Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Senior Pharmacy PA Specialist — Remote Appeals

$19 - $29 per hour

Cigna Health and Life Insurance Company

New York, NY
  • Remote job

Cigna Health and Life Insurance Company is looking for a Pharmacy Prior Authorization Senior Representative to join its specialized team. This role focuses on supporting patients through benefits research and prior authorizations, offering excellent customer service in a detail-oriented environment. Key responsibilities include entering prescriptions, resolving claims, and maintaining compliance while handling multiple tasks efficiently. A high school diploma, 2+ years of Pharmacy Technician experience, and a National Pharmacy Technician certification are required. Compensation includes an hourly rate of $19–29 and various benefits starting on day one. #J-18808-Ljbffr Cigna Health and Life Insurance Company

Vacancy posted 16 hours ago
Similar jobs that could be interesting for youBased on the Senior Pharmacy PA Specialist — Remote Appeals in New York, NY vacancy
  •  ...in Houston, TX is seeking a full-time Pharmacy Prior Authorization Specialist. This position involves managing insurance pre-authorizations and appeals, supporting patients in accessing...  ...terminology. The role offers opportunities for remote work after initial training and... 
    Remote job
    Full time

    Onco360 Oncology Pharmacy

    Houston, TX
    2 days ago
  • $65k - $88.6k

    Humana is seeking a Senior Grievances & Appeals Analyst to analyze and audit complaints, ensuring the integrity of claims and authorization processes. This role involves utilizing data analysis tools and performing root cause analysis of audit findings to recommend improvements... 
    Remote job
    Senior
    Work from home
    Flexible hours

    Humana

    New York, NY
    2 days ago
  •  ...General Brigham Incorporated is looking for a Senior Nurse Reviewer responsible for coordinating clinical charge audits and appeal processes. The role demands strong...  ...clinical nursing and quality assurance. This is a remote position requiring effective communication with... 
    Remote job
    Senior

    Mass General Brigham Incorporated.

    Somerville, MA
    2 days ago
  • A healthcare solutions company seeks a Manager of Clinical Appeals in New York. The role involves overseeing clinical appeals operations...  ...clinical appeals and team leadership, particularly in managing remote teams. The position requires strong writing skills and a... 
    Remote work
    Senior

    Health Business Solutions LLC

    Florida, NY
    2 days ago
  •  ...Description Benefits: ~ Health insurance BVA Bears IT Solutions is seeking Senior Procurement Advisor for both MD area as well as PA area. These positions are full-time, remote role with travel to other Government or Contractor facilities as required in PA and... 
    Remote work
    Senior
    Permanent employment
    Full time
    Contract work
    For contractors
    Work from home
    Monday to Friday
    Flexible hours

    BVA Bear's IT Solutions

    Boiling Springs, PA
    3 days ago
  • $19 - $29 per hour

     ...Coder conducts outpatient post-service administrative claims or appeals coverage determinations (such as bundling reviews) for which...  ...Information Management Association): CCS-P (Certified Coding Specialists-Physician based). Note: Apprentice stage of certification is not... 
    Remote work
    Senior
    Hourly pay
    Apprenticeship
    Work from home

    CarepathRx

    United States
    4 days ago
  • Humana is seeking a Senior Grievances & Appeals Analyst/Professional to analyze complaints and ensure claims integrity. You will be part of the...  ...data analysis tools like Excel and SQL. This position offers remote work opportunities and a supportive work environment... 
    Remote job
    Senior

    Humana

    Brooklyn, NY
    2 days ago
  • BJC HealthCare in St. Louis is seeking a Manager for Appeals, responsible for managing complex healthcare appeals and collaborating with various stakeholders. The role offers a fully remote work environment and a flexible schedule. Candidates should have 5-10 years of... 
    Remote job
    Senior
    Flexible hours

    Direct Jobs

    Saint Louis, MO
    5 days ago
  • Caremed-Specialty-Pharmacy in Woodridge, IL, is seeking a Pharmacy Prior Authorization Specialist to manage insurance prior authorizations, ensuring patients receive critical medications. This full-time position offers a starting pay of $23.00/hr and a $5,000 sign-on bonus... 
    Remote job
    Full time
    Relocation package

