Remote Pharmacy Prior Authorization Specialist
New Paradigm Staffing
- Remote job
New Paradigm Staffing is seeking a detail-oriented Remote Pharmacy Prior Authorization Assistant to support the medication prior authorization workflow. You will gather clinical documents, submit requests to insurance payers, and track approvals to ensure timely access to medications. Ideal candidates will communicate clearly, maintain HIPAA compliance, and thrive in a fully remote, collaborative team environment with strong mentorship and training opportunities. #J-18808-Ljbffr New Paradigm Staffing
- ...A-Line Staffing Solutions is hiring licensed pharmacists for Remote Prior Authorization roles. These full-time, 40-hour/week positions are work-from-home opportunities with November start dates and various scheduling options to fit availability. Ideal candidates hold...Remote workFull timeWork from home
- ...Actalent is actively screening for multiple remote Pharmacists to join a leading pharmacy benefits optimizer based out of Birmingham, AL. The Clinical Pharmacist reviews prior authorization and appeals, collaborates with prescribers and pharmacies, and ensures regulatory...Remote work
$53 per hour
...A-Line Staffing Solutions is seeking a Pharmacist – Remote (Prior Authorization). The role pays $53 per hour and offers full-time, temporary-to-permanent employment. Responsibilities include reviewing prior authorization requests, ensuring regulatory compliance, and maintaining...Remote workHourly payPermanent employmentFull timeTemporary work$20 - $21.96 per hour
...Navitus - Innovative Specialty Pharmacy Solutions- Lumicera Health... ...5pm) 6am CST to 7pm, CDT Remote Work Notification ATTENTION... ...we are adding an Intake Specialist to our team! Under direction... ...insurance companies in triaging prior authorizations for patients of the...Remote workFlexible hoursShift work- ...LanceSoft is seeking a Pharmacist with PBM or Prior Authorization experience for a remote, full-time role. You will review and complete criteria for prior... ...B.Pharm, an active license, and at least two years of pharmacy experience. Strong computer, organizational, and...Remote workFull time
$19 - $20 per hour
## Authorization Management SpecialistApply: In Person: Amber Specialty Pharmacy, S 152nd St, Omaha, NE: Full time: Posted... ...Management Specialist**Department:** Operations... ...appeal summaries and prior authorizations, correspondence... ..., meetings, and remote events* Constantly operates...Remote workHourly payFull timeWork experience placementWork at officeLocal areaMonday to Friday- Elevance Health's BioPlus Specialty Pharmacy is hiring an Authorization Representative I to handle re-authorizations... ...weekly with flexible, supportive remote work, within a hybrid framework. The... ...diploma/GED and at least 1 year of prior authorization experience, with...Remote workWork at officeFlexible hours
- ...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 workFull timeContract workImmediate startMonday to Friday
- About this job Job Title: Prior Authorization Specialist Location: Fully remote Duration: 12 months contract Prior Authorization Specialist takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous phone assistance to all callers...Remote workContract work
$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- ...intelligent data management, pharmacy optimization, and value-... ...Job Overview The Intake Specialist is responsible for... ...required elements are obtained prior to benefits investigation and authorization Patient & Provider... ...Time Off. Location Remote with limited travel to client...Remote workWork at office
- ...challenges in health system pharmacy—designing pharmacy... ...ABOUT THE ROLE (Remote, work from home) The Medication Access Specialist plays a vital role in... ..., handling medication authorizations, managing insurance denials... ...necessary documentation for prior authorization...Remote workFull timeWork at officeWork from home
$20 per hour
...Us Navitus - Putting People First in Pharmacy - Navitus was founded as an... ...Description (e.g. M-F 8am to 5pm) Varies Remote Work Notification ATTENTION: Navitus... ...Navitus Health Solutions is seeking a Specialist I, Prior Authorization to join our team! The Specialist I,...Remote workFlexible hours- ...the nation's leading pharmacy care management companies... ...all 50 states. PAC Specialists in our Patient Engagement... ...skillsets. This is a remote-based environment,... ...receive prescription authorizations, clarifications or transfers... ...duties such as prior authorizations, billing...Remote workFull timeTemporary workWork at officeLocal areaFlexible hours
