Remote Prior Authorization Lead
Gainwell Technologies LLC
- Remote job
Gainwell Technologies LLC is seeking a Manager to lead healthcare-focused teams delivering high-quality operational outcomes. You will oversee performance, coach staff, and optimize processes within a flexible, remote role. The role emphasizes Medicaid experience, QA practices, and strong written/oral communication to drive client satisfaction and SLA achievement. Opportunities for growth and career development are offered. #J-18808-Ljbffr Gainwell Technologies LLC
- ...Centene is seeking an experienced Supervisor of Utilization Management to lead the Prior Authorization, Concurrent Review, and Retrospective Review teams. This remote role supports members across the health plan with a focus on quality and compliance. You will supervise...Remote work
- ...Cardiovascular Physicians of Delaware Position Title: Authorization/Eligibility Team Lead Location: Remote Who we are: Cardiovascular Physicians of... ...eligibility for services, and obtaining prior authorizations to ensure timely access to care. This...Remote workFull timeLocal area
- ...Cardiovascular Physicians of Delaware is seeking an Authorization/Eligibility Team Lead to oversee the daily operations of a remote team responsible for verifying patient insurance coverage, eligibility, and obtaining prior authorizations to ensure timely access to care....Remote work
$24.11 - $36.17 per hour
...UCHealth Remote position in Colorado Aurora seeks a Pharmacy Supervisor to lead the Patient Line Refill Center team. Requires High School diploma or GED and pharmacy... ...2 years technician experience (or 1 year in prior authorizations/refills). Pay: $24.11–$36.17 per hour,...Remote workHourly payFull timeDay shift$112k - $179k
...of the galaxy. As the world’s leading mission capability integrator... ...: Work Location: This is a remote position, but candidate must... ...awareness and compliance. Lead Authority to Operate (ATO)... ...unless the candidate has obtained prior written authorization. All interview...Remote workFull timeContract workTemporary workShift work- ...Lead Utilization Management Pharmacist overseeing daily clinical pharmacy functions... ...Key Responsibilities: Perform prior authorization reviews, appeal reviews, and override requests... ...Ability to work independently in a remote, metric-driven environment. Work Requirements...Remote workShift workWeekend work
$104k - $166k
...of the galaxy. As the world’s leading mission capability integrator... ...Work Location: This is a remote position, but candidate must... ...identified weaknesses. Support Authorization to Operate (ATO) processes by... ...the candidate has obtained prior written authorization. All interview...Remote workFull timeContract workTemporary workShift work- ...Lumicera is expanding its Prior Authorization team and seeks a Specialist III to coordinate daily operations, coach teammates, and drive KPI... ...authorizations for our specialty pharmacy. The role supports remote work options in the US, with a strong emphasis on cross-...Remote work
$112k - $179k
...reaches of the galaxy. As the world’s leading mission capability integrator and... ...Location: Work Location: This is a remote position, but candidate must be willing... ...prohibited unless the candidate has obtained prior written authorization. All interview responses must be the...Remote workFull timeContract workTemporary workShift work- ...Oscar is hiring a Clinical Pharmacist Supervisor - Prior Authorization to join our Pharmacy Utilization Management team. This role oversees... ...sound, evidence-based clinical decision-making. This fully remote position is open to candidates residing in the U.S., with...Remote work
$104k - $166k
...reaches of the galaxy. As the world’s leading mission capability integrator and... ...availability objectives. Location: Remote Shift Schedule: 8am – 5pm Eastern... ...prohibited unless the candidate has obtained prior written authorization. All interview responses must be the...Remote workFull timeContract workTemporary workShift work- ...Lumicera is expanding and seeks a Specialist III, Prior Authorization to help coordinate day-to-day operations of the Prior Authorization team. You will lead by example, coach teammates, and drive KPI achievement, provider and patient satisfaction, and workflow improvements...Remote work
- ...Judi Health, LLC is seeking a Lead Utilization Management Pharmacist to oversee daily... ...clinical pharmacy functions, including prior authorization reviews and education for members and... ...Pharmacy with 2+ years of experience. Remote work from the US with ET shift and weekend...Remote workShift workWeekend work
$320k - $340k
...next steps. Our partner is looking for a Lead Medical Director, Utilization... ...care quality, access, and outcomes. This remote-first role combines hands-on clinical judgment... ...: Complete assigned prior authorization, concurrent, retrospective, and other utilization...Remote workFull timeWork at officeFlexible hours- Alpaca Health, a remote-friendly US-based health innovator, is seeking a Prior Authorizations Manager to lead ABA intake and authorization workflows for multiple payors. This full-time position is remote and requires deep knowledge of pre-certification processes and payer...Remote jobFull time
