Information Technology For Development Jobs in Atlanta
1,148 positions found — Page 57
C
Clerk
Salary not disclosed
Shift: 6 am start and 6 pm start Compensation: $14-$15 People want to work at Capstone because of our high-performance culture.
We build strong relationships, challenge the status quo, work hard to deliver results, and pay it forward in our communities.
Through transparency and open lines of communication, we do the right thing and deliver on our promises.
Think you have what it takes? The Opportunity: Provide administrative, inventory and clerical support to Capstone site management and corporate office Perform data entry of daily information into Capstone systems Prepare shipments to corporate office and receive and distribute return communications Other duties as assigned What Success Looks Like: High-energy individual with a strong work ethic Self-motivated with ability to work with limited supervision Independent decision maker as needed to accomplish tasks Flexible work schedule due to changing operational needs Must have a high level of computer literacy and familiarity with Microsoft Excel, Word and Outlook Ability to provide accurate entry of data and ability to handle administrative tasks as assigned Willingness to provide moderate housekeeping of office area Ability to work with a variety of people without regard to race, color, age, sex, national origin, religion, creed, or disability Strong organization and prioritizing skills High school diploma Previous office/clerical experience a plus Sit or stand for periods in office as well as warehouse environment (concrete flooring and changing temperatures) Walking throughout warehouse during shift Why you should work with us: Get paid weekly Benefits-after 60 days of employment Career growth-our company looks to promote from within first Join our travel team, see the country, learn how all our sites operate Paid Training, Safety Incentives Our team fully embraces a high-performance culture, that inspires us to build strong relationships, challenge the status quo, work hard to deliver results, and pay it forward in our communities.
About the Company: Capstone is a North American supply chain solutions partner with more than 650 operating locations, 19,000 associates, and 60,000 carriers.
We have capabilities in freight management, warehouse and distribution center support, last-mile delivery, supply chain analytics, and optimization, and more.
Our integrated, end-to-end logistics solutions uniquely position us to help partners reduce warehousing and transportation costs.
#CB Capstone Logistics, LLC is part of The Transportation and Logistics industry which has been designated a "Critical Infrastructure Segment".
As a "critical infrastructure industry" worker in the Transportation and Logistics industry, associates are considered exempt from local restrictions such as curfews, shelter-in-place orders, and other mobility restrictions when reporting to, returning from, or performing his or her work functions.
We build strong relationships, challenge the status quo, work hard to deliver results, and pay it forward in our communities.
Through transparency and open lines of communication, we do the right thing and deliver on our promises.
Think you have what it takes? The Opportunity: Provide administrative, inventory and clerical support to Capstone site management and corporate office Perform data entry of daily information into Capstone systems Prepare shipments to corporate office and receive and distribute return communications Other duties as assigned What Success Looks Like: High-energy individual with a strong work ethic Self-motivated with ability to work with limited supervision Independent decision maker as needed to accomplish tasks Flexible work schedule due to changing operational needs Must have a high level of computer literacy and familiarity with Microsoft Excel, Word and Outlook Ability to provide accurate entry of data and ability to handle administrative tasks as assigned Willingness to provide moderate housekeeping of office area Ability to work with a variety of people without regard to race, color, age, sex, national origin, religion, creed, or disability Strong organization and prioritizing skills High school diploma Previous office/clerical experience a plus Sit or stand for periods in office as well as warehouse environment (concrete flooring and changing temperatures) Walking throughout warehouse during shift Why you should work with us: Get paid weekly Benefits-after 60 days of employment Career growth-our company looks to promote from within first Join our travel team, see the country, learn how all our sites operate Paid Training, Safety Incentives Our team fully embraces a high-performance culture, that inspires us to build strong relationships, challenge the status quo, work hard to deliver results, and pay it forward in our communities.
About the Company: Capstone is a North American supply chain solutions partner with more than 650 operating locations, 19,000 associates, and 60,000 carriers.
We have capabilities in freight management, warehouse and distribution center support, last-mile delivery, supply chain analytics, and optimization, and more.
Our integrated, end-to-end logistics solutions uniquely position us to help partners reduce warehousing and transportation costs.
#CB Capstone Logistics, LLC is part of The Transportation and Logistics industry which has been designated a "Critical Infrastructure Segment".
As a "critical infrastructure industry" worker in the Transportation and Logistics industry, associates are considered exempt from local restrictions such as curfews, shelter-in-place orders, and other mobility restrictions when reporting to, returning from, or performing his or her work functions.
