Connecticut Pharmacy Authorization Representative

A company is looking for a Pharmacy Prior Authorization Representative. Key Responsibilities Serve as the primary contact for prescribers and pharmacies regarding pharmacy claims and prior authorizations Review and process prior authorization requests in compliance with Medicaid guidelines and pharmacy benefit policies Document call interactions and collaborate with internal teams for process improvements Required Qualifications Knowledge of pharmacy claims processing and prior authorization requirements Ability to multi-task and prioritize responsibilities effectively Proficiency in Microsoft Office Suite and telephone systems Flexibility to accommodate rotating work schedules, including weekends and on-call shifts Must reside in Connecticut for remote work eligibility

Feb 24, 2025 - 23:10

A company is looking for a Pharmacy Prior Authorization Representative. Key Responsibilities Serve as the primary contact for prescribers and pharmacies regarding pharmacy claims and prior authorizations Review and process prior authorization requests in compliance with Medicaid guidelines and pharmacy benefit policies Document call interactions and collaborate with internal teams for process improvements Required Qualifications Knowledge of pharmacy claims processing and prior authorization requirements Ability to multi-task and prioritize responsibilities effectively Proficiency in Microsoft Office Suite and telephone systems Flexibility to accommodate rotating work schedules, including weekends and on-call shifts Must reside in Connecticut for remote work eligibility