Remote Pharmacy Prior Authorization Specialist
Gainwell Technologies
Gainwell Technologies is hiring a Pharmacy Prior Authorization Call Center Representative (Remote CT) to support the Connecticut Medicaid account in a fast-paced, high-volume environment. You will handle pharmacy claims and prior authorization inquiries, resolving issues within 24 hours and documenting all interactions in the system. The role requires an active Connecticut Pharmacy Technician license, the ability to work rotating shifts, and residency in Connecticut. #J-18808-Ljbffr
- ...Remote, RI Contract Job Title: Prior Authorization Specialist Location: Fully remote Duration: 12 months contract Job Description: Prior Authorization... ...takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous...Remote workContract work
- ...PharMerica team! PharMerica is a closed-door pharmacy where you can focus on fulfilling the... ...-Fri(8:30am to 5pm) This is not a remote opportunity . Applicants must reside... ...days Responsibilities ~ The Prior Authorization Coordinator is responsible for striving...Remote workLocal areaFlexible hoursShift work
- ...intelligent data management, pharmacy optimization, and value-... ...: The Intake Specialist is responsible for managing... ...elements are obtained prior to benefits investigation and authorization Patient & Provider... ...Off. Location: Remote with limited travel to client...Remote workWork at office
$20 - $21.96 per hour
...Navitus - Innovative Specialty Pharmacy Solutions- Lumicera Health... ...6am CST to 7pm, CDT Remote Work Notification ATTENTION... ...we are adding an Intake Specialist to our team! Under... ...insurance companies in triaging prior authorizations for patients of the specialty...Remote workFlexible hoursShift work$18.67 - $21.96 per hour
...Job Title Prior Authorization Specialist I Company Lumicera About Us Lumicera Health Services... ...defining the "new norm" in specialty pharmacy to optimize patient well-being... ...– up to $750! Location : Address Remote Location : Country US...Remote workTraineeshipFlexible hoursShift work$18.92 - $23.46 per hour
...voice matters. Vital Care is the premier pharmacy franchise business with franchises... ...Summary: Perform duties to initiate authorizations, focusing on accuracy, timeliness, and adherence... ...are included to complete and submit prior authorizations timely for payer...Remote workFull timeContract workTemporary workLocal areaImmediate startFlexible hours$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- ...Pharmacy Prior Authorization Specialist Provide technical and administrative support to the Fee-For-Service (FFS) Medicaid department, primarily by... ...Diego Headquarters or other company location (or from a remote location with management approval based on business...Remote workFull timeLocal areaMonday to FridayNight shiftWeekend work
- ...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 jobFull timeContract workImmediate startMonday to Friday
- ...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 jobFull timeContract workImmediate startMonday to Friday
- ...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
- ...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$75 per hour
...evaluates and validates AI tools that automate pharmacy benefit management and specialty medication prior authorization workflows, ensuring accurate, payer-compliant decisions... ...model improvement. Work Terms Location, remote. Employment type, hourly. Compensation...Remote workHourly pay- ...Baptist Health is looking for a Revenue Integrity Specialist I to join our team! This is a remote work position that requires residency in KY or INResearch... ...pre and post billing. Obtains predeterminations, prior authorizations, and retro authorizations when required by payor....Remote workFull time
$40 - $50 per hour
...Position: Healthcare Administrative Specialist Type: Contract Compensation... ...: $40–$50/hour Location: Remote Role Responsibilities... ...Design efficient processes for prior authorizations and utilization support using real-...Remote workFull timeContract workSummer workWork at office$70k - $80k
...Accreditation Specialist - Specialty Pharmacy Facilitate accreditation related tasks and work closely with internal and external team members to ensure the pharmacies meet accreditation requirements. Assist as necessary to support accreditation compliance and quality...Remote workTemporary workWork at officeWork from home- ...Authorization Specialist Are you a detail-oriented healthcare professional looking for an impactful remote role? We are seeking dedicated Authorization Specialists to join a fast-paced... ..., reviewing, validating, and creating prior authorization requests across multiple...Remote workWork from home
