Jobs in Analyst

Prior Authorization Specialist

Detroit, MI

Engagement Description – This position requires the ability to multitask within a high-volume concierge contact center setting. Top 3 Required Skills/Experience – • Ability to process Coverage Determination Requests within CMS Timeframes • Ability to communicate all pharmacy benefits both verbally and written • Ability to have strong attention to detail while multitasking within a…

Prior Authorization Specialist

Detroit, MI

SUMMARY: Support providers (pharmacists and physicians) with Medicare Part D drug coverage inquiries, Grievances, and prior authorizations. RESPONSIBILITIES/TASKS: Answer telephones in an efficient and timely manner to lend appropriate assistance to providers. Process prior authorization requests under the supervision of a Clinical Pharmacist. Apply pharmacy prior authorization criteria used in the adjudication of pharmacy PA…