Remote Pharmacy Prior Authorization Specialist
Gainwell Technologies
- Remote job
Gainwell Technologies is hiring a Pharmacy Prior Authorization Call Center Representative (Remote CT) to support the Connecticut Medicaid account in a fast-paced, high-volume environment. You will handle pharmacy claims and prior authorization inquiries, resolving issues within 24 hours and documenting all interactions in the system. The role requires an active Connecticut Pharmacy Technician license, the ability to work rotating shifts, and residency in Connecticut. #J-18808-Ljbffr Gainwell Technologies
- ...The Rep I, Clinical Services takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation...Remote work
$23 per hour
...Pharmacy Prior Authorization Specialist – CareMed Specialty Pharmacy Houston, TX | Full-Time | Starting at $23.00/hr and up Sign-On Bonus: $5,000 for... ...team making a difference in the lives of cancer patients. Remote work possible after initial on-site training. Company...Remote workFull timeTemporary workRelocation package- ...Medication Access Specialist We are relentless in solving... ...pharmacydesigning pharmacy footprints that meet... ...providing integrated remote support to patients, pharmacists... ..., handling medication authorizations, managing insurance... ...documentation for prior authorization...Remote workFull timeWork at office
$40 per hour
Job Title: Intake Authorization Specialist Job Type: Full-time Pay: up to $40... ...home infusion and specialty pharmacy services. We are accredited... ...Qualifications Required: Prior experience in home infusion... ...holidays. Opportunity for remote work based on qualifications...Remote workHourly payFull time- All Jobs > Clearance Specialist - Remote Soleo Health is seeking a Clearance... ...our Specialty Infusion Pharmacy and work Remotely (USA) . Join... ..., and follow up of payer authorization requests. Responsibilities... ...Initiate, follow-up, and secure prior authorization, pre-...Remote jobFull timeContract work
- ...seeking an experienced Pharmacist to evaluate prescriptions and patient histories, interpret clinical documents, and render prior authorization decisions. You will consult with patients and providers on medication use, coverages, and potential drug interactions, while...Remote jobHourly pay
- ...Job Title Pharmacy Benefit Management Solution Job Description... ...Managers (CPMs), Clinical Specialists, and Clinical PA Guidelines... ...Implementation and perform Prior Authorization processing as needed.... ...company location (or from a remote location with management approval...Remote workFull timeLocal areaMonday to FridayNight shiftWeekend work
- ...PA Coordinator - Infusion & Specialty Pharmacy (Parenteral Nutrition & DME Focus) with... ...will have expertise in handling prior authorizations (PA), billing, insurance processes, and... ...This position offers flexibility for remote or hybrid work arrangements, with a competitive...Remote workWork at officeFlexible hours
$75 per hour
...Pharmacy Prior Authorization & Specialty-Medication Access Specialist is a remote review track for evaluating AI outputs across pharmacy prior authorization specialty medication access specialist operations workflows. Reviewers grade workflow correctness, policy adherence...Remote jobFor contractorsWork experience placement10 hours per week$75 per hour
...D'Angelo , Larry Summers , and Jack Dorsey . Position: Pharmacy Prior Authorization & Specialty-Medication Access Specialist Type: Contract Compensation: $75/hour Location: Remote Role Responsibilities Process and manage prior authorisation...Remote jobContract workSummer work$5,000 per month
...Services, is a long‑term care pharmacy services provider that... ...States. The Medicare B Specialist will be responsible for... ..., processing, and tracking prior authorizations on behalf of customers. Working... ...Medicare B preferred Remote: May reside anywhere with...Remote workMonday to FridayFlexible hoursShift work$39.52k - $41.6k
...): - At Amber Specialty Pharmacy, our commitment to patient... ...Specialty Pharmacy Job Title: Authorization Management Specialist Department: Operations... ...appeal summaries and prior authorizations,... ...conferences, meetings, and remote events Constantly operates...Remote workHourly payFull timeWork experience placementWork at officeLocal areaMonday to Friday$20 - $36 per hour
...outcomes by connecting people with the care, pharmacy benefits, dataand resources they need... ...The Access & Reimbursement Pharmacy Specialist will be responsible for the benefit... ...role includes ongoing follow up on prior authorizations and appeals. The role also includes identifying...Remote workHourly payMinimum wageFull timeTemporary workWork experience placementLocal areaMonday to FridayShift work- ...challenges in health system pharmacy—designing pharmacy... ...THE POSITION (Fully Remote) (Requires... ...The Medication Access Specialist Supervisor is an essential... ...also review medication authorizations, conduct benefits investigations... ...documentation, submit prior authorizations, and...Remote workFull timeWork at office