Not Specified
C
Customer Service Representative (Office and Administrative Support)
Salary not disclosed
Job Description: We are looking for a friendly and professional Customer Service Representative to join our team.
The successful candidate will be responsible for assisting customers, addressing inquiries, resolving complaints, and ensuring a positive customer experience.
Key Responsibilities: Respond to customer inquiries via phone, email, or in person Provide accurate information about products and services Resolve customer complaints in a timely and professional manner Maintain records of customer interactions and transactions Process orders, forms, and requests Work closely with other departments to resolve issues Requirements: High school diploma or equivalent Excellent communication and interpersonal skills Strong problem-solving abilities Basic computer skills and familiarity with customer service systems Ability to remain calm and professional when dealing with difficult situations
The successful candidate will be responsible for assisting customers, addressing inquiries, resolving complaints, and ensuring a positive customer experience.
Key Responsibilities: Respond to customer inquiries via phone, email, or in person Provide accurate information about products and services Resolve customer complaints in a timely and professional manner Maintain records of customer interactions and transactions Process orders, forms, and requests Work closely with other departments to resolve issues Requirements: High school diploma or equivalent Excellent communication and interpersonal skills Strong problem-solving abilities Basic computer skills and familiarity with customer service systems Ability to remain calm and professional when dealing with difficult situations
Not Specified
IT Help Desk
🏢 UPS
Salary not disclosed
We are seeking a reliable and customer- focused IT Help Desk Technician to provide technical support and assistance to employees and users.
The ideal candidate will diagnose and resolve hardware, software, and network issues while delivering excellent customer service.
This role requires strong troubleshooting skills, technical knowledge, and the ability to communicate technical information clearly to non- technical users.
The ideal candidate will diagnose and resolve hardware, software, and network issues while delivering excellent customer service.
This role requires strong troubleshooting skills, technical knowledge, and the ability to communicate technical information clearly to non- technical users.
Not Specified
A
Live Chat Representative (Work From Home)
Salary not disclosed
We are looking for a motivated and customer-focused Live Chat Representative to join our remote support team.
In this role, you will assist customers through live chat by answering questions, resolving issues, and providing accurate information about our products or services.
Responsibilities: Respond to customer inquiries via live chat in a timely and professional manner Provide accurate information about products, services, and company policies Troubleshoot and resolve customer concerns or escalate when necessary Maintain clear and professional communication with customers Document customer interactions and feedback Ensure high customer satisfaction and positive user experience Requirements: Excellent written communication skills Basic computer and typing skills Reliable internet connection and computer/laptop Ability to work independently and manage time effectively Customer service experience is a plus but not required
Remote working/work at home options are available for this role.
In this role, you will assist customers through live chat by answering questions, resolving issues, and providing accurate information about our products or services.
Responsibilities: Respond to customer inquiries via live chat in a timely and professional manner Provide accurate information about products, services, and company policies Troubleshoot and resolve customer concerns or escalate when necessary Maintain clear and professional communication with customers Document customer interactions and feedback Ensure high customer satisfaction and positive user experience Requirements: Excellent written communication skills Basic computer and typing skills Reliable internet connection and computer/laptop Ability to work independently and manage time effectively Customer service experience is a plus but not required
Remote working/work at home options are available for this role.
Not Specified
C
Senior Specialty Physician Coder
Salary not disclosed
Job Title: Senior Specialty Physician Coder Job Duration: 3 months contract (possible extension) Location: 100% Remote Pay Range: $45 to $48/hr on W2 Schedule: Regular Business Hours Important Details: 100% remote, must be based in CA.
Must have Profee experience
- outpatient only.
Must have IR expertise experience, not just exposure.
CIRCC specialty certification REQUIRED.
CPC, CCS, or equivalent certification required.
Purpose Statement / Position Summary: Under the direction of the Coding Compliance Manager, the Senior Specialty Physician Coder plays a key role in reviewing and analyzing specialty coding and billing for charge processing.
This role will be responsible for reviewing and accurately coding office, hospital, and surgical procedures for reimbursement and ensuring accurate and compliant medical coding for both inpatient and outpatient services, diagnostic tests, and other medical services rendered to patients.
In addition, the Senior Specialty Physician Coder will serve as a point of contact for contract coders, maintain the continuity of contract coding operations, and ensure the implementation of Client policies and procedures.
