Pharmaceutical

Prior Authorization Specialist

Contract

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

Tagged as: Prior Authorization Specialist