- ...seeking an Acute Clearance Specialist to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying... ...submission, and follow up of payer authorization requests. Responsibilities... ..., follow-up, and secure prior authorization, pre-determination...Remote jobFull timeContract workImmediate startMonday to Friday
- ...currently seeking an Revenue Cycle Specialist (Medical Practice, Part B... ...This is a Full-time remote position Monday - Friday, 8:0... ...documentation, eligibility, authorization, and payer-related discrepancies... ...limitations, and obtain necessary prior authorizations to prevent...Remote workFull timeWork experience placementWork at officeWork from homeMonday to FridayFlexible hours
$40 - $50 per hour
...Position: Healthcare Administrative Specialist Type: Contract Compensation... ...: $40–$50/hour Location: Remote Role Responsibilities... ...Design efficient processes for prior authorizations and utilization support using real-...Remote workFull timeContract workSummer workWork at office$29.62 - $45.31 per hour
...Responsibilities Be responsible for all core functions in the Prior Authorization (PA) Department Coordinate and execute the review and... ..., customer service inquiries, provider resolutions, etc.) Remote Work This position offers 100% remote work for candidates...Remote workMinimum wageFull timeWork experience placementLocal areaShift work- Verisma is seeking a Remote Care Coordination Representative responsible for managing Care Coordination services and Health Information Management tasks. The role includes prior authorizations, electronic filing, and ensuring compliance with protocols. Ideal candidates...Remote jobWork from home
- ...business duties. May also initiate projects under the direction of pharmacy administration to enhance existing operations. Works with... ...strengths, weaknesses, opportunities, and risks. This position allows remote work at the discretion of the reporting operational leader....Remote workInternship
- ...Working remotely in a full-time capacity, the Prior Authorization Specialist will screen prior authorization requests, coordinate specialized services, and ensure compliance with healthcare delivery standards while managing financial clearance activities. Key responsibilities...Remote workFull timeWork at office
- ...Surgical Precertification Specialist Full-Time - Remote MUST LIVE IN NJ, PA OR FL Position Summary... ...This role handles the end-to-end authorization process for commercial insurance carriers... ...necessity documentation • Submit prior authorization requests to payers;...Remote workFull timeLive in
$80 per hour
...United States-based healthcare professionals experienced in prior authorization, utilization management, clinical review, medical necessity... ...healthcare operations.This role supports current and upcoming remote consulting opportunities focused on AI-assisted prior...Remote workHourly payPart timeFor contractorsWork at officeFlexible hours- ...Supporting a Specialty Infusion Pharmacy, the full-time Infusion Benefit Clearance Specialist will manage patient referrals by verifying insurance... ..., coordinating benefits, and securing prior authorizations, all while working remotely. Key responsibilities Perform benefit...Remote workFull time
- ...Velarity HCS is hiring experienced Utilization Review RN’s for remote contract opportunities nationwide. Qualifications: Minimum 2... ...required). ASN/ADN Required, BSN (preferred). Experience in Prior Authorizations, Concurrent Reviews, Retrospective Reviews, or Appeals and...Remote workFull timeContract workPart timeWork experience placement
- Moda Health is seeking a motivated professional to investigate and respond to medical, pharmacy and dental grievances, complaints, and appeals. This is a full-time work-from-home position within Government Programs. Responsibilities include thorough case review, timely...Remote jobFull timeWork from home
- ...operations and improve financial performance. Prior authorizations are a critical component of that... ...We are seeking a Prior Authorization Specialist (Contract) to support high-volume... ...commonly used in pain management Navigate pharmacy benefit portals and step-therapy requirements...Remote workContract work
- ...Job Summary We are seeking a dedicated and capable Prior Authorization Specialist to facilitate the pre-certification process for our patient... ...fully trained, this position offers the opportunity to be remote. Outstanding employees in this role are detailed,...Remote workWork at officeFlexible hours
$18 per hour
...system diseases and injuries. Position Prior Authorization Specialist Location Norwood Office Department... ...pm, Hybrid, 2 days in office, 3 days remote after full in office training. Key Benefits... ...coverage changes, oversee specialty pharmacy orders, and maintain/update the...Remote workFull timeTemporary workWork at officeMonday to Friday- ...necessity documentation requirements, and identifies payer-specific prior authorization needs for scheduled/non-emergency transports (e.g., dialysis... ...eligibility verification experience preferred. This is a remote position. Texas residency required. Please note this job...Remote workImmediate start
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