Healthcare

Prior Authorization Specialist

Contract

Strategic Staffing Solutions

  

 STRATEGIC STAFFING SOLUTIONS HAS AN OPENING!

Strategic Staffing Solutions (S3) is currently looking for a Prior Authorization Specialist for a contract opening with one of our largest clients in Detroit, MI

This is a Contract Opportunity with our company that MUST be worked on a W2 ONLY, NO C2C eligibility for this position.  The details are below.

Prior Authorization Specialist

Responsibilities:

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.

Qualifications:

  • Excellent knowledge of pharmacy benefit drugs and utilization management
  • Excellent computer skills utilizing web-based applications and windows 10
  • Ability to professionally service provider calls in a call center environment
  • Required Skills/Experience – The rest of the required skills/experience.
  • Excellent written and verbal communication skills
  • Ability to problem solve and resolve issues referencing desk level procedures
  • Comfort with ambiguity in an area where processes and procedures are updated on a daily basis
  • Attention to detail to ensure adherence to NCQA standards and time frames
  • Preferred Skills/Experience –
  • Prior Health plan experience a plus
  • Specialty pharmacy experience a plus
  • Medical benefit drug billing and utilization management experience a plus
  • Education/Certifications – Include: • Michigan license as a pharmacy technician

 The 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 do
  • Create jobs
  • Offer people an opportunity to succeed and change their station in life
  • Improve the communities where we live and work through volunteering and charitable giving

As an S3 employee, you’re eligible for a full benefits package that may include:

  • Medical Insurance
  • Dental Insurance
  • Vision Insurance
  • 401(k) Plan
  • Vacation Package
  • Life & Disability Insurance Plans
  • Flexible Spending Accounts
  • Tuition Reimbursement

Job ID: JOB-204652
Publish Date: 27 Jul 2022

Tagged as: Prior Authorization Specialist