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Duties: • Under the direct supervision of the Supervisor, Pharmacy Services Call Center, the Pharmacy Call Center Technician is responsible for providing knowledgeable and courteous customer assistance and response to members, providers and Pharmacy Call Center Technician inquiries.  Princ...
Location: Pennsylvania, USA
Duties:• Under the general supervision of the Supervisor of Pharmacy Prior Authorization Technicians, the Pharmacy Services Technician I assist in the prior authorization process.• Reviews and approves physician inquiries for pre-authorization and medical necessity requests based on establ...
Location: Pennsylvania, USA
Project Analyst Jul-18-2019
Duties: • The primary purpose of the job is to: • To support major existing client projects and new business implementations through coordinating and completing detailed documentation ensuring timely, accurate, and efficient requirements and deliverables for on-time execution. • Suppo...
Location: Pennsylvania, USA
Care Manager II Aug-15-2019
Duties: • The primary purpose of the job is to:Under the Supervision of the Manager of Care Management, the Care Manager is responsible for the overall accountability for the identification of members appropriate for care management services. Completes a comprehensive Initial Assessment and gat...
Location: Pennsylvania, USA
Duties: • The primary purpose of the job is to:The Personal Care Connector (PCC) is a high-touch, extremely effective service specialist, responsible for supporting the daily operations of Medicare Member Services (Personal Service Program), integrated care management, and utilization managemen...
Location: South Carolina, USA
Care Connector Aug-15-2019
Duties: • The Care Connector is responsible for supporting the daily operations of integrated care management and utilization management program interventions.  • The Care Connector performs in a contact center environment, effectively processing calls from Members, Providers and othe...
Location: Delaware, USA
Duties: Responsibilities:• The Performance Management Business Intelligence Analyst is a key member of the team responsible for producing and delivering the enterprise performance reporting and analytics to the Senior Leadership Team and other key stakeholders, within the required time-line. Th...
Location: Pennsylvania, USA
Duties: The primary purpose of the job is to:Under the general supervision of the Supervisor of Pharmacy Prior Authorization Technicians, the Pharmacy Services Technician I assists in the prior authorization process.• Responsible for reviewing  and approving physician or member inquiries...
Location: Pennsylvania, USA
Duties: The primary purpose of the job is to:• Responsible for managing and providing oversight for the Community Outreach Offices and external member advocates.  • The Supervisor will oversee the daily outreach, health education, and retention activities of the staff within the Commu...
Location: District of Columbia, USA
Duties: • This position will provide administrative support to the PerformRx Pharmacy Call Centers and Pharmacy network. • It is essential that the individual is organized, self-directed, have the ability to coordinate projects within all lines of business and be able to work in an environ...
Location: Pennsylvania, USA