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in Warrenville, IL

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Hours Full-time, Part-time
Location Warrenville, IL
Warrenville, Illinois

About this job

Job Details:
-Supporting Priori Authorization program through the call Center.
-Provide daily operational support to the Prior Authorization (PA) department and Clinical call Center
-Serve as clinical resources for internal staff in regards to the Prior authorization program and other clinical call center activities.
-Serve as a clinical resource to the PA staff in reviewing denied, unclear or questionable PA requests.
-Communicate PA/appeal requirements to health care providers as requested.
-Review and administer PA appeal services including first level appeal reviews and coordination of 2nd level appeals with the appeal vendor.
-Handle escalated calls and other issues that may arise in the clinical call center to help maintain a smooth work flow and ensure turnaround times/SLAs are met for each client.
-Support Clinical Mail order calls, including handling escalated calls from members.

MUST HAVE:
-Current, active and unrestricted pharmacist license required in the state of practice.
-6 mos clinical experience required.
-2 years direct clinical program and/or prior authorization experience preferred.
-Shift flexibility--Monday through Saturday, 7am-12am

About Aerotek Professional Services:

Join Aerotek Professional Services®. Our customized employment solutions and personalized approach give job seekers access to great opportunities with competitive salaries. Aerotek offers comprehensive benefits that can include medical, dental, optical, and optional 401k. Don't put your career in the hands of just anyone; put it in the hands of a specialist. Launch or rejuvenate your career today with Aerotek Professional Services! Allegis Group and its subsidiaries are equal opportunity employers and will consider all applications without regard to race, marital status, sex, age, color, religion, national origin, veteran status, disability or any other characteristic protected by law.

Requirements

Pharmacy Technic-Uncategorized, Pharmacy Technician Certification, Pharmacy Technician License