Remote Medicare PA Tech: Prior Authorization Specialist
Actalent
Actalent is seeking a Remote Pharmacy Technician to support Medicare and Medicaid patients by processing and reviewing prior authorizations in a fully remote environment. You will handle intake, apply criteria, and determine whether medications should be approved, denied, or partially covered. This role emphasizes detailed data entry, familiarity with managed care pharmacy, and professional phone support to patients and providers.
#J-18808-Ljbffr- ...Actalent is seeking a Remote Pharmacy Technician to support Medicare and Medicaid patients by processing prior authorizations in a fully remote role. You will intake requests, perform technical reviews, and determine coverage based on established criteria, SOPs, and medical...Remote workContract work
$20 per hour
...seeking Pharmacy Technicians/CSR for a remote 1-year contract opportunity. Training is... ...hour. Responsibilities include inbound Prior Authorization support, documentation, and escalation... ...The role requires 2+ years in healthcare/PA call centers, pharmacy terminology experience...Remote workContract workShift work- ...Staffing Solutions is seeking an experienced LVN/LPN for a fully remote Prior Authorization and Appeals role in the United States. The position supports... ...PM CT. Required are an active LVN/LPN license and 2+ years PA experience in PBM, MDO, or clinical settings. #J-18808-...Remote workShift workWeekday work
- About this job Job Title: Prior Authorization Specialist Location: Fully remote Duration: 12 months... ...process prior authorization (PA) and drug benefit... ...and in accordance with Medicare Part D CMS Regulations.... ...School diploma or GED US Tech Solutions is a global staff...Remote workContract work
$220k - $245k
.... Our new clinical model is tech-enabled, backed by the best... ...clinical team as an Obesity Specialist. In this role, you will be at... ...Collaborate with nursing staff on prior authorizations and care coordination.... ...-time (30+ hours) Location: Remote Compensation and Benefits: Pay...Remote workFull timeMonday to FridayFlexible hours- ...Mass General Brigham Authorization SpecialistMass General Brigham relies... ...doctors, nurses, business people, tech experts, researchers, and... ...SummaryReviews and processes prior authorization and referral... ...Additional Job Details (if applicable)Remote Type: RemoteWork Location: 39...Remote workShift work
$19.37 - $27.71 per hour
...nurses, business people, tech experts, researchers,... ..., 40-hour Practice Specialist to join our Sports Medicine... ...for staff. Manage authorizations in collaboration with... ...takes messages related to prior authorizations,... ...strongly preferred. Remote Type: Onsite Work Location...Remote workHourly payFull timeMonday to FridayShift workWeekend work- ...DUTIES: The Medication Access & Adherence Specialist plays a dual role in supporting timely... ...is responsible for managing prior authorization (PA) processes while proactively engaging... ...environment. Dedicated home office space for remote work flexibility, as role is assigned/...Remote workWork at officeWork from homeHome office
$22 - $26 per hour
...proper initiation, clinical review, submission, and follow up of prior authorizations. This role requires working knowledge of pharmacy benefits... ...established protocols. Knowledgeable to perform all PA functions. Qualifications ~ High School Diploma or GED or...Remote workMonday to FridayShift work- ...PharmD Live is seeking a Physician Assistant (PA-C) or Nurse Practitioner (NP) to support patients through our Chronic Care Management (CCM) and Remote Patient Monitoring (RPM) programs. This role emphasizes proactive, patient-centered care, chronic disease management...Remote work
- ...Tetra Tech is seeking experienced Disaster Recovery / Grant Management / Public Assistance Consultants to support FEMA PA and other disaster programs across the United States. This on‑call role may be remote, onsite, or hybrid depending on project needs and deployment...Remote workTemporary work
- ...MedImpact Healthcare Systems, Inc. in Tempe, AZ is seeking an experienced Prior Authorization Specialist to join the Operations team. You will process PA requests, use clinical guidelines, and communicate with physicians and pharmacies to obtain or verify information...Remote work
- ...TeleMed2U Inc. is seeking a Virtual Nephrologist PA/NP for a multi-specialty telehealth practice. This fully remote role focuses on evaluating and managing chronic kidney disease via a telemedicine platform. You'll document in EMR, collaborate with the care team, and...Remote work
- ...WellDyne is seeking a Prior Authorization Tech II for a fully remote role. You will initiate clinical prior authorization requests by telephone or email, create and fax cases for PA, and maintain complete, timely documentation; you will also resolve PA questions with prescribers...Remote work
$21 - $23 per hour
...Infusion Prior Authorization Specialist – Remote Position – Full Time Position Summary We’re looking for an EXPERIENCED U.S. based Infusion Prior Authorization... ...workflows. Extensive knowledge of Infusion PA management within a cancer center , including their authorization...Remote workHourly payFull timeShift work- ...Medication Access Specialist (COT) - Ophthalmology Appt Tech Hub Work Arrangement... ...Ophthalmology Appt Tech Hub - Remote Position JOB... ...Basket, electronic PA tools, patient calls... ...medication history, prior trials,... ...to-consumer options, Medicare Extra Help, specialty...Remote workTemporary workMonday to FridayDay shift