$320k - $340k
...decisions and clear clinical policies. The Lead Medical Director, Utilization... ...Director, you will: Complete assigned prior authorization, concurrent, retrospective, and other... ...off policy. Additionally, we embrace a remote-first culture that supports collaboration...Remote workFull timeWork experience placementWork at officeLocal areaFlexible hours$134k - $146k
...for millions of Americans and proudly leading the next generation of care. To learn more... ...clinical pharmacy functions related to prior authorization reviews, override requests, member/... ...minimal supervision, stay productive in a remote, high-volume, metric driven call center...Remote workFull timeContract workLocal areaFlexible hoursShift workWeekend work$104k - $166k
...reaches of the galaxy. As the world’s leading mission capability integrator and... ...Cisco Firepower/ASA).Familiarity with remote administration tools.Desired Qualifications... ...unless the candidate has obtained prior written authorization. All interview responses must be the...Remote workContract workTemporary workShift work- ...PharMerica is seeking a remote Prior Authorization Supervisor to supervise representatives and drive performance in line with departmental policy. You will provide coaching through call scoring, side-by-side sessions, and direct feedback. Collaborate with Pharmacy,...Remote workMonday to Friday
- Lumicera in Columbus, OH is seeking a Specialist III, Prior Authorization to coordinate and lead the Prior Authorization team. This role focuses on coaching teammates, achieving KPI targets, and supporting providers and patients. You will train staff on protocols, use...Remote job
$132k - $165k
...Description Lead Data Analyst About Us At Gifthealth, we're revolutionizing... ...experience, including claims, adjudication, prior authorization, NDCs, or the prescription lifecycle.... ...Location : Columbus, OH or remote (US). Schedule : Full-time. May...Remote workFull timeLive inWork at officeShift work- Lumicera is seeking a Specialist III, Prior Authorization to coordinate daily operations of the Prior... ...a dynamic healthcare setting. You will lead, coach, and ensure timely, accurate... ...professionals to optimize outcomes and compliance. Remote-friendly with strong team leadership...Remote job
$123k - $141k
...Opportunity Overview: We are looking for a Lead Forward Deployed Healthcare Analyst to... ...design, execute, and maintain a robust prior authorization decisioning automation program.... ...Bachelor’s degree Pay & Perks: Fully remote opportunity with about 5% travel...Remote workFlexible hours- Lumicera is expanding its Prior Authorization team. This Specialist III role focuses on coordinating day-to-day operations, coaching teammates... ...escalations. Lumicera offers a comprehensive benefits package and remote-friendly work arrangements. #J-18808-Ljbffr LumiceraRemote job
$24.11 - $36.17 per hour
...relevant experience This position is a remote work role and does not provide an on-site work option. Summary: Leads team members of an assigned area or... ...experience or 1 year of experience performing prior authorizations or refill renewals. Employees are our...Remote workFull timeTemporary workLocal areaFlexible hoursShift work- Gainwell Technologies is seeking a Manager to lead teams delivering healthcare account services. You will guide staff, optimize operations... ...satisfaction while maintaining high quality standards. This remote, full-time role offers flexible vacation, 401(k) match,...Remote jobFull timeFlexible hours
- ...Lead a patient access team within ANI's Rare Disease Patient Support organization,... ...education to healthcare providers, support prior authorizations, and facilitate patient assistance... ...cross-functional collaboration, up to 25% travel, remote work setup. #J-18808-Ljbffr...Remote work
$112k - $125k
...excellent opportunity for an outstanding Lead Healthcare Analystto join a Series C... ...quantitative field. Pay & Perks: Fully remote opportunity with about 5% travel... ...providers and handles over 12 million prior authorization requests annually. Its responsible AI...Remote workFull timeWork experience placementWork at officeFlexible hours- PharMerica is seeking a skilled pharmacy professional to join our national remote team. The role focuses on prior authorizations, billing support, and ensuring accurate medication access for health care providers. You will work remotely within the Continental USA, following...Remote jobMonday to Friday
$116k - $125k
...Opportunity Overview: This is a remote-first role that may require travel to Boston... ...meetings and company events. The Lead Technical Program Manager, Implementations... ...the care continuum–including policy, prior authorization, payment accuracy, and more–the company...Remote workFull timeFlexible hours
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