Authorization jobs in Bridgewater, NJ, USA

Duties The Prior Authorization Technician I assists in the prior authorization process.Reports directly to the Supervisor, Prior Authorization Technicians.Processes prior authorization requests received from providers, members, and pharmacies, including requests for high-cost and specialty medications.Interprets and applies clinical criteria during the prior authorization review process and approves requests if applicable.Utilizes member claims history during the prior authorization review proce