Remote Pharmacy Tech: Claims & Prior Authorizations

Gainwell Technologies

Remote job

Gainwell Technologies is looking for a Certified Pharmacy Technician to support pharmacy operations by assisting members, providers, and pharmacies with prior authorizations, claims inquiries, and benefit questions. You will work in a fast-paced environment while ensuring accuracy and maintaining exceptional customer service. The ideal candidate will have an active Pharmacy Technician registration and experience in pharmacy operations. This position offers remote work opportunities along with a comprehensive benefits package including medical, dental, vision, and flexible paid time off. #J-18808-Ljbffr Gainwell Technologies

Apply

Vacancy posted 1 day ago

Similar jobs that could be interesting for youBased on the Remote Pharmacy Tech: Claims & Prior Authorizations in Brooklyn, NY vacancy

Remote Pharmacy Tech - Prior Authorization Pro
$18 - $20 per hour
Actalent is hiring Certified Pharmacy Technicians for a 100% remote role across multiple time zones. Candidates will process prior authorizations, resolve claim issues, and handle prescription information in a fully computer-based setting. The ideal applicant will possess...
Remote job
Claims
Hourly pay
Actalent
Chicago, IL
2 days ago
Clinical Support Specialist
...is a Series D health‑tech startup that is building... ...between doctors, pharmacies, and patients to streamline... ...day. In this fully remote position, you will... ...workflows, assisting with prior authorizations, processing orders,... ...of pharmacy claims processes and coverage...
Remote work
Claims
Work at office
Phil
New York, NY
20 hours ago
Clinical Pharmacist - Utilization Management Archimedes
...to high-cost case management and prior authorization of specialty medications, across pharmacy and medical benefits and... ...Brentwood, TN or St Louis, MO offices. Remote employment also considered. Responsibilities... ...authorization, high-cost cases, claims editing and clinical policy...
Remote work
Claims
Navitus Health Solutions
Boise, ID
2 days ago
Senior Manager, Prior Authorizations (Pharmacist) - Missouri
$122.2k - $174.6k
...Senior Manager, Prior Authorizations (Pharmacist) - Missouri It takes great... ..., but not limited to: Claims, Grievance and Appeals, Clinical... ...is required Experience with pharmacy claims, clinical operations... ...expect in this role This is a remote position within Missouri, with...
Remote work
Claims
Permanent employment
Full time
Flexible hours
Gainwell Technologies
United States
1 day ago
Medical Director - Prior Authorization - DME - Remote
$248.5k - $373k
...connecting people with the care, pharmacy benefits, data and resources... ...coverage and medical claims reviews. Our role is to empower... ...the flexibility to work remotely * from anywhere within the U... ...CA, MN, TX, KY, MD or HI Prior Authorization experience specific to DME...
Remote work
Claims
Minimum wage
Work experience placement
Local area
UnitedHealth Group
Houston, TX
20 hours ago
Senior Business Systems Analyst
$91.7k - $163.7k
...improve health outcomes by connecting people with the care, pharmacy benefits, and data they need to feel their best. Here,... ...primary charter: the conversion and loading of historical claim and prior authorization (PA) data for new business. Serving client-facing lines...
Remote work
Claims
Minimum wage
Full time
Work experience placement
Local area
UMR
United States
4 days ago
Pharmacy Services Supervisor - Remote US
$55.5k - $79.3k
Summary As a Pharmacy Services Supervisor at Gainwell Technologies you will lead... ...provider and member support, prior authorization services, pharmacy claims operations, quality initiatives, and... ...preferred. What you should expect Remote work environment supporting...
Remote job
Claims
Work at office
Gainwell Technologies
Annapolis, MD
3 days ago
Pharmacy Technician - Prescription Routing & Claims Support
$40k - $48k
...based, Series D health-tech startup that is... ...streamlining how doctors, pharmacies, and patients interact... ...Scottsdale, AZ (in-office; remote eligible after 90 days... ...situations for a prior authorization (PAs) need via payer-specific... ...routing details, claim updates, and actions taken...
Remote work
Claims
Hourly pay
Full time
Work at office
Monday to Friday
Afternoon shift
Early shift
Phil, Inc.
Scottsdale, AZ
more than 2 months ago
Imaging Resource Specialist II - Atrius Health
