Prior Authorization & Appeals Specialist — Specialty Pharmacy

Hy-Vee

Hy-Vee is seeking a Dedicated Authorization Management Specialist located in Omaha, Nebraska. This full-time position involves handling prior authorizations and appeals while ensuring timely documentation and exceptional patient care. The ideal candidate will have strong communication skills and a high school diploma or equivalent. Experience in the healthcare industry, especially with HIPAA regulations, is preferred. The role requires proficiency in Microsoft Office and a commitment to excellent customer service. #J-18808-Ljbffr Hy-Vee

Apply

Vacancy posted 4 days ago

Similar jobs that could be interesting for youBased on the Prior Authorization & Appeals Specialist — Specialty Pharmacy in Omaha, NE vacancy

Weekday Authorization & Appeals Specialist
$19 - $20 per hour
JobRx, Inc. is seeking an Authorization Management Specialist in Omaha, NE. You will be responsible for preparing and submitting prior authorization requests, and communicating with healthcare... ...healthcare industry and experience in pharmacy operations. This position requires...
Suggested
Hourly pay
Monday to Friday
Weekday work
JobRx, Inc.
Omaha, NE
3 days ago
Senior Salvage Recovery Specialist
$101.18k - $120.46k
...Senior Shared Services Specialist Argo Group is an underwriter of specialty insurance products in the property and casualty... ...and within broad limits and authority, partner with adjuster, auto/property... ...or any other position without prior authorization from Human Resources...
Suggested
Work experience placement
Local area
Argo Group
Omaha, NE
1 day ago
Specialist, Appeals Claims
$74.8k - $78.7k
...The Role at a Glance As an Appeals Specialist you will be responsible for being a product subject matter expert to provide full, fair appeal reviews for multiple product lines. You will perform and deliver on appeals claims assignments/projects while simultaneously leveraging...
Suggested
Contract work
Temporary work
Work experience placement
Work at office
Lincoln Financial Group
Omaha, NE
20 hours ago
Specialist, Appeals Claims
$74.8k - $78.7k
...office location. Relocation assistance: is not available for this opportunity. Requisition #: 76084 The Role at a Glance As an Appeals Specialist you will be responsible for being a product subject matter expert to provide full, fair appeal reviews for multiple product...
Suggested
Contract work
Temporary work
Work experience placement
Work at office
Remote work
Work from home
Relocation package
Lincoln Financial Services
Papillion, NE
4 days ago
Appeals and Grievance Specialist
$45.9k - $78.6k
...is the norm and every member feels valued. Medica's Appeals and Grievance Specialist plays a vital role in ensuring our members and providers... ...sponsorship for this role. All candidates must be legally authorized to work in the United States at the time of application....
Suggested
Work experience placement
Work at office
3 days per week
Medica
Omaha, NE
20 hours ago
Laboratory Authorization and Outreach Specialist / Lab Administration
...timely service. Essential Functions Subject matter expert in prior authorization of genetic and complex laboratory testing; coordinates... ...regarding claim denials. Follows appropriate processes for appeals and peer‑to‑peer requests. Obtains and maintains knowledge...
Work at office
Children's Nebraska
Omaha, NE
1 day ago
Pharmacist Specialist - Family Medicine and Internal Medicine
...th weekend. Position Title Pharmacist Specialist - Family Medicine & Internal Medicine... ...highest quality patient care. Supervise pharmacy services in the assigned patient care area... ...preferred. Board of Pharmaceutical Specialties (BPS) certification as deemed appropriate...
Full time
Shift work
Weekend work
Day shift
Afternoon shift
Nebraska Medicine
Omaha, NE
1 day ago
Associate Veterinarian
$65k
...refer to local urgent care, emergency and specialty practices. We have digital x-ray,... ...labs, Avimark software and a well stocked pharmacy as well as an online pharmacy. Prescription... ...Veterinary License and DEA credentials prior to start of work. Interest in/proficient...
Full time
Work at office
Local area
All About Pets Veterinary Center
Omaha, NE
10 days ago
Office Specialist part time
...vice presidents of finance; from HR Business Partners to export specialists create happy customers spanning national accounts,... ...exchanges, and the Company's own brick-and-mortar grocery stores, pharmacies and fuel centers. Ready to contribute to the success of our...
