Pharmacy Prior Authorization Specialist I
$44.6k - $59.75k100 Horizon Healthcare Services, Inc
100 Horizon Healthcare Services, Inc is seeking a Pharmacy Technician to support Pharmacy Services benefits and process prior authorization requests. The role involves telephonic interactions with members and healthcare professionals, ensuring compliance with regulatory standards, and capturing clinical information for medical necessity determinations. Ideal candidates will possess a High School Diploma or GED, have at least two years of experience as a Pharmacy Technician, and hold a National Pharmacy Technician Certification. The position offers a salary range of $44,600 – $59,745 and comprehensive benefits. #J-18808-Ljbffr 100 Horizon Healthcare Services, Inc
$68.5k - $88.02k
...What Specialty Pharmacy and Data Analytics contributes to Cardinal Health: The Senior Specialist, Patient Access & Performance Enablement serves as a hands-on subject... ...~ Experience optimizing patient access, prior authorization, and reimbursement workflows ~ Strong...SuggestedTemporary workLocal areaImmediate startFlexible hours- ...Edge Connectivity Specialist 2 Independently support enterprise connectivity services across office LAN/WAN, branch connectivity, wireless, firewall operations, and cloud-connected edge environments. Troubleshoot and resolve complex network incidents involving routing...SuggestedWork at officeMonday to FridayShift work
$58.14k - $83.05k
...Edge Connectivity Specialist 1 At HDR, our employee-owners are fully engaged in creating a welcoming environment where each of us is valued and respected, a place where everyone is empowered to bring their authentic selves and novel ideas to work every day. As we foster...SuggestedFull timeTemporary workPart timeWork at officeRemote workMonday to FridayShift work$19.32 - $24.13 per hour
...federal regulations. Supports daily ROI operations by verifying authorization validity, retrieving electronic or paper records, maintaining... ...Plan Prescription drug coverage & In-House Employee Pharmacy Dental Plan Vision Plan Flexible Spending Account (FSA...SuggestedFull timeTemporary workPart timeWork at officeImmediate startFlexible hours- ...Senior Edge Connectivity Specialist At HDR, our employee-owners are fully engaged in creating a welcoming environment where each of us is valued and respected, a place where everyone is empowered to bring their authentic selves and novel ideas to work every day. As...SuggestedPermanent employmentWork at officeMonday to FridayShift work
$19.32 - $24.13 per hour
...physicians and other staff as needed. Selects appropriate equipment prior to collection to streamline process. Verifies specimen orders... ...Medical Plan Prescription drug coverage & In-House Employee Pharmacy Dental Plan Vision Plan Flexible Spending Account (FSA...Full timeTemporary workPart timeWork at officeFlexible hours$70.5k - $94.4k
...ofAnnual new business goals were usually in excess of $Operating budget ofClient revenue responsibility of or moreClaims approval authority:Maintain minimum quality scores of12.12.22 Removed: "with a clinical or social certification or license" from job description as directed...Work experience placementLive inLocal area- ...with HFX Cloud™ insights for enhanced patient and practice management. Position Summary : The Associate Interventional Specialist will work together with the District Sales Manager and will have territory coverage, inventory management, and sales responsibilities...Local areaNight shift
$84.5k - $103.5k
...the highly specialized LTC ecosystem, including skilled nursing facilities (SNFs), assisted living communities, and long-term care pharmacies. This role is designed as an early-career development position with significant exposure to cross-functional teams and strategic...InternshipFlexible hours$34.9 - $45.83 per hour
...immunizations, and other injections as ordered by LIP according to established protocol and documents. Calls in prescriptions to pharmacies under the direction of the LIP. Completes competency checklist with their preceptors. Documents quality control for waived...Full timeTemporary workPart timeWork at officeFlexible hours$17 - $20.85 per hour
...complete. Obtains copies of insurance cards, driver's license, authorizations, and referrals; cans or enters into system. Collects co-... ...Plan Prescription drug coverage & In-House Employee Pharmacy Dental Plan Vision Plan Flexible Spending Account (FSA...Full timeTemporary workPart timeWork at officeFlexible hours- ...Research marketing and advertising trends in the recruiting industry. The Recruitment Marketing Performance & Optimization Associate Specialist Skillbridge trainee will support Maximus recruitment marketing teams by improving performance visibility, data accuracy, and...Minimum wageFull timeContract workTemporary workTraineeshipWork experience placement
$80.35k - $104.96k
Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Capital Health is a dynamic health care resource accredited by the DNV that...Daily paidFull timeTemporary workPart time- Sr. Java Developer Pennington, NJ/ Charlotte, NC/ Dallas, TX Bachelors degree in Computer Science Information Technology or related field Proven experience in production support or a related role. Experience in supporting lavalava web services-based applications...Shift workWeekend work
