Remote Senior Pharmacy PA & Appeals Specialist
NHSHP
- Remote job
UnitedHealth Group is seeking a Senior Pharmacy PA/Appeals Technician to support prior authorization and appeals processes. You will receive, research, document, and process requests through multiple channels, ensuring data accuracy and compliance. The role offers telecommuting within a broad U.S. state roster and a focus on timely case resolution across formulary determinations. The position emphasizes attention to detail, regulatory adherence, and collaboration with pharmacists and clinicians #J-18808-Ljbffr NHSHP
- UnitedHealth Group is recruiting a Senior Pharmacy PA/Appeals Technician to support prior authorization and appeals processes. The role involves... ...electronic systems with strict adherence to criteria and SLAs. Remote work is available for qualified candidates residing in...Remote jobSenior
- UnitedHealth Group is hiring a Senior Pharmacy PA/Appeals Technician for a remote, nationwide position. The role involves supporting prior authorization and appeals, reviewing requests, and maintaining thorough documentation across multiple systems. Required licensure...Remote jobSeniorWork at officeFlexible hours
- ...Senior Pharmacy PA/Appeals Technician Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy...Remote jobSeniorMonday to FridayShift workAfternoon shift
- ...Senior Pharmacy PA/Appeals Technician Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy...Remote jobSeniorTemporary workMonday to FridayShift workAfternoon shift
$18 - $32 per hour
...Senior Pharmacy PA/Appeals Technician Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy...Remote jobSeniorHourly payDaily paidMinimum wagePrice workFull timeTemporary workWork experience placementWork at officeLocal areaFlexible hoursShift work- UnitedHealthcare offers a remote-friendly physician assistant role across the United States, focusing on review and adjudication of appeals and grievances. You will collaborate with medical... ...benefit design. The position requires PA licensure, NCCPA certification, and 5+...Remote jobWeekday work
- ...Access & Reimbursement Appeal Supervisor Optum is... ...people with the care, pharmacy benefits, data and resources... ...and reimbursement specialist and clinical team within... ...that may work onsite or remotely across the country. Under... ...to complete pharmacy PA and Appeal forms and to...Remote jobInterim role
$104.5k - $114.4k
...forward. The Strategic Sourcing Specialist will support all aspects of application... ...Sourcing methodology. The Senior Strategic Sourcing Specialist will... ...internal considerations.Location:Remote -Charlotte, NC, Dallas, TX, Harrisburg, PA, Houston, TXIf this job description...Remote workSeniorFull timeFor contractorsWork at officeLocal area$225k - $300k
...certified Pediatric Nurse Practitioner (PNP) or PA or MD or DO OR General Pediatrician OR... ...pediatric care with both in-person and remote services, giving our team members... ...and procedures Facilitate referrals to specialists and medical facilities as necessary Collaborate...Remote workDaily paidFull timePart timeRelocation packageMonday to FridayFlexible hoursShift work$140k - $170k
...Senior Systems Specialist – TechnologyBala Consulting Engineers is a 200-person engineering firm headquartered in Wayne, PA with full-service offices in New York, NY, Boston, MA, Baltimore, MD... ...experienceFull-time roles work in office and qualify for one day remote work...Remote workSeniorWork at office$18.65 - $19.9 per hour
...Senior Patient Access SpecialistEnsemble is a leading provider of technology... ...Phoenixville Hospital in Phoenixville, PA**The Senior Patient Access Specialist is responsible for performing... ...Healthcare 2024Monster Top Workplace for Remote Work 2024Great Place to Work...Remote workSeniorWork at officeLocal area$44 - $79 per hour
...Pharmacist PA/Appeals - Remote in Vermont & Maine Optum is a global organization that delivers care, aided by technology to help millions... ...improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here...Remote jobHourly payMinimum wageFull timeTemporary workWork experience placementLocal areaMonday to FridayFlexible hoursShift work$107k - $127k
...Job Description Job Description Senior Managed Care Pharmacist – Formulary / Pharmacy and Therapeutics Strategy (PA Licensed) Role Type: Full-Time, Regular Employee... ...business hours) Work Arrangement: 100% Remote / Work from Home Location: Pennsylvania...Remote workSeniorPermanent employmentFull timeContract workWork from homeMonday to FridayShift work- ...Sr. Specialist Customer Account - Giant Eagle Foods you love. Brands you trust. And a career that empowers you to grow. At Nestl USA,... ...fast-paced and evolving marketplace. Position Overview: The Senior Customer Account Specialist supports customer and category...Remote jobSeniorWork experience placementImmediate start
- ...UT Southwestern Medical Center in Dallas, TX, seeks a Technical Denials Management Specialist II to review, research, and resolve claim denials and appeals for various insurers, maximizing collections. The role emphasizes follow-up and resolution of denied claims with...Remote work
