Authorization Support Specialist

2 weeks ago


Detroit, Michigan, United States Strategic Staffing Solutions Full time

Position:

Authorization Support Specialist Please review the details outlined in this job description.


Work Environment:
Remote/Call center

Employment Type:
W2

Contract Duration: 6+ Months Engagement Overview: The pharmacy technician will operate within a provider call center, managing requests for authorization and addressing inquiries related to general utilization management and claims denials for both Network and Michigan commercial members.

Essential Skills/Experience:

  • Comprehensive understanding of pharmacy benefit medications and utilization management processes
  • Proficient computer skills with web-based applications and Windows 10
  • Capability to professionally handle provider calls in a call center setting
Additional Skills/Experience:

  • Strong written and verbal communication abilities
  • Problem-solving skills to address issues using desk-level procedures
  • Comfort with uncertainty in a dynamic environment where processes are frequently updated
  • Meticulous attention to detail to ensure compliance with NCQA standards and timelines
Preferred Qualifications:

  • Experience in a health plan setting is advantageous
  • Background in specialty pharmacy is beneficial
  • Familiarity with medical benefit drug billing and utilization management is a plus
Education/Certifications:

  • Valid Michigan pharmacy technician license

About Strategic Staffing Solutions: Our mission is to foster trustworthy relationships and provide solutions that positively influence our clients, consultants, and communities.


Our Core Values:

  • Establish high standards for corporate responsibility
  • Generate employment opportunities
  • Provide individuals with the chance to thrive and improve their circumstances
  • Enhance the communities where we operate through volunteerism and charitable contributions

As a member of Strategic Staffing Solutions, you will have access to a comprehensive benefits package that may include:

  • Medical Coverage
  • Dental Coverage
  • Vision Coverage
  • 401(k) Retirement Plan
  • Paid Time Off
  • Life and Disability Insurance Options
  • Flexible Spending Accounts
  • Educational Assistance


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