Senior Pharmacy PA Specialist — Remote Appeals
$19 - $29 per hourCigna Health and Life Insurance Company
- 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
- ...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 jobFull time
$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 jobSeniorWork from homeFlexible hours- ...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 jobSenior
- 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 workSenior
- ...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 workSeniorPermanent employmentFull timeContract workFor contractorsWork from homeMonday to FridayFlexible hours
$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 workSeniorHourly payApprenticeshipWork from home- 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 jobSenior
- 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 jobSeniorFlexible hours
- 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 jobFull timeRelocation package
$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 jobFull timeRelocation package$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 workSeniorFull timeContract workTemporary workPart timeWork experience placementLocal areaShift work- 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 jobFull time
- ...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 workSenior
- ...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 workSeniorFull time
- ...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 workSeniorFlexible hours
$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 workSeniorFull timePart timeSeasonal workLive outWork at officeLocal area$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 jobSeniorHourly payFull timeLocal area- ...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 workSenior
$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 jobTemporary work$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 workSeniorFull timeVisa sponsorshipWork visaFlexible hours- ...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 workSeniorWork at office
- ...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 workSeniorFull timeLive outWork at officeLocal areaFlexible hours
- ...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
- ...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 workSeniorPermanent employmentContract workTemporary workFor contractorsWork at office
$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 workSeniorHourly payWork at office$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 workRelocation packageMonday to Friday$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 workSeniorWork experience placementLocal areaFlexible hoursNight shiftWeekend workAfternoon shift$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 workSeniorFull timeWork at officeLocal area$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 workSeniorTemporary workSummer workLocal areaRelocationNight shift- ...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 workSeniorFull timeLocal area
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Senior Pharmacy PA Specialist — Remote Appeals. Be the first to apply!
- pharmacy specialist New York, NY
- senior cost analyst New York, NY
- senior computer engineer New York, NY
- senior electrical estimator New York, NY
- senior process manager New York, NY
- senior development engineer New York, NY
- senior program specialist New York, NY
- senior power bi developer New York, NY
- senior manager quality engineering New York, NY
- senior software test automation engineer New York, NY