...Imaging Authorization Coordinator Optum is a global organization... ...people with the care, pharmacy benefits, data and... ...schedule or fully remote (if hybrid, schedule... ...STAT and urgent request prior authorizations,... ...required to process the claim, and obtain pre-certification...
Remote work
Claims
Hourly pay
Temporary work
Work experience placement
Work at office
Local area
Monday to Friday
UMR
Norwood, MA
1 day ago
Clinical Pharmacist 1
€85 - €100 per day
...Pharmacist 1. This is a fully remote opportunity supporting Centene Pharmacy Services. The Clinical Pharmacist... ...Responsibilities Review completed prior authorization requests and pharmacy technician... ...Evaluate prescription claim history, chart notes, and laboratory...
Remote work
Claims
Full time
Contract work
Work at office
Immediate start
Monday to Friday
A-Line Staffing Solutions
Texas City, TX
5 days ago
Insurance Verification Specialist - Specialty Pharmacy
$19 - $22 per hour
...but may offer hybrid and/or remote opportunities once requirements... ...also provides support for Prior Authorizations (PA) for an assigned... ...authorization process and claims appeals Report any reimbursement... ...with Major Medical & Pharmacy Benefit Coverage 2 to 3...
Remote work
Claims
Temporary work
Local area
Immediate start
Flexible hours
AssistRx
Overland Park, KS
2 days ago
Pharmacy - Pharmacy Tech Outpatient
...- 0 Hours NBO vs. Standard 40 NBO**" Pharmacy Tech Role **OR PHARM TECH LIC REQUIRED** **... ...providers and their staffs regarding claims, medication management programs, and initiatives... ...and processes independently pharmacy prior authorizations taking into consideration pharmacy...
Claims
Zero hours contract
Work at office
Immediate start
Weekend work
Carenest Health Services
Portland, OR
9 days ago
Remote Pharmacy Technician
$300 per month
...development Wellness resources We’re Hiring: Remote Pharmacy Technicians Full-Time Must reside in OH... ...Medicare members with rejected pharmacy claims Work directly with providers and pharmacies to process prior authorizations Complete outbound service calls for...
Remote work
Claims
Hourly pay
Full time
Work from home
Monday to Friday
Pharmacy Synergistics Inc
Camden, SC
3 days ago
Pharmacy Tech
$18.6 per hour
...and holiday rotation The Ambulatory Pharmacy Technician supports the operation of... ...and efficient adjudication of online claims, counting/measuring and/or reconstituting... ...phones, opening mail, initiating prior authorizations, and assisting in record-keeping including...
Claims
Temporary work
Relocation package
Monday to Friday
Shift work
Weekend work
UnityPoint Health
Madison, WI
3 days ago
Pharmacist - Remote
...reviewing and completing criteria based on prior authorization as per policy and procedure.... ...authorization experience required. Previous pharmacy experience in retail or hospital... ...residence in good standing. About US Tech Solutions: US Tech Solutions is a global...
Remote work
Contract work
US Tech Solutions
United States
4 days ago
Pharmacist
...Remote, TX Contract Job Title: Prior Authorization Pharmacist Location:Remote Duration: 6+ months contract... ...experience required. Previous pharmacy experience in retail or hospital... ...authorization and appeals? About US Tech Solutions: US Tech Solutions...
Remote work
Contract work
US Tech Solutions
Austin, TX
4 days ago
Utilization Management Pharmacist (temp-to-hire)
$125k - $130k
...corporation delivering full-service pharmacy benefit management (PBM)... ...), which consolidates all claim administration-related... ...is responsible for reviewing prior authorization requests, supporting clinical... ...and location of the job. Remote, US Salary Range $125,000—$1...
Remote work
Claims
Temporary work
Local area
Flexible hours
Weekend work
Capital Rx
New York, NY
1 day ago
Pharmacy Prior Authorization Specialist
$23 per hour
...Pharmacy Prior Authorization Specialist - Onco360 Pharmacy Louisville, KY | Full-Time | Starting... ...ideal for candidates local to the area. Remote work possible after initial on-site... ..., addressing and rectifying rejected claims and conducting necessary third party...
Remote work
Claims
Full time
Temporary work
Local area
Relocation package
Onco360
Louisville, KY
1 day ago
Pharmacist - Prior Authorization
...reviews of medical data collected to perform prior authorization for specialty medications. The clinical... ...and disease-states for the Specialty Pharmacy programs administered within the Case... ..., Pharm D Preferred. About US Tech Solutions: US Tech Solutions is a global...