The Senior Specialty Physician Coder will also work with the Coding Compliance Manager on discovered coding trends and irregularities and needed action items.
Essential Functions and Responsibilities of the Job: Proficient in Epic software and Microsoft Office suite.
Strong understanding of the healthcare revenue cycle.
The ability to build and maintain positive provider relationships.
Provide excellent customer service and address a moderate amount of incoming email and phone calls.
The ability to train and mentor internal and external coding staff.
The ability to handle complex and confidential information with discretion.
Maintain patient confidentiality.
Experience: 5 years’ experience working in a hospital or physician’s office as a medical coder and interacting with physicians.
2 years’ experience as a specialty coder in one of the following specialties: Cardiothoracic Surgery, Interventional Radiology, Oncology Chemotherapy Infusion.
Expert knowledge of ICD10, CPT, and HCPCS.
Strong knowledge of medical terminology, anatomy and physiology.
Epic software experience is highly desired.
Proficient Microsoft skills.
Must be very experienced in Epic charge submission.
Education: High School diploma or GED required.
CPC, CCS, or equivalent certification required.
Specialty coding certification is highly desired.
Must have Profee experience
- outpatient only.
Must have IR expertise experience, not just exposure.
CIRCC specialty certification REQUIRED.
CPC, CCS, or equivalent certification required.
Purpose Statement / Position Summary: Under the direction of the Coding Compliance Manager, the Senior Specialty Physician Coder plays a key role in reviewing and analyzing specialty coding and billing for charge processing.
This role will be responsible for reviewing and accurately coding office, hospital, and surgical procedures for reimbursement and ensuring accurate and compliant medical coding for both inpatient and outpatient services, diagnostic tests, and other medical services rendered to patients.
In addition, the Senior Specialty Physician Coder will serve as a point of contact for contract coders, maintain the continuity of contract coding operations, and ensure the implementation of Client policies and procedures.
The Senior Specialty Physician Coder will also work with the Coding Compliance Manager on discovered coding trends and irregularities and needed action items.
Essential Functions and Responsibilities of the Job: Proficient in Epic software and Microsoft Office suite.
Strong understanding of the healthcare revenue cycle.
The ability to build and maintain positive provider relationships.
Provide excellent customer service and address a moderate amount of incoming email and phone calls.
The ability to train and mentor internal and external coding staff.
The ability to handle complex and confidential information with discretion.
Maintain patient confidentiality.
Experience: 5 years’ experience working in a hospital or physician’s office as a medical coder and interacting with physicians.
2 years’ experience as a specialty coder in one of the following specialties: Cardiothoracic Surgery, Interventional Radiology, Oncology Chemotherapy Infusion.
Expert knowledge of ICD10, CPT, and HCPCS.
Strong knowledge of medical terminology, anatomy and physiology.
Epic software experience is highly desired.
Proficient Microsoft skills.
Must be very experienced in Epic charge submission.
Education: High School diploma or GED required.
CPC, CCS, or equivalent certification required.
Specialty coding certification is highly desired.
Not Specified
L
Remote Chat Support Agent
Salary not disclosed
We are seeking a Remote Chat Support Agent to assist customers through online chat.
You will provide prompt, professional support while ensuring a positive customer experience.
Key Responsibilities Respond to customer inquiries via live chat Resolve issues quickly and accurately Provide product/service information Maintain clear and professional communication Record and update customer interactions Requirements Strong written communication skills Customer service experience preferred Basic computer skills and typing ability Ability to multitask and work independently
Remote working/work at home options are available for this role.
You will provide prompt, professional support while ensuring a positive customer experience.
Key Responsibilities Respond to customer inquiries via live chat Resolve issues quickly and accurately Provide product/service information Maintain clear and professional communication Record and update customer interactions Requirements Strong written communication skills Customer service experience preferred Basic computer skills and typing ability Ability to multitask and work independently
Remote working/work at home options are available for this role.
Not Specified
A
Remote Prior Authorization Pharmacist {168034}
Salary not disclosed
A-Line Staffing is Hiring: Remote Prior Authorization Pharmacist A-Line Staffing is now hiring a Remote Prior Authorization Pharmacist ! This role offers an opportunity to work for a Fortune 500 company with career growth potential in a fully remote capacity.
Highlights Pay: $53.00 per hour Hours: 7:00 AM – 8:00 PM EST Monday – Friday, 7:00 AM – 4:30 PM EST Saturday and Sunday (set rotation) Location: Remote / Work from Home (must have dedicated, quiet workspace) Type: Full-time, contract Training: First 8 weeks M-F, 9:00 AM – 5:30 PM EST (attendance mandatory) Responsibilities Support Medicare Part D members and providers with pharmacy benefit and prior authorization requests.
