MedImpact Healthcare Systems, Inc.
1001 - 5000 employees
Founded 1988
💼 Consulting
🛡️ Insurance
📦 Logistics
💰 $1.4M Seed Round on 2013-09
Consulting • Insurance • Logistics
MedImpact Healthcare Systems, Inc. is a pharmacy benefit manager that works with health plans to make pharmacy benefits more accessible and affordable for members. The company serves over 20 million members and handles more than $40 billion annually in pharmacy transactions. MedImpact provides a variety of services including medication reminders, home delivery, and more to empower individuals to manage their prescriptions effectively. By leveraging technology and resources, MedImpact aims to offer a better choice within the pharmacy benefits market and supports health solutions in ensuring convenient and reliable access to medications for its members.
Prior Authorization Guidelines Specialist I
🔥 0 minutes ago
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MedImpact Healthcare Systems, Inc.
1001 - 5000 employees
Founded 1988
💼 Consulting
🛡️ Insurance
📦 Logistics
💰 $1.4M Seed Round on 2013-09
Consulting • Insurance • Logistics
MedImpact Healthcare Systems, Inc. is a pharmacy benefit manager that works with health plans to make pharmacy benefits more accessible and affordable for members. The company serves over 20 million members and handles more than $40 billion annually in pharmacy transactions. MedImpact provides a variety of services including medication reminders, home delivery, and more to empower individuals to manage their prescriptions effectively. By leveraging technology and resources, MedImpact aims to offer a better choice within the pharmacy benefits market and supports health solutions in ensuring convenient and reliable access to medications for its members.
📋 Description
• Provide technical and administrative support to the Fee-For-Service (FFS) Medicaid department • Create and maintain PA Guidelines documents (content management, file maintenance and archiving) • Provide technical and administrative support to the Clinical Program Manager, Clinical PA Guidelines, Drug Information and PA&UM staffs • Communicate with clients to obtain client authorization of final documents and ensure timely distribution • Manage review/QA process for medical exception/prior authorization guidelines prior to implementation
🎯 Requirements
• CL05 - AA and 2+ years’ experience or equivalent combination of education and experience • Intermediate knowledge of MS Office/Word, Excel, and Outlook and aptitude for new programs • Experience with Windows based database programs • Must successfully complete one of the national certification exams OR obtain state licensure (in an U.S. State or Territory) • Maintains a current Pharmacy License and/or CPhT certification without restriction • Understanding of managed pharmacy benefit concepts including formularies, prior authorizations, edits, and claim adjudication
🏖️ Benefits
• Medical / Dental / Vision / Wellness Programs • Paid Time Off / Company Paid Holidays • Incentive Compensation • 401K with Company match • Life and Disability Insurance • Tuition Reimbursement • Employee Referral Bonus
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