    Caremed-Specialty-Pharmacy

    Woodridge, IL
    1 day ago
  • $23 per hour

    CareMed Specialty Pharmacy is looking for a Pharmacy Prior Authorization Specialist to join our team in Woodridge, IL. This full-time role offers remote work options after initial training. The position starts at $23.00/hr and includes a $5,000 sign-on bonus for early... 
    Remote job
    Full time
    Relocation package

    CareMed Specialty Pharmacy

    Woodridge, IL
    1 day ago
  • $7.79k - $8.78k

     ...this Job Job Summary The Senior Oncology Specialty Pharmacist...  ...in oncology area of pharmacy practice, providing drug therapy...  ...is hybrid (mix of on-site and remote work) Benefits Outstanding...  ...misconduct; or have filed an appeal of a finding of misconduct with... 
    Remote work
    Senior
    Full time
    Contract work
    Temporary work
    Part time
    Work experience placement
    Local area
    Shift work

    University of California- Davis Health

    Sacramento, CA
    3 days ago
  • CommuniCare Health is seeking a Pharmacy Prior Authorization Specialist for a full-time remote role. This position involves managing the Prior Authorization workflow for facilities in states including Ohio and West Virginia. The successful candidate will submit prior authorizations... 
    Remote job
    Full time

    CommuniCare Health

    Broadview Heights, OH
    3 days ago
  •  ...our best and know that we’re making a difference. We're looking for a Senior Process Engineer (Remote/Hybrid) in Life Sciences North America Boston MA, Cary NC, Cincinnati OH, Conshohocken PA, Indianapolis IN, San Francisco CA, Houston, TX, Richmond, VA who is excited... 
    Remote work
    Senior

    Jacobs

    United States
    5 days ago
  •  ...Senior Appeals Specialist Job Category: Medical Billing Full-Time Remote Middleburg Heights, OH 44130, USA +1 more locations Description Key Responsibilities: Work as needed in all appeal worklists, potentially with a focus on contracted or sensitive... 
    Remote work
    Senior
    Full time

    Quadax

    United States
    4 days ago
  •  ...Title: Senior Loan Officer Location: Pittsburgh (Remote for PA) Company Builder Finance Inc. (BFI) is the growing lender to rental home investment companies and home building companies. Launched in 2014, BFI now has several coast-to-coast lending... 
    Remote work
    Senior
    Flexible hours

    1st Financial Bank USA

    United States
    3 days ago
  • $72k - $82k

     ...Workers Comp Senior Claims Representative National Interstate is a member of Great American...  ..., OH office 4 days per week or work fully remote from the USA, if not local to the office....  ...as Associate in Claims (AIC). Prefer PA NJ MA state handling experience Scope of... 
    Remote work
    Senior
    Full time
    Part time
    Seasonal work
    Live out
    Work at office
    Local area

    National Interstate

    Pittsburgh, PA
    3 days ago
  • $18.5 - $35.29 per hour

    Position Summary Responsible for managing to resolution complaint/appeal scenarios for all products, which may contain multiple issues and may require coordination of responses from multiple business units. Ensure timely, customer focused response to complaints/appeals... 
    Remote job
    Senior
    Hourly pay
    Full time
    Local area

    4062 Aetna Resources, LLC

    Florida, NY
    1 day ago
  •  ...don’t settle until we give our best and know that we’re making a difference. We're looking for a Senior Fire Protection Designer (Remote) in either Conshohocken, PA/Cary. NC/Cincinnati, OH/Indianapolis, IN/Houston TX/Richmond, VA location who is excited about working... 
    Remote work
    Senior

    Jacobs

    United States
    3 days ago
  • $22 per hour

    A leading workforce management provider is seeking a Pharmacy Tech Support Call Center Representative in Detroit, MI. This is a temporary remote position, offering a pay rate of $22/hr. Candidates should have 2-4 years of experience in Specialty and/or Retail Pharmacy,... 
    Remote job
    Temporary work

    TekWissen ®

    Detroit, MI
    4 days ago
  • $68.97k - $113.31k

     ...The Senior RN Clinical Consultant will work in partnership with Clinical and Vocational...  ...expert in all lines of business (STD/LTD/Appeals) and products, action planning management...  ...leadership as needed Location This is a remote position with occasional travel as needed... 
    Remote work
    Senior
    Full time
    Visa sponsorship
    Work visa
    Flexible hours