- ...Description: Role Summary: The Authorization Specialist role is responsible for... ...Lab Information System, Pharmacy Information System, Entire... ...including frequency and prior testing requirements. Required... ...vary based on the needs of the organization. #LI-REMOTE...Remote workFull timeWork at office
$18.92 - $23.46 per hour
...matters. Vital Care is the premier pharmacy franchise business with... ...Summary Perform duties to initiate authorizations, focusing on accuracy,... ...applications. This position is 100% remote. Duties/Responsibilities... ...to complete and submit prior authorizations timely for payer...Remote workFull timeContract workTemporary workLocal areaImmediate startFlexible hours$23 - $27 per hour
...Description Soleo Health is seeking a Clearance Specialist to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex Care!... ...pharmacy experience required, including prior authorizations, benefit verifications, running test claims,...Remote workHourly payFull timeContract workImmediate startMonday to Friday- ...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- ...for detail and a strong background in prior authorizations? We are seeking a highly organized, detail-oriented Prior Authorization Specialist to join our national Utilization Management... .... Position Type: Full-Time | 100% Remote Schedule: Monday – Friday, 8:00 AM –...Remote workFull timeLive inWork from homeMonday to Friday
$90k - $105k
...California, United States Functional Area: Sales Working Model: Remote Days of Work: Wednesday, Tuesday, Friday, Thursday, Monday... ...industry. Other key product areas include nutrition, pharmacy admixture and compounding, ostomy and wound care, and dialysis....Remote workFor contractorsSeasonal workWork at officeRelocationShift 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 workWork from home
$17 per hour
...Prior Authorization Specialist Location: Remote (Work from Home) Employment Type: Full-Time Pay rate: $17/hour Work Schedule: This is a full-time role requiring 40 hours per week. Candidates must be flexible to work Saturday shifts as part of the weekly schedule. Operational...Remote workFull timeWork from homeMonday to FridayFlexible hoursShift work- ...Managing insurance authorizations for mental health and substance use treatment,... ...Behavioral Health Utilization Review Specialist will verify benefits, complete prior authorizations, and support... ...necessity criteria while working remotely. Key responsibilities Verify insurance...Remote workFull time
- ...Medication Access & Adherence Specialist plays a dual role in... ...is responsible for managing prior authorization (PA) processes while proactively... ...RECEIVED: Ambulatory Care Pharmacy Manager SUPERVISION... ...Dedicated home office space for remote work flexibility, as role...Remote workWork at officeWork from homeHome office
- ...Description: Baptist Health is looking for a Revenue Cycle Specialist to join our team! This is a remote work position that requires residency in KY, IN,... ...pre and post billing. Obtains pre-determinations, prior authorizations, and retro authorizations when required by payor....Remote work
- ...est, Monday‑Friday. This position is remote. Candidates must reside in one of the... ...medical providers, insurance companies, and pharmacy staff to ensure accurate prescriptions... ...2 regulations Determine the need for Prior Authorizations and process as required Troubleshoot...Remote workFull timeWork experience placementWork at officeWork from homeMonday to Friday
$22 - $26 per hour
...responsible for activities relating to the proper initiation, clinical review, submission, and follow up of prior authorizations. This role requires working knowledge of pharmacy benefits and prior authorization process. Shift: Monday-Friday 8:30am-5:30pm (EST)...Remote workMonday to FridayShift work- ...To support a growing healthcare team, the full-time Prior Authorization Specialist will determine authorization requirements for outpatient services... ...follow up with healthcare providers, all while working remotely. Key responsibilities Determine if payer authorization...Remote workFull time
- ...New Paradigm Staffing is seeking a detail-oriented Remote Prior Authorization Support Clerk to join our growing healthcare staffing team. The role focuses on administrative workflows in prior authorizations, reviewing clinical and insurance information, and supporting...Remote work
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