Ensure accurate case setup and complete clinical review of prior authorization and Medicare appeals in compliance with CMS guidelines.
Review clinical information and make appropriate determinations based on drug compendia and clinical judgment.
Conduct provider outreach for additional clinical clarification when necessary.
Accurately document all prior authorization and Medicare Part D requests and maintain compliance with CMS-mandated timelines.
Meet or exceed departmental productivity and quality standards.
Requirements Bachelor’s Degree in Pharmacy or Doctor of Pharmacy (PharmD) required.
Active pharmacist license in the state of residence (must provide proof).
Strong attention to detail and ability to work independently in a remote environment.
Proven ability to apply clinical judgment and interpret drug compendia resources.
Prior experience in Medicare Part D, prior authorizations, or pharmacy benefit management preferred.
Computer literate with knowledge of Excel, Word, and preferably Access, PowerPoint, and Visio.
Must provide internet speed test (minimum 25 Mbps download / 5 Mbps upload) and have a dedicated, quiet workspace.
Benefits Benefits available to full-time employees after 90 days.
401(k) with company match available after 1 year of service on eligibility dates.
Contact: Austin Faris – 586-710-7941 | If you want, I can also make a concise, job-board ready version for quick online posting that keeps all the essentials but is easier to read.
Do you want me to do that next? .
Remote working/work at home options are available for this role.
Highlights Pay: $53.00 per hour Hours: 7:00 AM – 8:00 PM EST Monday – Friday, 7:00 AM – 4:30 PM EST Saturday and Sunday (set rotation) Location: Remote / Work from Home (must have dedicated, quiet workspace) Type: Full-time, contract Training: First 8 weeks M-F, 9:00 AM – 5:30 PM EST (attendance mandatory) Responsibilities Support Medicare Part D members and providers with pharmacy benefit and prior authorization requests.
Ensure accurate case setup and complete clinical review of prior authorization and Medicare appeals in compliance with CMS guidelines.
Review clinical information and make appropriate determinations based on drug compendia and clinical judgment.
Conduct provider outreach for additional clinical clarification when necessary.
Accurately document all prior authorization and Medicare Part D requests and maintain compliance with CMS-mandated timelines.
Meet or exceed departmental productivity and quality standards.
Requirements Bachelor’s Degree in Pharmacy or Doctor of Pharmacy (PharmD) required.
Active pharmacist license in the state of residence (must provide proof).
Strong attention to detail and ability to work independently in a remote environment.
Proven ability to apply clinical judgment and interpret drug compendia resources.
Prior experience in Medicare Part D, prior authorizations, or pharmacy benefit management preferred.
Computer literate with knowledge of Excel, Word, and preferably Access, PowerPoint, and Visio.
Must provide internet speed test (minimum 25 Mbps download / 5 Mbps upload) and have a dedicated, quiet workspace.
Benefits Benefits available to full-time employees after 90 days.
401(k) with company match available after 1 year of service on eligibility dates.
Contact: Austin Faris – 586-710-7941 | If you want, I can also make a concise, job-board ready version for quick online posting that keeps all the essentials but is easier to read.
Do you want me to do that next? .
Remote working/work at home options are available for this role.
Not Specified
A
Clinical Pharmacist Advisor (Medicare Part D) – REMOTE
✦ New 🏢 A-Line Staffing Solutions LLC
Salary not disclosed
Clinical Pharmacist Advisor – Medicare Part D (REMOTE) Location: 100% Remote (U.S.) Pay Rate: $53.00/hr Schedule: Set rotation within business hours (see below) Opportunity: Contract with potential for full-time conversion About the Role We are hiring 50 Remote Clinical Pharmacist Advisors to support Medicare Part D members and providers in a fast-paced, high-volume, production-driven environment.
This role is ideal for pharmacists with prior authorization, managed care, or PBM experience who thrive in a structured, remote setting.
As a Clinical Pharmacist Advisor, you will review pharmacy benefit requests, make clinical determinations, and ensure compliance with CMS and Medicare guidelines while delivering best-in-class service.
