Pharmacy Technician
$17.25 - $20.75/hr
... calls and Prior Authorizations from pharmacies and providers related to pharmacy benefits ... Assists pharmacy's claim processing. * Assist in the training of pharmacy representatives.
Quick apply
Pharmacy Technician
$17.25 - $20.75/hr
... calls and Prior Authorizations from pharmacies and providers related to pharmacy benefits ... Assists pharmacy's claim processing. * Assist in the training of pharmacy representatives.
PR · On-site
$16.75 - $20.25/hr
... g., prior authorization) on the PBM claims processing system to ensure that claims are correctly adjudicated. 5. Assists pharmacies claim processing. 6. Assist in the training of pharmacy ...
Quick apply
PR · On-site
$16.75 - $20.25/hr
... g., prior authorization) on the PBM claims processing system to ensure that claims are correctly adjudicated. 5. Assists pharmacies claim processing. 6. Assist in the training of pharmacy ...
Case Review Representative
Guaynabo, PR · On-site +1
$13 - $15/hr
Prior authorization creation * Quality Performance Program Outreach when assigned * Triage and ... OncoHealth offers Pharmacy Consulting services to health plans and pharmaceutical companies. New ...
Case Review Representative
Guaynabo, PR · On-site +1
$13 - $15/hr
Prior authorization creation * Quality Performance Program Outreach when assigned * Triage and ... OncoHealth offers Pharmacy Consulting services to health plans and pharmaceutical companies. New ...
Case Review Representative
Guaynabo, PR · On-site
Prior authorization creation * Quality Performance Program Outreach when assigned * Triage and ... OncoHealth offers Pharmacy Consulting services to health plans and pharmaceutical companies. New ...
Case Review Representative
Guaynabo, PR · On-site
Prior authorization creation * Quality Performance Program Outreach when assigned * Triage and ... OncoHealth offers Pharmacy Consulting services to health plans and pharmaceutical companies. New ...
Bilingual Pharmacy Technician- San Juan, PR
$17.25 - $20.75/hr
As a Pharmacy Technician - Prior Authorization, you will be answering incoming calls, completing outbound calls to/from patients, physicians and pharmacists while ensuring a high level of customer ...
Bilingual Pharmacy Technician- San Juan, PR
$17.25 - $20.75/hr
As a Pharmacy Technician - Prior Authorization, you will be answering incoming calls, completing outbound calls to/from patients, physicians and pharmacists while ensuring a high level of customer ...
Director(a) De Formularios Y Medicamentos Especializados
San Juan, PR · On-site
$110 - $140/hr
Medical
Develops prior authorizations for Part D and Part B and establishes the pharmacy benefit structure ... A valid License and Registration of a Pharmacist & Association of Pharmacists of Puerto Rico is ...
Director(a) De Formularios Y Medicamentos Especializados
San Juan, PR · On-site
$110 - $140/hr
Medical
Develops prior authorizations for Part D and Part B and establishes the pharmacy benefit structure ... A valid License and Registration of a Pharmacist & Association of Pharmacists of Puerto Rico is ...
Pharmacist - Registered
Caguas, PR · On-site
$56.75 - $68.25/hr
Medical
Dental
Vision
Life
Retirement
PTO
... Assistants. * Ensures proper cleanup and disposal of hazardous materials. * Ability to operate ... If hired, you will be required to provide proof of authorization to work in the United States.
Pharmacist - Registered
Caguas, PR · On-site
$56.75 - $68.25/hr
Medical
Dental
Vision
Life
Retirement
PTO
... Assistants. * Ensures proper cleanup and disposal of hazardous materials. * Ability to operate ... If hired, you will be required to provide proof of authorization to work in the United States.
PR · On-site
Medical
... prior authorizations, and benefit verifications in compliance with Puerto Rico regulations. This ... Handle inbound calls from pharmacies. * Manage administrative pre-authorizations, including cases ...
Quick apply
PR · On-site
Medical
... prior authorizations, and benefit verifications in compliance with Puerto Rico regulations. This ... Handle inbound calls from pharmacies. * Manage administrative pre-authorizations, including cases ...
PR · On-site
$14.75 - $18.25/hr
Medical
... prior authorizations, and benefit verifications in compliance with Puerto Rico regulations. This ... Handle inbound calls from pharmacies. * Manage administrative pre-authorizations, including cases ...
Quick apply
PR · On-site
$14.75 - $18.25/hr
Medical
... prior authorizations, and benefit verifications in compliance with Puerto Rico regulations. This ... Handle inbound calls from pharmacies. * Manage administrative pre-authorizations, including cases ...
Case Review Specialist - PR
Guaynabo, PR · On-site +1
... Prior Authorization portal for all oncology drug request and treatments. Our system improves ... OncoHealth offers Pharmacy Consulting services to health plans and pharmaceutical companies. New ...
