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Connecticut Pharmacy Authorization Representative

Company: VirtualVocations
Location: North Las Vegas
Posted on: March 23, 2025

Job Description:

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

Keywords: VirtualVocations, North Las Vegas , Connecticut Pharmacy Authorization Representative, Healthcare , North Las Vegas, Nevada

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