Icon hamburger
Briefcase

Create Job Alert.

Enter your email below to save this search and receive job recommendations for similar positions.
Thank you. We'll send jobs matching these to
Missing Translation: eu_consumer_core.job_alert.duplicate_alert
No Thanks
US
What job do you want?

Create Job Alert.

Get similar jobs sent to your email

Apply to this job.
Think you're the perfect candidate?
Apply Now
Thumsup

You’re being taken to an external site to apply.

Enter your email below to receive job recommendations for similar positions.
MEDICARE PHARMACY AUTHORIZATIONS AND APPEALS ANALYST at A-Line Staffing Solutions

MEDICARE PHARMACY AUTHORIZATIONS AND APPEALS ANALYST

A-Line Staffing Solutions Florida, FL Full-Time
$11.25/ hour
Apply Now

Create Job Alert.

Get similar jobs sent to your email

Now Hiring up to 20 Client Services Specialists - MEDICARE PHARMACY AUTHORIZATIONS AND APPEALS ANALYSTS in a REMOTE role anywhere in Florida! Apply NOW to become a member of our great team!



Position Summary:

Our company purpose is to help people on their path to better health. As a Medicare Pharmacy Authorizations and Appeals Analyst, you will be directly supporting Medicare Part D members and providers with requests related to their pharmacy benefits. This is a great opportunity to initiate a career with a leading healthcare company by completing timely and accurate documentation of all Medicare Part D requests, in compliance with Medicare guidelines, while promoting a best-in-class service experience. Are you looking for a new opportunity to work from home?
This role will allow you to do so, 100% remotely anywhere in FL.

In this role, you will be responsible for:
• Utilizing multiple software systems to complete Medicare appeals case reviews
• Meeting or exceeding government mandated timelines
• Complying with turnaround time, productivity and quality standards
• Conveying resolution to beneficiary or provider via direct communication and professional correspondence
• Acquiring and maintaining basic knowledge of relevant and changing Med D guidance

• Position includes 8 hour shifts with rotating weekends (currently every 4th)
• Overtime will be required to meet business needs

Required Qualifications:
• Accountable and results driven
• Critical thinker/problem solver
• Receptive to constructive feedback and flexible in adapting to change
• Ability to effectively plan, communicate, prioritize, and organize time and workload
• Dedicated home work space needed, must have stable high speed internet, be able to provide a quiet uninterrupted work environment, must have workstation that is not accessible to common traffic and is secure from unintentional access.
• Ability to execute successfully in a deadline-oriented, fast-paced, highly-regulated environment
• Proficient in navigation of multiple computer applications
• Proficient use of keyboard, mouse and ability to navigate 2 workstation monitors


Preferred Qualifications:
• At least two years of general business experience that includes problem resolution, business writing, quality improvement and customer service
• Six months of PBM/pharmaceutical related work strongly desired
• Pharmacy Technician license preferred

Education:
• High School Diploma or GED required
• Bachelor’s degree in related field or equivalent work experience preferred


APPLY TODAY! Dan Lupo / A-Line Staffing Solutions /

586-323-4178
/ [ Email address blocked ] - Click here to apply to MEDICARE PHARMACY AUTHORIZATIONS AND APPEALS ANALYST

Recommended skills

Medicare
Appeals
Medicare Part D
Critical Thinking
Success Driven
Pharmaceuticals

About the company

Apply to this job.
Think you're the perfect candidate?
Apply Now

Help us improve CareerBuilder by providing feedback about this job: Report this job

Report this Job

Once a job has been reported, we will investigate it further. If you require a response, submit your question or concern to our Trust and Site Security Team

CAREERBUILDER TIP

For your privacy and protection, when applying to a job online, never give your social security number to a prospective employer, provide credit card or bank account information, or perform any sort of monetary transaction. Learn more.

By applying to a job using CareerBuilder you are agreeing to comply with and be subject to the CareerBuilder Terms and Conditions for use of our website. To use our website, you must agree with the Terms and Conditions and both meet and comply with their provisions.