WVU
**MINIMUM QUALIFICATIONS:** has two (2) or more years of pharmacy specific experience, s of Pharmacy Technician or healthcare related experience
**PREFERREDQUALIFICATIONS:****EDUCATION, CERTIFICATION, AND/OR LICENSURE:**
high school education in a science field of study **CORE DUTIES AND RESPONSIBILITIES:** The statements described here are intended to describe the general nature of work being performed by people assigned to this position.
They are not intended to be constructed as an all-inclusive list of all responsibilities and duties.
Other duties may be assigned.**PHYSICAL REQUIREMENTS:** The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.* Complete medication prior authorizations using payer portals, electronic systems, and direct communication with insurance companies.* Investigate insurance coverage criteria, documentation requirements, and medication policies to ensure accurate submissions.* Collaborate with WVUH providers, clinic staff, and pharmacists to obtain necessary clinical information.* Monitor, track, and follow up on pending authorizations to ensure timely resolution.* Maintain organized records of PAs, approvals, denials, and other appropriate documentation.* Escalate high-priority requests or barriers to the appropriate clinical or administrative teams.* Communicate workload challenges proactively to supervisors while maintaining a solution-oriented, go-getter approach.* Adapt to expanding responsibilities as the program grows, including potential involvement in workflow improvements or training. #J-18808-Ljbffr
**PREFERREDQUALIFICATIONS:****EDUCATION, CERTIFICATION, AND/OR LICENSURE:**
high school education in a science field of study **CORE DUTIES AND RESPONSIBILITIES:** The statements described here are intended to describe the general nature of work being performed by people assigned to this position.
They are not intended to be constructed as an all-inclusive list of all responsibilities and duties.
Other duties may be assigned.**PHYSICAL REQUIREMENTS:** The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.* Complete medication prior authorizations using payer portals, electronic systems, and direct communication with insurance companies.* Investigate insurance coverage criteria, documentation requirements, and medication policies to ensure accurate submissions.* Collaborate with WVUH providers, clinic staff, and pharmacists to obtain necessary clinical information.* Monitor, track, and follow up on pending authorizations to ensure timely resolution.* Maintain organized records of PAs, approvals, denials, and other appropriate documentation.* Escalate high-priority requests or barriers to the appropriate clinical or administrative teams.* Communicate workload challenges proactively to supervisors while maintaining a solution-oriented, go-getter approach.* Adapt to expanding responsibilities as the program grows, including potential involvement in workflow improvements or training. #J-18808-Ljbffr