HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

• Track and triage all coverage determination requests for prior authorizations and Medicare Part D recipients

• Track and triage coverage determination requests submitted from providers and determine if a pharmacist review is required

• Obtain verbal authorizations and request detailed clinical information from prescribers

• Approve coverage determination requests based on defined criteria

• Enter and document coverage determination request decision into the PBM system and notify providers and/or members

• Respond to client inquiries regarding authorization approvals and PBM on-line applications

• Refer coverage determination requests for specialty drugs to delegated vendor or client for processing

• Contact providers for additional information to facilitate coverage determination reviews

• Notify physicians, providers and members of coverage determination request decisions

• Certified Pharm tech (CPhT)

• STRONG work ethic- really important to hiring manager!!

• 1+ year retail, hospital, or mail order experience

• Good communication

• Positive attitude

Advantages of this Opportunity:

• Hours for this Position: Monday- Friday 8a-5p

• Pay $16.00 per hour, negotiable

• Immediate opening, Temp-to-Perm position with excellent benefits offered.

If you are interested, please call, Omar cervantes at 407-478-0332 ext. 129 and email your resume to me.

If you know of someone looking for a new opportunity, please pass along my contact information! We offer referral bonuses of up to $100.00 for each placement.