$29.62 - $45.31 per hour
...Responsibilities Be responsible for all core functions in the Prior Authorization (PA) Department Coordinate and execute the review and... ..., customer service inquiries, provider resolutions, etc.) Remote Work This position offers 100% remote work for candidates...Remote workMinimum wageFull timeWork experience placementLocal areaShift 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 jobWork from home
- ...Position Title: Prior Authorization Specialist II Department: Pre-visit Services Job Description: New to OU Health? Ask your... ...about our competitive wages and total rewards package. Remote Eligibility: Candidates must reside and work full-time in...Remote workFull timeShift work
$18 - $22 per hour
...Prior Authorization Specialist For over two decades, Riverhills Neuroscience has been a pioneer in delivering... ...pm, Hybrid, 2 days in office, 3 days remote after full in office training. Pay... ...coverage changes, oversee specialty pharmacy orders, and maintain/update the...Remote workHourly payFull timeTemporary workWork at officeMonday to Friday- ...business duties. May also initiate projects under the direction of pharmacy administration to enhance existing operations. Works with... ...strengths, weaknesses, opportunities, and risks. This position allows remote work at the discretion of the reporting operational leader....Remote workInternship
- ...unsurpassed! Purpose: The purpose of a Triage Specialist is to perform effective telephone... ...the position will transition to fully remote/work-from-home. Essential Duties and... .... Manage pre-certification and prior authorization requirements for procedures. Monitor and...Remote workFull timeTemporary workWork at officeImmediate startWork from home
$18.99 per hour
...healthcare professional looking for an impactful remote role? We are seeking dedicated Authorization Specialists to join a fast-paced, collaborative team! In this... ...for receiving, reviewing, validating, and creating prior authorization requests across multiple Medicaid lines...Remote workHourly payPermanent employmentTemporary workWork experience placementWork at officeWork from homeMonday to FridayShift work- ...Boston Medical Center is seeking a part-time Prior Authorization Specialist to work remotely. The role involves screening prior authorization requests and coordinating with various stakeholders for financial clearance in the healthcare system. Responsibilities include...Remote workPart time
- ~ Submits, tracks, and manages prior authorization requests for medical and ancillary procedures, within strict timeframes. ~ Researches... ...– 5 years of previous experience as a Prior Authorization Specialist, with expertise in medical billing, healthcare, and the insurance...Remote workWork at office
$20 - $24 per hour
...CardioOne Revenue Cycle Specialist The next generation of independent cardiology is... ...imaging experience preferred including prior authorization requirements/processes. ~ Certified... ...healthcare providers. Work Location: Remote: Colorado (Denver preferred), Delaware...Remote workHourly payFull timeWork at office$18 - $22 per hour
...Prior Authorization SpecialistFor over two decades, Riverhills Neuroscience... ..., 2 days in office, 3 days remote after full in office... ...ParkingResponsibilities:As a Prior Authorization Specialist at Riverhills Neuroscience,... ...changes, oversee specialty pharmacy orders, and maintain/update...Remote workFull timeTemporary workWork at officeMonday to Friday- ...President, Customer Experience Location: Remote/Hybrid with 10% travel nationwide Position Summary The PAHub & Prior Authorization Specialist serves as a trusted consultant to... ...PBM, health plan operations, specialty pharmacy, or healthcare technology. Hands-on experience...Remote workLocal area
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Pharmacy Prior Authorization Specialist. Be the first to apply!
- pharmacy specialist Brooklyn, NY
- senior network engineer remote Brooklyn, NY
- document specialist remote Brooklyn, NY
- chief of staff remote Brooklyn, NY
- remote legal intern Brooklyn, NY
- remote accounts receivable Brooklyn, NY
- remote customer service chat Brooklyn, NY
- junior designer remote Brooklyn, NY
- remote html Brooklyn, NY
- remote mandarin Brooklyn, NY




