Strategic Staffing Solutions
STRATEGIC STAFFING SOLUTIONS (S3) HAS AN OPENING!
Strategic Staffing Solutions is currently looking for a Prior Authorization Specialist for a contract opportunity with one of our largest clients located in Detroit, MI!
Title: Prior Authorization Specialist
Location: Detroit, MI (Remote/Call center)
Role Type: W2 Contract Engagement
Engagement Description
This position requires the ability to multitask within a high-volume concierge contact center setting.
Top 3 Required Skills/Experience
- Ability to process Coverage Determination Requests within CMS Timeframes
- Ability to communicate all pharmacy benefits both verbally and written
- Ability to have strong attention to detail while multitasking within a high demand environment
Required Skills/Experience
- Minimum 2 years of experience in Pharmacy Retail, PBM, Hospital, Managed Care
- Experience with Microsoft Programs (Outlook, Excel, Word, Access)
- Knowledge of prescription drug names, therapeutic classes and claims processing
- Knowledge of Privacy Regulations
- Pharmacy Technician Certification (PTCB) preferred
Preferred Skills/Experience
- Medicare Part D Experience
- Contact Center Experience
- Knowledge of CMS/NCQA regulations
- Knowledge of pharmacy claims processing
Education/Certifications
- High School Diploma
- 2 years of college preferred
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-231158
Publish Date: 15 Sep 2023