Key Responsibilities Review and process prior authorizations, coverage determinations, and appeals Evaluate clinical documentation to support approval/denial decisions Ensure all cases meet Medicare Part D and CMS compliance standards Conduct provider outreach to obtain additional clinical information Document all decisions clearly and accurately in system workflows Manage high-volume queues while meeting productivity and quality metrics Apply clinical knowledge using drug compendia and established guidelines Required Qualifications Active Pharmacist license in state of residence (in good standing) PharmD or Bachelor’s Degree in Pharmacy Strong computer skills (Excel, Word required; Access, PowerPoint, Visio preferred) Experience with data entry, dual screens, and multiple systems Ability to work independently in a productivity-driven remote environment Strong attention to detail and documentation accuracy Preferred Experience Managed Care / PBM experience Prior Authorization, Coverage Determinations, or Appeals Medicare Part D knowledge and CMS guideline familiarity Remote pharmacist or high-volume review experience Retail + Managed Care hybrid background Schedule & Training Requirements Training: Monday–Friday, 9:00 AM – 5:30 PM EST (first 8 weeks – no time off allowed) Post-Training Schedule: Business Hours: 7:00 AM – 8:00 PM EST (Mon–Fri) Weekends: 7:00 AM – 4:30 PM EST Must be flexible to work assigned 8-hour shifts, including weekends Work Environment Requirements (MANDATORY) Dedicated, quiet, private workspace Wired internet connection: Minimum 25 Mbps download / 5 Mbps upload Speed test screenshot required (must be included on resume) Ability to remain on camera during training and team meetings Ability to sit and focus for full shift with minimal interruptions Submission Requirements (MUST BE INCLUDED ON RESUME) Screenshot of internet speed test ( ) Screenshot of active pharmacist license (showing name, state, expiration) Completed candidate questionnaire (see below) Candidate Pre-Screen Questionnaire (Include with Submission) Are you available for full-time training (M–F, 9–5:30 EST) for 8 weeks with no time off? Can you work any assigned 8-hour shift between 7 AM – 8 PM EST, including weekends? Do you have a dedicated, quiet workspace for remote work? Do you have wired internet meeting 25/5 Mbps requirements? Can you sit and focus for the entire shift without interruptions? Do you have experience with data entry and multiple systems/screens? Do you have an active pharmacist license in your state of residence? Are you comfortable working independently in a productivity-based role? Do you bring a positive, engaged attitude to a team environment? We are hiring 50 Remote Clinical Pharmacist Advisors to support Medicare Part D members and providers in a fast-paced, high-volume, production-driven environment.
This role is ideal for pharmacists with prior authorization, managed care, or PBM experience who thrive in a structured, remote setting.
As a Clinical Pharmacist Advisor, you will review pharmacy benefit requests, make clinical determinations, and ensure compliance with CMS and Medicare guidelines while delivering best-in-class service.
Key Responsibilities Review and process prior authorizations, coverage determinations, and appeals Evaluate clinical documentation to support approval/denial decisions Ensure all cases meet Medicare Part D and CMS compliance standards Conduct provider outreach to obtain additional clinical information Document all decisions clearly and accurately in system workflows Manage high-volume queues while meeting productivity and quality metrics Apply clinical knowledge using drug compendia and established guidelines
Remote working/work at home options are available for this role.
This role is ideal for pharmacists with prior authorization, managed care, or PBM experience who thrive in a structured, remote setting.
As a Clinical Pharmacist Advisor, you will review pharmacy benefit requests, make clinical determinations, and ensure compliance with CMS and Medicare guidelines while delivering best-in-class service.