    Guardian Life

    Plano, TX
    8 days ago
  •  ...Urol 2017 Position Summary The focus of the Pittsburgh, PA based Senior Associate Territory Manager will be to cover The UroLift...  ...skills and administrative capabilities. #LI-SM1 #LI-Remote At Teleflex, we follow a comprehensive hiring process. We... 
    Remote work
    Senior
    Work at office

    Teleflex

    West Mifflin, PA
    3 days ago
  •  ...Background: Workers compensation indemnity, lost time claims Jurisdictions experience: NJ, PA, DE Active Adjusters’ Licenses: DE Location: This role is eligible for fully remote work How you'll make an impact Apply claims management experience to execute... 
    Remote work
    Senior
    Full time
    Live out
    Work at office
    Local area
    Flexible hours

    Gallagher Bassett

    Penn Hills, PA
    3 days ago
  •  ...scale durable medical equipment (DME) and pharmacy solution. Built on a 20-year history,...  ...offer Competitive Pay ($120,000 PA, $115,000 TN) Comprehensive Benefits Package...  .... Support complex case reviews and appeals with accurate clinical documentation.... 
    Remote work

    StateServ

    United States
    3 days ago
  •  ...clients across diverse industries. The Senior Systems Administrator is responsible for...  ...required based in the location of Marcus Hook, PA. Requirements: Design and...  ...in coordination with both corporate and remote IT teams. Administer servers—including... 
    Remote work
    Senior
    Permanent employment
    Contract work
    Temporary work
    For contractors
    Work at office

    Arctiq, Inc.

    Marcus Hook, PA
    1 day ago
  • $21.78 - $31.52 per hour

     ...Grievances And Appeals Senior Coordinator Founded in 1977 as the Senior Care Action Network...  .... ~ Knowledge of Medicare Part D Pharmacy benefits, rules and regulations is required...  ...Coordinator Sr Work Mode: Mostly Remote An annual employee bonus program... 
    Remote work
    Senior
    Hourly pay
    Work at office

    SCAN

    Long Beach, CA
    3 days ago
  • $115k - $120k

     ...Friday, 2:30PM - 11:00PMEST Must reside in PA or TN to be considered. Dragonfly...  ...scale durable medical equipment (DME) and pharmacy solution. Built on a 20-year history,...  ...appropriate. Support complex case reviews and appeals with accurate clinical documentation.... 
    Remote work
    Relocation package
    Monday to Friday

    Dragonfly Health

    United States
    5 days ago
  • $67k - $80k

     ...Senior Manager, Community Engagement Special Events We're looking for a passionate and high-impact Senior Manager, Community Engagement...  ...events and the ability to establish a new special event in the PA area. The ideal candidate for this role will assist in leading the... 
    Remote work
    Senior
    Work experience placement
    Local area
    Flexible hours
    Night shift
    Weekend work
    Afternoon shift

    Autism Speaks

    United States
    2 days ago
  • $58k - $123.8k

     ...Senior Python Developer - Local to Pittsburgh, PA Category: Software Development/ Engineering Main location: United States, Pennsylvania, Pittsburgh...  ...client office five days a week in Pittsburgh, PA. Remote work is not an option. CGI is seeking a Senior... 
    Remote work
    Senior
    Full time
    Work at office
    Local area

    CGI

    Pittsburgh, PA
    3 days ago
  • $170k - $210k

     ...Clinical Account Manager/Senior Clinical Account Manager - PITTSBURGH, PA Statistics show that women and underrepresented...  ...targets. Please note this is a remote position but candidate must...  ...with oral meds, specialty Pharmacies and HUB. Minimum of 5 years with... 
    Remote work
    Senior
    Temporary work
    Summer work
    Local area
    Relocation
    Night shift

    Sobi

    United States
    21 hours ago
  •  ...Title: Advanced Practice Provider (DNP/NP/PA) Position #00844990 - Requisition #:38946...  ...PA). This position will be at the rank of Senior Instructor unless a higher rank has been bestowed...  ..., telehealth consultative services, and remote ultrasound interpretation. This position... 
    Remote work
    Senior
    Full time
    Local area

    The Chronicle Of Higher Education, Inc.

    Aurora, CO
    5 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Senior Pharmacy PA Specialist — Remote Appeals. Be the first to apply!