- ...American Oncology Network, LLC in Houston, TX seeks a qualified APRN/PA to provide high-quality virtual oncology care. This full-time role offers remote work with travel 0-25% as needed. You will conduct virtual visits, coordinate care, prescribe within scope, and participate...Remote workFull time
$49.6k - $74.41k
...with the support, guidance and tech-enabled shared services... ...highly skilled subject matter specialists and operations executives, in... ...information, visit Summary The Medicare Specialist is responsible for... ...Conditions Work from home and remote location with a stable...Remote workHourly payTemporary workWork experience placementWork at officeLocal areaWork from homeFlexible hours- ...Job Overview The Intake Specialist is responsible for managing... ...elements are obtained prior to benefits investigation and authorization Patient & Provider... ..., including commercial, Medicare, and Medicaid Ability to... ...Paid Time Off. Location Remote with limited travel to client...Remote workWork at office
- ...To support Medicare coverage determination operations, the full-time Medicare Prior Authorization Specialist will manage incoming documentation, create case reviews using multiple... ...maintain accurate records while working remotely with rotating weekend shifts. Key...Remote workFull timeRotating shift
$77.12k - $138.81k
...spouses. USAA roles may offer remote or hybrid flexibility for... ...dedicated Physical Damage Specialist , you will be, within defined... ...in the Harrisburg Metro, PA area. Candidates who are willing... ...damage losses within authority granted and advances requests...Remote workContract workH1bRelocation package$61.3k - $122.7k
...suffering it causes. A Screening Solutions Specialist (SSS) is a front-line position in the... ...with or without accommodation. Legal authorization to work in the country of employment without... ...LOCATION: United States of America : Remote ADDITIONAL LOCATIONS: WORK SHIFT:...Remote workLocal areaWorldwideShift workNight shiftWeekend work- ...Actalent is actively screening for multiple remote Pharmacists to join a leading pharmacy... ..., AL. The Clinical Pharmacist reviews prior authorization and appeals, collaborates with prescribers... ...compliance while improving the PA program. Responsibilities include evaluating...Remote work
$19 - $20 per hour
## Authorization Management SpecialistApply: In Person... ...Management Specialist**Department:** Operations... ...summaries and prior authorizations, correspondence... ...of all PA requests and... ...Working knowledge of Medicare, Medicaid, Commercial... ..., meetings, and remote events* Constantly...Remote workHourly payFull timeWork experience placementWork at officeLocal areaMonday to Friday- ...informed decisions that advance care. Labcorp is seeking a REMOTE a Pre Authorization Specialist II to join our team! Work Schedule: Monday – Friday; 8:0... ...completeness and accuracy of required documentation for prior authorization Work directly with various vendors to...Remote workTemporary workCasual workInternshipWork at officeMonday to FridayFlexible hoursDay shift
$20 per hour
...Role Snapshot The Intake Specialist manages inbound and outbound... ...cases. This role supports prior authorizations, claims processing including... ...consideration, we do offer remote work in the following approved... ...for beneficiaries of the Medicare program and manage benefits...Remote workHourly payFor contractorsWork at officeLocal areaImmediate start2 days per week$139.23k - $168.71k
...those who do it. Position: Senior Therapeutic Area Specialist Therapeutic Area (TA): Psychiatry Location: Philadelphia, PA; Philadelphia, PA/Sharon Hill, PA/Cheltenham,... ...deemed acceptable by the Company. #LinkedIn Remote We hire for skills and capabilities, not just credentials...Remote workHourly payFull timeSummer workPrivate practiceLive inWork at officeLocal areaFlexible hours$80k - $100k
...Work Environment\n This role is primarily remote, allowing for a flexible work-life balance... ...needs. \n Preferred Experience\n \n Prior experience in outpatient mental health... .... Join us in our mission to provide exceptional mental health care in Doylestown, PA!...Remote workFull timeFlexible hours$22 - $25 per hour
...company reimagining how Medicaid and Medicare serves the most underserved populations. As a tech‑enabled medical group, we... ...This position primarily allows for remote work; however, it includes 2-3... ...practitioner, and Community Engagement Specialist with delegated tasks....Remote jobFull timeWork experience placementLocal areaWork from homeFlexible hours$22 - $25 per hour
...company reimagining how Medicaid and Medicare serves the most underserved populations. As a tech-enabled medical group, we... ...This position primarily allows for remote work; however, it includes 2-3... ...practitioner and Community Engagement Specialist with delegated tasks...Remote jobFull timeWork experience placementLocal areaWork from homeFlexible hours
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