Key Responsibilities Review and process prior authorizations, coverage determinations, and appeals Evaluate clinical documentation to support approval/denial decisions Ensure all cases meet Medicare Part D and CMS compliance standards Conduct provider outreach to obtain additional clinical information Document all decisions clearly and accurately in system workflows Manage high-volume queues while meeting productivity and quality metrics Apply clinical knowledge using drug compendia and established guidelines Required Qualifications Active Pharmacist license in state of residence (in good standing) PharmD or Bachelor’s Degree in Pharmacy Strong computer skills (Excel, Word required; Access, PowerPoint, Visio preferred) Experience with data entry, dual screens, and multiple systems Ability to work independently in a productivity-driven remote environment Strong attention to detail and documentation accuracy Preferred Experience Managed Care / PBM experience Prior Authorization, Coverage Determinations, or Appeals Medicare Part D knowledge and CMS guideline familiarity Remote pharmacist or high-volume review experience Retail + Managed Care hybrid background Schedule & Training Requirements Training: Monday–Friday, 9:00 AM – 5:30 PM EST (first 8 weeks – no time off allowed) Post-Training Schedule: Business Hours: 7:00 AM – 8:00 PM EST (Mon–Fri) Weekends: 7:00 AM – 4:30 PM EST Must be flexible to work assigned 8-hour shifts, including weekends Work Environment Requirements (MANDATORY) Dedicated, quiet, private workspace Wired internet connection: Minimum 25 Mbps download / 5 Mbps upload Speed test screenshot required (must be included on resume) Ability to remain on camera during training and team meetings Ability to sit and focus for full shift with minimal interruptions Submission Requirements (MUST BE INCLUDED ON RESUME) Screenshot of internet speed test ( ) Screenshot of active pharmacist license (showing name, state, expiration) Completed candidate questionnaire (see below) Candidate Pre-Screen Questionnaire (Include with Submission) Are you available for full-time training (M–F, 9–5:30 EST) for 8 weeks with no time off? Can you work any assigned 8-hour shift between 7 AM – 8 PM EST, including weekends? Do you have a dedicated, quiet workspace for remote work? Do you have wired internet meeting 25/5 Mbps requirements? Can you sit and focus for the entire shift without interruptions? Do you have experience with data entry and multiple systems/screens? Do you have an active pharmacist license in your state of residence? Are you comfortable working independently in a productivity-based role? Do you bring a positive, engaged attitude to a team environment? We are hiring 50 Remote Clinical Pharmacist Advisors to support Medicare Part D members and providers in a fast-paced, high-volume, production-driven environment.
This role is ideal for pharmacists with prior authorization, managed care, or PBM experience who thrive in a structured, remote setting.
As a Clinical Pharmacist Advisor, you will review pharmacy benefit requests, make clinical determinations, and ensure compliance with CMS and Medicare guidelines while delivering best-in-class service.
Key Responsibilities Review and process prior authorizations, coverage determinations, and appeals Evaluate clinical documentation to support approval/denial decisions Ensure all cases meet Medicare Part D and CMS compliance standards Conduct provider outreach to obtain additional clinical information Document all decisions clearly and accurately in system workflows Manage high-volume queues while meeting productivity and quality metrics Apply clinical knowledge using drug compendia and established guidelines
Remote working/work at home options are available for this role.
Not Specified
Pharmacist - Remote
✦ New
Salary not disclosed
A-Line Staffing is actively searching for Multiple REMOTE Prior Authorization Pharmacists.
This is an exciting opportunity with a client that is looking to move fast for the right candidate.
Please contact Brad Zidek at for immediate consideration! Or call at 412-823-2500 .
The clinical pharmacist is an operation based role that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications.
The clinical pharmacist will apply clinical knowledge to plan approved criteria for prospective and concurrent reviews of cases.
This role will work from supported systems and take inbound calls from physician or members regarding their pending approved or denied prior authorizations.
Responsibilities 1.
Collaborates with the CRU Technician to process referrals including answering clinical questions collecting appropriate clinical/ medical data needed to perform clinical assessments and reviews as per the healthplan/employer agreed criteria within the designated service level agreements.
20 2.
Coordinates timely communication of case decision to physician health-plan/employer patient and other healthcare professionals following agreed upon approval denial management processes.
15 3.
Handles inbound phone calls and escalations from physicians or patients regarding Prior Authorization 50 4.
Establishes and maintains communication among health plan and employer group staff.
5 5.
Maintain professional and technical knowledge of drug and disease-states for the Specialty Pharmacy programs administered within the Case Review Unit.
5 6.
Performs other related projects and duties as assigned including on call and after hours pharmacist availability could be required.
5 Knowledge of Access Power Point and Visio is preferable.
Must be computer literate
- knowledge of Excel and Word.
Licensed Registered Pharmacist Minimum 3-5 years experience although 5-8 years is preferred.
This is a safety sensitive position.
Completion of all screens is required prior to the candidate starting the assignment.
Upon acceptance please send the following information: Home address Personal email address Cell phone number A broadband connection and a smartphone are required.
The VPN token will be need to be downloaded to the users smartphone.