$318k
...Neurology at Capital Health is recruiting for a full-time Headache Specialist role. The physician will provide outpatient general Neurology... ...Plan Prescription drug coverage & In-House Employee Pharmacy Dental Plan Vision Plan Flexible Spending Account (FSA...Full timeTemporary workWork at officeFlexible hours$63.36k - $82.76k
...Matter This position is eligible for the following benefits: Medical Plan Prescription drug coverage & In-House Employee Pharmacy Dental Plan Vision Plan Flexible Spending Account (FSA) Healthcare FSA Dependent Care FSA Retirement Savings and...Full timeTemporary workPart timeWork at officeFlexible hoursNight shift$18.57 - $23.23 per hour
...maximize utilization of time. Obtains pre-certification and authorizations from various insurance carriers to facilitate maximum... ...Medical Plan Prescription drug coverage & In-House Employee Pharmacy Dental Plan Vision Plan Flexible Spending Account (FSA...Full timeTemporary workPart timeWork at officeFlexible hours$48 - $60 per hour
All Care Therapies is seeking a Bilingual Occupational Therapist (OT) to provide remote therapy services in New Jersey. This part-time position requires a Master's degree in Occupational Therapy, relevant licensure, and the ability to work with pediatric patients. Responsibilities...Hourly payPart timeRemote work- ...Job Title: Peer Recovery Specialist (PRS) Reports To: Recovery Center Employee Type: Part Time or Full Time Equivalent - Non-Exempt... ...RESPONSIBILITIES: General Requirements: Must be authorized to work in the U.S. and New Jersey. Must be able to speak...Full timePart timeLocal areaFlexible hoursWeekend workAfternoon shift
- ...Description: Position Summary The Specialist - Contractor will be responsible for the execution of differentiated content strategies for innovative content for global and omni-channel consumption and other operational processes/tasks within the team. Collaborates...For contractorsWork at officeFlexible hours
$20 per hour
...a supportive environment and love working outside? Then you are a perfect fit for our team! As a Mosquito Control Specialist at Mosquito Authority, you will use proven mosquito-control products and techniques on both commercial and residential properties. Our Mosquito...Hourly payWeekend work- ...Required: Personal experience of Recovery License, Registry or Certification: Required: CPRS (Certified Peer Recovery Specialist) Knowledge, Skills and/or Abilities: Required: Excellent interpersonal communication skills. Ability to identify and...Hourly pay
$20.9 - $23.92 per hour
...future generations. Role Summary As an Adventure Readiness Specialist, you are a critical part of the Rivian Service team during... ...accessible to the courts, law enforcement and national security authorities of such jurisdictions. Please note that we are currently...Hourly payFull timeContract workTemporary workPart timeSeasonal workLocal areaFlexible hoursShift work$75 per hour
...Mental Health Specialist / MHS In The Morning ATTEND Program Make a difference every day by joining CCRES as a Mental Health Specialist / MHS in the morning ATTEND program! The Mental Health Specialist (MHS) is an independent contract position working early morning...Contract workMonday to FridayDay shiftEarly shift1 day per week- ...Vitreoretinal Surgery - Retina Specialist Position Full-time retina position with Prism Vision Group - NJ Retina (Delaware Valley Retina Associates in Lawrenceville, NJ and Lumberton, NJ) Our Physicians | Delaware Valley Experienced Vitreoretinal Team Meet Our...Full timePrivate practiceRelocation package
$117.5k - $140k
Live Your Best Life at Lap of Love Veterinary Hospice! Join Lap of Love as an In-Home, Associate Veterinarian in Trenton, NJ and surrounding areas. Imagine a veterinary role that honors your time, supports your well-being, and reconnects you with the heart of why ...Full timePart timeFlexible hours2 days per week$55k - $65k
...Database Sustainment Specialist (DSS) - McGuire AFBB Job Locations US-NJ-Joint... ...Facility Manager or designee for accuracy prior to entry. Create, maintain and update... ...and to ensure only FM staff or other authorized personnel have access to DMLSS-FM. Provide...Full timeContract workFor contractorsWork at officeLocal areaRemote work$100k
...proper format Provides support for data loading efforts to ensure that all data received is loaded accurately and in a timely manner prior to data validation. Coordinates with external source for loading and scrubbing of rebate claims data Works with external vendor...Contract workLocal areaHome officeFlexible hoursNight shift- Work Location: HYBRID - Princeton, NJ (3 days/week in the office) Skills: Minimum 10 years of relevant SAP experience with expertise in VIM and STP processes. Proven ability to gather requirements, create functional specs, and deliver tailored SAP solutions...Work at office3 days per week
$17.75 - $28.33 per hour
...Central Scheduling Manager, the Central Scheduling Specialist, performs standardized and consistent processes... ...Responsible for scheduling, pre-registration, pre-authorization and patient/physician office communication prior to patient visit. Acts as patients/customers...Hourly payFull timeWork at office
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