Strategic Staffing Solutions
Prior Authorization Specialist
Strategic Staffing Solutions, Hamtramck, Michigan, United States, 48212
Title : Prior Authorization Specialist
Location:
Detroit, MI (Remote/Call center)
Role Type:
W2 Contract Engagement
Duration: 6+ Months
Engagement Description
Pharmacy technician will work in a provider call center with pharmacy services intaking requests for prior authorizations and handling inquiries related to general utilization management claims rejections for both Network and Michigan commercial members.
Top 3 Required Skills/ExperienceExcellent knowledge of pharmacy benefit drugs and utilization managementExcellent computer skills utilizing web-based applications and windows 10Ability to professionally service provider calls in a call center environmentRequired Skills/Experience
Excellent written and verbal communication skillsAbility to problem solve and resolve issues referencing desk level proceduresComfort with ambiguity in an area where processes and procedures are updated on a daily basisAttention to detail to ensure adherence to NCQA standards and time framesPreferred Skills/Experience
Prior Health plan experience a plusSpecialty pharmacy experience a plusMedical benefit drug billing and utilization management experience a plusEducation/Certifications
Michigan license as a pharmacy technicianThe S3 Difference
The global mission of S3 is to build trusting relationships and deliver solutions that positively impact our customers, our consultants, and our communities. The four pillars of our company are to:
Set the bar high for what a company should doCreate jobsOffer people an opportunity to succeed and change their station in lifeImprove the communities where we live and work through volunteering and charitable givingAs an S3 employee, you're eligible for a full benefits package that may include:
Medical InsuranceDental InsuranceVision Insurance401(k) PlanVacation PackageLife & Disability Insurance PlansFlexible Spending AccountsTuition Reimbursement
Job ID:
JOB-236824Publish Date:
31 Jul 2024
Location:
Detroit, MI (Remote/Call center)
Role Type:
W2 Contract Engagement
Duration: 6+ Months
Engagement Description
Pharmacy technician will work in a provider call center with pharmacy services intaking requests for prior authorizations and handling inquiries related to general utilization management claims rejections for both Network and Michigan commercial members.
Top 3 Required Skills/ExperienceExcellent knowledge of pharmacy benefit drugs and utilization managementExcellent computer skills utilizing web-based applications and windows 10Ability to professionally service provider calls in a call center environmentRequired Skills/Experience
Excellent written and verbal communication skillsAbility to problem solve and resolve issues referencing desk level proceduresComfort with ambiguity in an area where processes and procedures are updated on a daily basisAttention to detail to ensure adherence to NCQA standards and time framesPreferred Skills/Experience
Prior Health plan experience a plusSpecialty pharmacy experience a plusMedical benefit drug billing and utilization management experience a plusEducation/Certifications
Michigan license as a pharmacy technicianThe S3 Difference
The global mission of S3 is to build trusting relationships and deliver solutions that positively impact our customers, our consultants, and our communities. The four pillars of our company are to:
Set the bar high for what a company should doCreate jobsOffer people an opportunity to succeed and change their station in lifeImprove the communities where we live and work through volunteering and charitable givingAs an S3 employee, you're eligible for a full benefits package that may include:
Medical InsuranceDental InsuranceVision Insurance401(k) PlanVacation PackageLife & Disability Insurance PlansFlexible Spending AccountsTuition Reimbursement
Job ID:
JOB-236824Publish Date:
31 Jul 2024