Remote work
US Tech Solutions
United States
1 day ago
Pharmacist
...reviews of medical data collected to perform prior authorization for specialty medications. The clinical... ...and disease-states for the Specialty Pharmacy programs administered within the Case... .... Skills: Pharmacy tech, Prior authorization About US...
Remote work
Work experience placement
Varite
United States
4 days ago
Remote Senior Clinical Pharmacy Tech - Prior Authorization
$19.23 - $28.85 per hour
...JobRx, Inc. is seeking a Clinical Pharmacy Technician Sr to evaluate and authorize prior authorization pharmacy requests. This remote position requires a GED or high school diploma, along with active pharmacy technician licensure and at least 2 years of pharmacy experience...
Remote work
JobRx, Inc.
New York, NY
4 hours ago
Prior Auth Pharmacy Tech I
$18 - $19 per hour
$18-$19 per hour remote, RI Contract Job Summary: The Tech I Prior Auth. takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous... ...callers through the criteria based prior authorization process. Maintains complete, timely...
Remote work
Hourly pay
Contract work
Traineeship
Work experience placement
US Tech Solutions
Providence, RI
2 days ago
Prior Authorization Specialist
...Remote, RI Contract Job Title: Prior Authorization Specialist Location: Fully remote Duration: 12 months contract... ...in-bound calls from providers, pharmacies, members, etc providing... ...School diploma or GED About US Tech Solutions: US Tech Solutions...
Remote work
Contract work
US Tech Solutions
Providence, RI
2 days ago
Senior Business Analyst - Pharmacy
$69.4k - $99.2k
...a Senior Business Analyst - Pharmacy at Gainwell, you can contribute... ...updates, and auto prior authorization parameters Be a knowledgeable... ...point of sale (POS) pharmacy claims as required Exercise your ability... ...should expect in this role Remote opportunity from most US...
Remote work
Claims
Full time
Flexible hours
Gainwell Technologies LLC
Ohio
3 days ago
Experienced Technical Analyst - MMIS / Medicaid Pharmacy
$86.8k - $124k
...(MMIS) and/or the Medicaid Pharmacy environment. This role provides... ...including Member, Provider, Claims (Medical, Dental, and/or... ...Pharmacy), Utilization Management, Prior Authorization, Finance, and Plan/Care... ...expect in this role Fully remote options from continental US...
Remote work
Claims
Full time
Flexible hours
Gainwell Technologies
Raleigh, NC
3 days ago
Retail Pharmacy Tech
...Pharmacy Technician UCBC's medically-integrated pharmacy is seeking an experienced,... ...by assisting with processing pharmacy claims, filling prescriptions, filing insurance... ...procuring patient assistance, processing prior authorization requests, satellite deliveries,...
Claims
Full time
Monday to Thursday
Flexible hours
University Cancer & Blood Center
Athens, GA
1 day ago
Pharmacist
...Pharmacist Location: Remote Duration: 12+ months contract... ...requests related to their pharmacy benefits. You will be... ...Clinical decision regarding Prior Authorizations, Tier Exceptions and Non-Formulary... ...are residing. About US Tech Solutions: US Tech Solutions...
Remote work
Contract work
Varite
United States
4 days ago
Pharmacy Tech
$20 - $22 per hour
...Pharmacy Technician Capital Cardiology Associates is seeking an experienced, full... ...insurance formulary info, appeals, and prior authorizations. Help patients access affordable medications... ...~ Familiarity with pharmacy claims processing and insurance navigation...
Claims
Hourly pay
Full time
Local area
Monday to Friday
Capital Cardiology Associates
Albany, NY
20 hours ago
Pharmacy Technician
...DESCRIPTION Job Summary Provides support for pharmacy technician activities. Contributes to... ...receipt and review of non-formulary or prior authorization requests against pharmacy plan approved... ...in resolving member prescription claims, prior authorizations, and pharmacy...
Remote work
Claims
Work at office
Shift work
Molina Healthcare
United States
2 days ago
Pharmacy Coordinator
$19.39 per hour
...Pharmacy Call Center Representative This job provides front line staff guidance, ensures effective and efficient delivery... ..., injectable and infusion medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly defines the...
Remote work
Claims
Local area
Highmark Health
United States
3 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote Pharmacy Tech: Claims & Prior Authorizations. Be the first to apply!