loan repayment program
- Dental insurance

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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
Quick Apply
13d
Janus RX Pharmacy Technician- Columbus, OH
Janus Pharmacy —Columbus, OH
❖ Possess and maintain a valid professional license/certification/registration issued by the State Board of Pharmacy. ❖ Triages telephone calls in the pharmacy.
$18 - $24 an hour

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pharmacy prior authorization jobs near ogden, ut

Medication Prior Authorization Specialist

Tanner Clinic -
Kaysville, UT

Quick Apply

Job Details

Full-time
11 days ago

Qualifications

Electronic health records (EHR) management
Writing skills
High school diploma or GED
Desktop applications
Productivity software
Medical terminology

Full Job Description

Description:

Tanner Clinic has an immediate opening for a Medication Prior Authorization Specialist.

Department: Scheduling
Reports To: Scheduling Manager
FLSA Status: Non-Exempt (Hourly)
Supervisory Responsibilities: None

Job Summary
The Prior Authorization Specialist is responsible for obtaining insurance authorization and approval for prescribed medications by working collaboratively with providers, clinical staff, pharmacies, insurance companies, and patients. This role ensures timely processing of prior authorizations, appeals, and related documentation to minimize delays in patient care while maintaining compliance with payer requirements and organizational standards.

Essential Job Responsibilities

Authorization Management

Review medication prior authorization requests submitted by providers and clinical staff.
Submit prior authorization requests through payer portals, electronic systems, fax, or phone as required.
Gather and review clinical documentation necessary to support authorization requests.
Monitor authorization status and follow up with insurance companies to ensure timely resolution.
Process medication denials and coordinate appeal submissions when appropriate.

Communication & Customer Service

Communicate with providers regarding payer requirements, formulary alternatives, and authorization outcomes.
Collaborate with pharmacies, patients, providers, and insurance representatives to resolve authorization issues.
Assist patients with understanding authorization requirements and provide status updates as needed.

Documentation and Compliance

Maintain accurate documentation of all authorization activities within the electronic medical record (EMR) and other tracking systems.

Performance & Continuous Improvement

Identify opportunities to improve authorization turnaround times and workflow efficiency.
Meet established productivity, quality, and turnaround time expectations.

Requirements:

Performance Requirements

Knowledge

Knowledge of payer guidelines and pharmacy benefit management (PBM) processes.
Knowledge of medical terminology, insurance plans, and prior authorization processes.
Experience working with electronic medical records (EMR) systems.

Skills

Strong attention to detail and organizational skills.
Excellent verbal and written communication skills.
Proficiency in Microsoft Office and other computer applications.

Abilities

Ability to manage multiple priorities in a fast-paced environment.

Education & Experience Requirements

Education

High school diploma or equivalent.
Credentialed as a Medical Assistant or higher.

Experience

3-5 years of experience working in a hospital, physician’s office, or pharmacy setting, with knowledge of medical procedures and/or medication prior authorization processes, required.
1-2 years of medical procedure and/or prior medication authorization experience preferred.

Physical & Environmental Requirements

Environment

Professional, well-lighted office setting.

Physical Demands

Primarily sedentary work involving sitting approximately 90% of the time, with occasional standing or walking.

Attendance

Regular and reliable attendance is an essential function of this role.

Quick Apply

Refine Your Search

pharmacy prior authorization jobs in ogden, ut

Medication Prior Authorization Specialist

Payroll Clerk

Non-Licensed Optician

Medical Assistant - Part Time

Licensed Optician

Receiving Clerk

Forklift Driver

Field Reimbursement Manager - Kidney (NYC Metro)

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