NOTE: They can work from anywhere in the continental U.S Please contact Brad zidek at 412-823-2500 for immediate consideration Exclude pharmacist from practicing pharmacy)) Check medications prepared by the pharmacy technicians Exclude the pharmacist from practicing pharmacy Coordinate all clinical pharmacy patient care and pharmacy dispensing/shipping activities Coordinating all clinical pharmacy patient care and/or pharmacy production activities Removed from the pharmacy when the pharmacist is Mean that the supervising pharmacist have reviewed the prescription or drug order Provide direct supervision to pharmacy interns and pharmacy technicians working with the pharmacist Maintain pharmacy patient profiles and dispensing records Provide pharmacist counseling for all new prescriptions to patients Supervise the work of pharmacy technicians and pharmacy interns Assign projects to resident pharmacist and other pharmacy personnel Initiate and facilitate appropriate drug dosing and manage medication-related pharmacist Provide clinical pharmacy support and execute clinical pharmacy programs for all patient areas Prescribe interview or dispensing pharmacy interview Optimize pharmacy practice, pharmacy systems, and the medication-use process Enter prescription data into pharmacy software Perform individual patient pharmacy reviews to determine medication adherence and medication reconciliation Supervise pharmacy technicians in drug distribution and compounding tasks Supervise and direct pharmacy technicians
Remote working/work at home options are available for this role.
This is an exciting opportunity with a client that is looking to move fast for the right candidate.
Please contact Brad Zidek at for immediate consideration! Or call at 412-823-2500 .
The clinical pharmacist is an operation based role that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications.
The clinical pharmacist will apply clinical knowledge to plan approved criteria for prospective and concurrent reviews of cases.
This role will work from supported systems and take inbound calls from physician or members regarding their pending approved or denied prior authorizations.
Responsibilities 1.
Collaborates with the CRU Technician to process referrals including answering clinical questions collecting appropriate clinical/ medical data needed to perform clinical assessments and reviews as per the healthplan/employer agreed criteria within the designated service level agreements.
20 2.
Coordinates timely communication of case decision to physician health-plan/employer patient and other healthcare professionals following agreed upon approval denial management processes.
15 3.
Handles inbound phone calls and escalations from physicians or patients regarding Prior Authorization 50 4.
Establishes and maintains communication among health plan and employer group staff.
5 5.
Maintain professional and technical knowledge of drug and disease-states for the Specialty Pharmacy programs administered within the Case Review Unit.
5 6.
Performs other related projects and duties as assigned including on call and after hours pharmacist availability could be required.
5 Knowledge of Access Power Point and Visio is preferable.
Must be computer literate
- knowledge of Excel and Word.
Licensed Registered Pharmacist Minimum 3-5 years experience although 5-8 years is preferred.
This is a safety sensitive position.
Completion of all screens is required prior to the candidate starting the assignment.
Upon acceptance please send the following information: Home address Personal email address Cell phone number A broadband connection and a smartphone are required.
The VPN token will be need to be downloaded to the users smartphone.
NOTE: They can work from anywhere in the continental U.S Please contact Brad zidek at 412-823-2500 for immediate consideration Exclude pharmacist from practicing pharmacy)) Check medications prepared by the pharmacy technicians Exclude the pharmacist from practicing pharmacy Coordinate all clinical pharmacy patient care and pharmacy dispensing/shipping activities Coordinating all clinical pharmacy patient care and/or pharmacy production activities Removed from the pharmacy when the pharmacist is Mean that the supervising pharmacist have reviewed the prescription or drug order Provide direct supervision to pharmacy interns and pharmacy technicians working with the pharmacist Maintain pharmacy patient profiles and dispensing records Provide pharmacist counseling for all new prescriptions to patients Supervise the work of pharmacy technicians and pharmacy interns Assign projects to resident pharmacist and other pharmacy personnel Initiate and facilitate appropriate drug dosing and manage medication-related pharmacist Provide clinical pharmacy support and execute clinical pharmacy programs for all patient areas Prescribe interview or dispensing pharmacy interview Optimize pharmacy practice, pharmacy systems, and the medication-use process Enter prescription data into pharmacy software Perform individual patient pharmacy reviews to determine medication adherence and medication reconciliation Supervise pharmacy technicians in drug distribution and compounding tasks Supervise and direct pharmacy technicians
Remote working/work at home options are available for this role.
Not Specified
A
Clinical Pharmacist – Prior Authorization / Medicare - {168034}
✦ New 🏢 A-Line Staffing Solutions LLC
Salary not disclosed
A-Line Staffing is now hiring Clinical Pharmacist – Prior Authorization / Medicare (Remote) in United States.
The Clinical Pharmacist would be working for a Fortune 500 healthcare company and has career growth potential.