Case Review Specialist - PR
Guaynabo, PR · On-site +1
... Prior Authorization portal for all oncology drug request and treatments. Our system improves ... OncoHealth offers Pharmacy Consulting services to health plans and pharmaceutical companies. New ...
Case Review Specialist - PR
Guaynabo, PR · On-site
... Prior Authorization portal for all oncology drug request and treatments. Our system improves ... OncoHealth offers Pharmacy Consulting services to health plans and pharmaceutical companies. New ...
Case Review Specialist - PR
Guaynabo, PR · On-site
... Prior Authorization portal for all oncology drug request and treatments. Our system improves ... OncoHealth offers Pharmacy Consulting services to health plans and pharmaceutical companies. New ...
PR · On-site
$14.25 - $17.50/hr
... require pharmacist intervention. * Make calls to medical plans to complete pre-authorization requirements, validate copayments, covers, and benefits. * Assist in managing inventory, purchasing ...
Quick apply
PR · On-site
$14.25 - $17.50/hr
... require pharmacist intervention. * Make calls to medical plans to complete pre-authorization requirements, validate copayments, covers, and benefits. * Assist in managing inventory, purchasing ...
Certified Pharmacy Technician
Caguas, PR · On-site
$17.50 - $21/hr
Under the supervision by the pharmacist, assist in the practice of pharmacy, in accordance with ... Prefer to have prior work experience with Walgreens. * Prefer good math skills so they can fill ...
Certified Pharmacy Technician
Caguas, PR · On-site
$17.50 - $21/hr
Under the supervision by the pharmacist, assist in the practice of pharmacy, in accordance with ... Prefer to have prior work experience with Walgreens. * Prefer good math skills so they can fill ...
Certified Pharmacy Technician
Trujillo Alto, PR · On-site
$18.75 - $24.50/hr
Under the supervision by the pharmacist, assist in the practice of pharmacy, in accordance with ... Prefer to have prior work experience with Walgreens. * Prefer good math skills so they can fill ...
Certified Pharmacy Technician
Trujillo Alto, PR · On-site
$18.75 - $24.50/hr
Under the supervision by the pharmacist, assist in the practice of pharmacy, in accordance with ... Prefer to have prior work experience with Walgreens. * Prefer good math skills so they can fill ...
Certified Pharmacy Technician
Manati, PR · On-site
$17.50 - $21/hr
Under the supervision by the pharmacist, assist in the practice of pharmacy, in accordance with ... Prefer to have prior work experience with Walgreens. * Prefer good math skills so they can fill ...
Certified Pharmacy Technician
Manati, PR · On-site
$17.50 - $21/hr
Under the supervision by the pharmacist, assist in the practice of pharmacy, in accordance with ... Prefer to have prior work experience with Walgreens. * Prefer good math skills so they can fill ...
PR · On-site
$25 - $45/hr
... GMP-regulated pharmaceutical facilities. * Assist in the execution of commissioning and ... prior to system release. * Support system readiness for hand-off to operations, ensuring all ...
Quick apply
PR · On-site
$25 - $45/hr
... GMP-regulated pharmaceutical facilities. * Assist in the execution of commissioning and ... prior to system release. * Support system readiness for hand-off to operations, ensuring all ...
$89K - $106K/yr
Medical
Dental
Vision
Life
PTO
You must be a U.S. citizen or person authorized to work in the United States. * Advanced ... Prior experience in a state or federal public defender officer or comparable state or federal ...
$89K - $106K/yr
Medical
Dental
Vision
Life
PTO
You must be a U.S. citizen or person authorized to work in the United States. * Advanced ... Prior experience in a state or federal public defender officer or comparable state or federal ...
PR · On-site
... Pharmaceutical, Biotechnology, Chemical, Food, and Medical Devices industries in the following ... Direct the development of the design requirements. * Assist in development and maintenance of the ...
Quick apply
PR · On-site
... Pharmaceutical, Biotechnology, Chemical, Food, and Medical Devices industries in the following ... Direct the development of the design requirements. * Assist in development and maintenance of the ...
PR · On-site
... Pharmaceutical, Biotechnology, Chemical, Food, and Medical Devices industries in the following ... Direct the development of the design requirements. * Assist in development and maintenance of the ...
Quick apply
PR · On-site
... Pharmaceutical, Biotechnology, Chemical, Food, and Medical Devices industries in the following ... Direct the development of the design requirements. * Assist in development and maintenance of the ...
PR · On-site
... Pharmaceutical, Biotechnology, Chemical, Food, and Medical Devices industries in the following ... Direct the development of the design requirements. * Assist in development and maintenance of the ...
Quick apply
PR · On-site
... Pharmaceutical, Biotechnology, Chemical, Food, and Medical Devices industries in the following ... Direct the development of the design requirements. * Assist in development and maintenance of the ...