Part time
Work at office
Visa sponsorship
Work visa
Shift work
SpartanNash
Omaha, NE
4 days ago
Office Specialist part time
...vice presidents of finance; from HR Business Partners to export specialists - create braggingly happy customers spanning national... ...exchanges, and the Company's own brick-and-mortar grocery stores, pharmacies and fuel centers. Ready to contribute to the success...
Part time
Work at office
Visa sponsorship
Work visa
Shift work
SpartanNash
Omaha, NE
3 days ago
Shipping Specialist
$18 per hour
Job Title Shipping Specialist Department Fulfillment Pharmacy Operations FLSA Non-Exempt Additional Considerations Pay: $18.00/hour Monday‑Friday Hours: 7 a.m. - 7 p.m.; varied shifts (to equal 40 hours per week) No weekends Six paid holidays Must pass post‑offer...
Work at office
Local area
Remote work
Monday to Friday
Shift work
JobRx, Inc.
Omaha, NE
1 day ago
Vascular Access Specialist
$90k - $95k
...healthcare industry. Other key product areas include nutrition, pharmacy admixture and compounding, ostomy and wound care, and dialysis... ...growth objectives. Work with varying Hospital sales specialties to qualify new leads and advance the sales process. The job...
For contractors
Seasonal work
Work at office
Remote work
B. BRAUN MEDICAL (US) INC
Omaha, NE
more than 2 months ago
Sanitation Associate
...Business Partners to export specialists — create braggingly happy customers... ...-and-mortar grocery stores, pharmacies and fuel centers. Ready to... ...experience preferred. Prior experience operating power industrial... ...Services, The Davidson Specialty Food Group and SpartanNash —...
Full time
Visa sponsorship
Work visa
Flexible hours
Shift work
Night shift
Weekend work
Day shift
Afternoon shift
2 days per week
SpartanNash
Omaha, NE
13 hours ago
Physician-Ophthalmology (Retina Specialist)
...is seeking an Ophthalmologist – Retina Specialist to join the Ophthalmology Section of the... ...Veterans Affairs in an accredited core specialty program leading to eligibility for board... ...all patient orders: laboratory, imaging, pharmacy, prosthetics, specialty consults in CPRS...
Contract work
Part time
Traineeship
Weekend work
US Department of Veterans Affairs
Omaha, NE
20 hours ago
Behavior Specialist
$23 per hour
...organization with a social mission to offer hope, is seeking a Behavior Specialist to join our award-winning Special Education team and... ...in company approved crisis management training. Prior experience providing behavioral instruction, guidance and/or support...
Full time
Work at office
Immediate start
Flexible hours
ChanceLight Behavioral Health, Therapy, & Education
La Vista, NE
a month ago
Physician-Ophthalmology (Retina Specialist)
...Ophthalmologist, Retina Specialist to join the Ophthalmology... ...laboratory, imaging, pharmacy, prosthetics, and consults for specialty care to be completed through... ...for appropriateness prior to scheduling. The selected... ...the appointment under authority of 38 U.S.C. 7405 of a physician...
Full time
Contract work
Part time
Traineeship
Freelance
Internship
Seasonal work
Work at office
Local area
Weekend work
VETERANS HEALTH ADMINISTRATION
Omaha, NE
4 days ago
Physician-Ophthalmology (Retina Specialist)
...is seeking an Ophthalmologist - Retina Specialist to join the Ophthalmology Section of the... ...Secretary of Veterans Affairs in an accredited specialty program leading to board certification... ...patient orders for laboratory, imaging, pharmacy, prosthetics, and specialty consults via...
Part time
Freelance
Weekend work
Direct Jobs
Omaha, NE
20 hours ago
Referral Specialist
$15.67 - $22.14 per hour
...and Responsibilities As our Referral Specialist, you will be a vital part of our... ...patients, referring clinicians, and various specialty departments to ensure a seamless referral... ...for referred services, validate pre-authorizations, and manage referral work queues in the...
Work at office
Catholic Health Initiatives
Omaha, NE
4 days ago
Deli Associate
...vice presidents of finance; from HR Business Partners to export specialists — create braggingly happy customers spanning national... ...exchanges, and the Company’s own brick-and-mortar grocery stores, pharmacies and fuel centers.Ready to contribute to the success of our food...
Visa sponsorship
Work visa
Supermercado Nuestra Familia
Omaha, NE
1 day ago
