Job Description
_**HIGHLY Preferred; Pharmacy Tech, PBM, Health Insurance experience.**_
**Training Overview**:
4 weeks of training learning the process in classrooms setting, two weeks of audits, and potential two additional weeks for audits if needed. There will be support from trainers and senior employees if they have questions as they go through cases while on the floor.
Training Metrics: One - two weeks of audits - hitting 98% accuracy. During this time, they utilize the resources and support provided.
Attendance: Must be in training daily.
**Qualifications/years of experience**:
- Quality and attention to details
- Demonstrated organizational and time-management skills
- Driven by metrics.
- Looking for someone who wants to grow
**Position Overview**:
- Review criteria to determine if the request can be approved;
- Accurately enter Prior Authorization in claims system to ensure appropriate claims will adjudicate
- Provide clinical outcome to the member and...
**Training Overview**:
4 weeks of training learning the process in classrooms setting, two weeks of audits, and potential two additional weeks for audits if needed. There will be support from trainers and senior employees if they have questions as they go through cases while on the floor.
Training Metrics: One - two weeks of audits - hitting 98% accuracy. During this time, they utilize the resources and support provided.
Attendance: Must be in training daily.
**Qualifications/years of experience**:
- Quality and attention to details
- Demonstrated organizational and time-management skills
- Driven by metrics.
- Looking for someone who wants to grow
**Position Overview**:
- Review criteria to determine if the request can be approved;
- Accurately enter Prior Authorization in claims system to ensure appropriate claims will adjudicate
- Provide clinical outcome to the member and...
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