$45k - $55k
...Kids connects leading pediatric specialists with families to providebest-... ...optimal work-life balance. Senior Authorizations Specialist... ...authorization denials or delays for appeal or peer-to-peer review.... ...priorities and meet deadlines in a remote work environment. General...Remote workSeniorWork at office- Senior Proposal Specialist PND Engineers, Inc. About Us Welcome to PND Engineers, Inc., established... ...through exceptional writing and visually appealing submissions that differentiate us... ...profit-sharing retirement plan Hybrid or remote work possible for the right candidate...Remote workSeniorWork at office
- ...leading cases, and guiding junior lawyers. The ideal candidate has 10+ years in defense litigation, an active PA/NJ bar, and strong trial experience. Remote work from PA or NJ is possible, with occasional travel to Philadelphia or NJ offices for trials and client meetings...Remote jobSenior
- ...Job Title: PA Specialist Work Location: Remote in Austin, TX This role supports the Health Management Delivery Operations (HMDO) Prior Authorization team in processing prior authorization requests. The position is non-clinical and involves ensuring that all assigned...Remote workContract workWork experience placementLocal areaImmediate startFlexible hours
- ...Overview: Respond to all assigned levels of denials by submitting appeal letters and required documentation to insurance companies within... ...plan and work with the patient to get the denial overturned. Remote: Although this position is listed as remote, the training period...Remote work
$20 - $36 per hour
...Senior Enrollment Eligibility Specialist This position is National Remote. You'll enjoy the flexibility to telecommute from anywhere... ...connecting people with the care, pharmacy benefits, data and resources... ...and make determinations on appeal reviews ~ Proficiency with...Remote workSeniorHourly payMinimum wageFull timeWork experience placementLive inWork at officeLocal areaMonday to FridayFlexible hoursShift workWeekend work$19.5 - $21 per hour
...Description We are seeking a detail-oriented and experienced Appeals Specialist for our client in Middleburg Heights, Ohio. In this role, you... ...-$21.00 ~ Monday-Friday 8am-5pm ~3 months in office then remote ~ Benefits offered Key Responsibilities Review...Remote workWork at officeImmediate startMonday to Friday- ...looking for an experienced Furniture Cost Estimation Consultant to validate and enhance their AI-powered estimation engine. In this remote role, you will shape cost intelligence processes and collaborate closely with product and leadership teams. Candidates should have...Remote workSenior
- ...UBC is seeking a Sr. Reimbursement Specialist for a 4-month fixed-term role, fully remote in the United States. The position focuses on patient benefits verification, prior authorizations, and coordination of product shipments to optimize reimbursement for our client...Remote workSeniorFixed term contract
$23 per hour
We are hiring for Appeals Specialists with our Heathcare client! These positions are 100% remote TX based. Please inquire if other positions are available if you reside outside of TX. Temp roles to start with opportunity for perm conversion. Pay Rate: $23/hr Hours: M...Remote workHourly payPermanent employmentTemporary workWork experience placementShift work$60 - $65 per hour
...Sr. AS400 Developer to join a technology team in King of Prussia, PA. The candidate should have strong hands-on experience with IBM i... ...position (12+ months) with hybrid work where 4 days onsite and 1 day remote are expected. The pay rate is $60-65 per hour on a 1099 / C2C...Remote workSeniorHourly payContract work$22 - $26 per hour
...Patient Accounts Billing Specialist At STRIDE Community Health Center... ...servicesincluding primary care, dental, pharmacy, behavioral health, health... ...0PM Location: Hybrid: 2 days remote, 3 days onsite at our Oneida... ...Submit third party payor appeals and reconsideration requests...Remote workHourly payLocal areaRelocationMonday to FridayFlexible hours- ...Virtual Health Assessment role supporting Oscar Health members remotely across multiple states. You will engage patients via virtual visits... ...and virtual primary care as needed. The position requires NP/PA credentials, board certification, multi-state licensure, and 3+...Remote job
$92.3k - $166.85k
Leidos is looking to hire a NetOps Specialist Senior in Barstow, CA to join our SMIT program. The NetOps Specialist Senior will be responsible... ....Coordinate infrastructure repairs including directing remote activities to ensure continuity for service delivery.Review root...Remote workSeniorFull time$23 per hour
TEKsystems is seeking a Contract Grievances and Appeals Specialist for a fully remote role based out of Columbus, OH. The position analyzes and resolves verbal and written claims and appeals from providers and members, and prepares response letters. This is a contract position...Remote jobHourly payContract work
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