Fire & Life Safety BIM Specialist
Fire & Life Safety Digital Design Specialist - (186292) At HDR, our employee-owners are fully... ..., plumbing, site civil, structural, and specialty design services for a wide variety of... ...development, and coordinating with element authors to ensure compliance with project...
Full time
Work at office
Local area
Immediate start
Fashion Institute of Design & Merchandising
Omaha, NE
2 days ago
Floral Associate
...vice presidents of finance; from HR Business Partners to export specialists — create braggingly happy customers spanning national... ...exchanges, and the Company’s own brick-and-mortar grocery stores, pharmacies and fuel centers.**Location:**1221 South 203rd Street - Omaha...
Visa sponsorship
Work visa
Shift work
Family Fare
Omaha, NE
20 hours ago
Produce Associate
...vice presidents of finance; from HR Business Partners to export specialists — create braggingly happy customers spanning national... ...exchanges, and the Company’s own brick-and-mortar grocery stores, pharmacies and fuel centers. Ready to contribute to the success of our...
Part time
Visa sponsorship
Work visa
Shift work
C&S Wholesale Grocers Inc
Omaha, NE
20 hours ago
Physician-Ophthalmology (Retina Specialist)
...Ophthalmologist, Retina Specialist The VA Midwest Health Care Network advocates... ...including laboratory, imaging, pharmacy, prosthetics, and consults for specialty care to be completed through CPRS... ...are received for appropriateness prior to scheduling. The selected...
Contract work
Part time
Traineeship
Freelance
Weekend work
US Department of Veterans Affairs
Omaha, NE
3 days ago
Referral Specialist
$15.67 - $22.14 per hour
...Referral Specialist Inspired by faith. Driven by innovation. Powered by humankindness... ...patients, referring clinicians, and various specialty departments to ensure a seamless... ...preferences for referred services, validate pre-authorizations, and manage referral work queues in the...
For contractors
Work at office
Local area
CommonSpirit Health
Omaha, NE
3 days ago
Deli Associate
...vice presidents of finance; from HR Business Partners to export specialists — create braggingly happy customers spanning national... ...exchanges, and the Company’s own brick-and-mortar grocery stores, pharmacies and fuel centers.Ready to contribute to the success of our food...
Visa sponsorship
Work visa
Supermercado Nuestra Familia
Omaha, NE
1 day ago
Wood Finish Tint Specialist | Color Matching Expert
A leading North American distributor of specialty hardware is seeking a Color Matcher (Tint Specialist) in Omaha, Nebraska. In this role, you will mix and formulate coatings and tints, while assuring quality through a strong attention to detail. Candidates must exhibit...
Richelieu Hardware Ltd
Omaha, NE
3 days ago
Perinatal Safety Specialist RN
$36.94 - $53.56 per hour
...Perinatal Safety Initiatives. Disseminates pertinent safety and specialty related information. Participates in patient safety or... ...Reporting to the Director of Perinatal Services, the Perinatal Safety Specialist is responsible for the implementation, promotion, support and...
Catholic Health Initiatives
Omaha, NE
1 day ago
Global Mobility Specialist
$93.69k - $114.51k
...and resources to make a positive impact on the future - including your own. We're actively seeking a talented Global Mobility Specialist to join our Global Mobility Team in Charlotte, NC (strongly preferred), Newport Beach, CA, or Omaha NE. As a Global Mobility...
Work at office
Relocation
Flexible hours
Pacific Life
Omaha, NE
20 hours ago
Associate Engagement Coordinator
...finance; from HR Business Partners to export specialists — create braggingly happy customers... ...’s own brick-and-mortar grocery stores, pharmacies and fuel centers.**Location:**5101 Harrison... ..., Excel and PowerPoint) required, and prior experience with HRIS/HRMS preferred.*...
Work at office
Local area
Visa sponsorship
Work visa
Family Fare, LLC
Omaha, NE
4 days ago
Retina Specialist/Rank DOQ
UNMC is an Equal Employment Opportunity Employer, including an equal opportunity employer of protected veterans and individuals with disabilities. Position Summary The Department of Ophthalmology & Visual Sciences at the University of Nebraska Medical Center in Omaha, ...
University of Nebraska Medical Center
Omaha, NE
20 hours ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Prior Authorization & Appeals Specialist — Specialty Pharmacy. Be the first to apply!