This would be full time / 40+ hours per week.
Clinical Pharmacist – Prior Authorization / Medicare Compensation · The pay for this position is $53.00 per hour · Benefits are available to full-time employees after 90 days of employment · A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates Clinical Pharmacist – Prior Authorization / Medicare Highlights This position is a contract assignment with potential to hire on permanently based upon attendance, performance, and business needs The required availability for this position is: Training: Monday – Friday, 9:00 AM – 5:30 PM EST (first 8 weeks, no time off permitted) Post-Training: Shifts between 7:00 AM – 8:00 PM EST (Mon–Fri) 7:00 AM – 4:30 PM EST (Sat–Sun) Includes weekend rotation or 1 weekend day Clinical Pharmacist – Prior Authorization / Medicare Responsibilities Review and process prior authorizations, coverage determinations, and Medicare appeals Evaluate clinical documentation to support approval/denial decisions Ensure compliance with CMS and Medicare Part D guidelines and timelines Perform outbound provider outreach to obtain additional clinical information Accurately document all case activity in internal systems Meet productivity and quality standards in a high-volume environment Utilize drug compendia and clinical guidelines for decision-making Clinical Pharmacist – Prior Authorization / Medicare Requirements Active Pharmacist (RPh) license in state of residence (must be in good standing) Bachelor’s Degree in Pharmacy or PharmD Strong computer skills (Excel and Word required) Ability to work independently in a remote, productivity-driven environment Experience with data entry and navigating multiple systems/screens Dedicated, quiet workspace for remote work Wired internet connection (minimum 25 Mbps download / 5 Mbps upload) Ability to sit and focus for the duration of the shift High School Diploma or GED · Attendance is mandatory for the first 90 days Clinical Pharmacist – Prior Authorization / Medicare Preferred Qualifications Prior experience in Managed Care or PBM environment Experience with prior authorizations, appeals, or coverage determinations Medicare Part D knowledge Previous remote or production-based pharmacist experience Knowledge of Access, PowerPoint, and Visio If you think this Clinical Pharmacist – Prior Authorization / Medicare (Remote) position is a good fit for you, please reach out to me – feel free to call, e-mail, or apply to this posting!
The Clinical Pharmacist would be working for a Fortune 500 healthcare company and has career growth potential.
This would be full time / 40+ hours per week.
Clinical Pharmacist – Prior Authorization / Medicare Compensation · The pay for this position is $53.00 per hour · Benefits are available to full-time employees after 90 days of employment · A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates Clinical Pharmacist – Prior Authorization / Medicare Highlights This position is a contract assignment with potential to hire on permanently based upon attendance, performance, and business needs The required availability for this position is: Training: Monday – Friday, 9:00 AM – 5:30 PM EST (first 8 weeks, no time off permitted) Post-Training: Shifts between 7:00 AM – 8:00 PM EST (Mon–Fri) 7:00 AM – 4:30 PM EST (Sat–Sun) Includes weekend rotation or 1 weekend day Clinical Pharmacist – Prior Authorization / Medicare Responsibilities Review and process prior authorizations, coverage determinations, and Medicare appeals Evaluate clinical documentation to support approval/denial decisions Ensure compliance with CMS and Medicare Part D guidelines and timelines Perform outbound provider outreach to obtain additional clinical information Accurately document all case activity in internal systems Meet productivity and quality standards in a high-volume environment Utilize drug compendia and clinical guidelines for decision-making Clinical Pharmacist – Prior Authorization / Medicare Requirements Active Pharmacist (RPh) license in state of residence (must be in good standing) Bachelor’s Degree in Pharmacy or PharmD Strong computer skills (Excel and Word required) Ability to work independently in a remote, productivity-driven environment Experience with data entry and navigating multiple systems/screens Dedicated, quiet workspace for remote work Wired internet connection (minimum 25 Mbps download / 5 Mbps upload) Ability to sit and focus for the duration of the shift High School Diploma or GED · Attendance is mandatory for the first 90 days Clinical Pharmacist – Prior Authorization / Medicare Preferred Qualifications Prior experience in Managed Care or PBM environment Experience with prior authorizations, appeals, or coverage determinations Medicare Part D knowledge Previous remote or production-based pharmacist experience Knowledge of Access, PowerPoint, and Visio If you think this Clinical Pharmacist – Prior Authorization / Medicare (Remote) position is a good fit for you, please reach out to me – feel free to call, e-mail, or apply to this posting!
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