Prior Authorization Specialist

🕒 Yesterday

🍂 Massachusetts – Remote

info

💵 $68.8k - $80.8k / year

⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

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Logo of Community Care Cooperative (C3)

Community Care Cooperative (C3)

201 - 500 employees

Founded 2016

🤝 Non-profit

🤝 B2B

🌍 Social Impact

Non-profit • B2B • Social Impact

Community Care Cooperative (C3) is a rapidly growing non-profit created by Federally Qualified Health Centers (FQHCs) to strengthen primary care, improve financial performance, and advance racial justice. C3 unites health centers into FQHC-led accountable care networks, providing contracting, data, actuarial, and population-health capabilities to enable participation in value-based payment and care models. It also operates affiliates that deliver technology services (Community Technology Cooperative), pharmacy operations and 340B support (Community Pharmacy Cooperative), and a statewide telehealth consortium to help health centers integrate telehealth into primary and behavioral care.

📋 Description

• Providing prior authorization services, including insurance benefit investigation, copay assistance, foundation support, and insourcing the dispensing function of Specialty Medications • Communicates with providers, patients, pharmacy and health center teams in a professional and efficient manner • Tracks, documents, and reports out cost savings associated with patient assistance drug recovery programs and provides updates to pharmacy management • Resolve insurance related issues, including prior authorizations, and assist patients with various forms of financial assistance

🎯 Requirements

• Current licensure in Commonwealth of Massachusetts as a pharmacy technician • 1 year experience in submitting prior authorizations on behalf of a medical center • GED or High School diploma required

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