Assistant Prior Authorization Pharmacist information
What is an assistant prior authorization pharmacist?
Assistant Prior Authorization Pharmacists are licensed pharmacists who support the prior authorization process for prescription medications. They review medication requests submitted by healthcare providers to ensure they meet insurance company criteria before approval. Their responsibilities include evaluating clinical documentation, communicating with prescribers, and helping patients access necessary medications while complying with insurance policies. These pharmacists play a crucial role in balancing patient care needs with cost-effectiveness and formulary guidelines.
What are the key skills and qualifications needed to thrive as an assistant prior authorization pharmacist?
To thrive as an Assistant Prior Authorization Pharmacist, you need a Doctor of Pharmacy (PharmD) degree, a valid pharmacist license, and in-depth knowledge of medication therapies and insurance processes. Familiarity with pharmacy benefit management (PBM) systems, electronic health record (EHR) platforms, and prior authorization software is typically required. Strong attention to detail, effective communication, and problem-solving skills help navigate complex insurance requirements and collaborate with healthcare providers. These competencies are crucial for ensuring patients receive appropriate medications efficiently while maintaining regulatory compliance and optimizing workflow.
What are some common challenges faced by assistant prior authorization pharmacists, and how can they be managed effectively?
Assistant Prior Authorization Pharmacists often encounter challenges such as navigating complex insurance requirements, managing high volumes of authorization requests, and communicating with both healthcare providers and insurance companies. Staying organized and up-to-date with changing formulary guidelines is essential, as is developing strong communication skills to clarify information and expedite approvals. Leveraging electronic prior authorization tools and collaborating closely with pharmacy technicians and clinicians can also help streamline the workflow and reduce delays for patients.
What is the difference between Assistant Prior Authorization Pharmacist vs Pharmacist?
| Aspect | Assistant Prior Authorization Pharmacist | Pharmacist |
|---|---|---|
| Credentials | Requires pharmacy technician certification or similar; may have some pharmacy education | Requires Doctor of Pharmacy (Pharm.D.) degree and licensure |
| Work Environment | Typically works in healthcare settings, assisting with prior authorizations under supervision | Works independently in pharmacies, hospitals, or clinics, dispensing medications and providing patient care |
| Employer & Industry Usage | Commonly employed by insurance companies, healthcare providers, or pharmacies for authorization tasks | Employed by retail pharmacies, hospitals, or healthcare facilities as licensed pharmacists |
The Assistant Prior Authorization Pharmacist primarily handles prior authorization requests and supports pharmacists, often with less formal education and certification. Pharmacists have a broader scope, including medication dispensing, patient counseling, and clinical decision-making. Both roles are essential in healthcare, but they differ significantly in responsibilities, credentials, and work environment.
What are the most commonly searched types of Prior Authorization Pharmacist jobs in Puerto Rico?
The most popular types of Prior Authorization Pharmacist jobs in Puerto Rico are:
$17.25 - $20.75/hr
Full-time
Re-posted 21 days ago
Job description
Company Overview
Our client is a leading group in the provision of mental health services in Puerto Rico, providing services in practices in the health industry, such as telemedicine and home services.
Job Summary
The Pharmacy Call Center Representative manages telephone calls and Prior Authorizations from pharmacies and providers related to pharmacy benefits, authorization requests, and drug use reviews, among others, to ensure that claims are correctly and timely adjudicated.
Responsibilities
- Answers and manages telephone calls from pharmacies and providers in a timely, confidential, and courteous manner.
- Documents calls and/or drug requests with complete follow-up history of the patient through electronic records.
- Provides orientation to pharmacies regarding pharmacy benefits.
- Performs system overrides (e.g., prior authorization) on the PBM claims processing system to ensure that claims are correctly adjudicated.
- Assists pharmacy’s claim processing.
- Assist in the training of pharmacy representatives.
- Complies with all guidelines established by the Centers for Medicare and Medicaid (CMS) and guidelines set forth by other regulatory agencies, where applicable.
- In addition, all other duties are assigned by the manager and/or supervisor.
Requirements
- Pharmacy Technician Course at an accredited school.
- Possess an active professional unrestricted Pharmacy Technician License in good standing to practice in Puerto Rico territory.
- Availability to work rotating shifts Monday to Sunday 7:00am to 10:00pm.
- Availability for hybrid work.
EEO
“Somos un patrono con Igualdad de Oportunidades en el Empleo y tomamos acción afirmativa para reclutar a Mujeres, Minorías, Veteranos Protegidos y Personas con Impedimentos.”
About Target Human Resources Solutions
Sourced by ZipRecruiter
Industry
Human resources consulting services
Company size
201 - 500 Employees
Headquarters location
Guaynabo, PR, US
Year founded
1988