Remote Pharmacy Prior Authorization Specialist
TrueScripts Limited
TrueScripts Management Service is seeking a detail-oriented Prior Authorization Coordinator for a remote role. You will review and process PA requests for pharmacy claims received electronically, by fax, or from providers or members, verifying documentation and ensuring alignment with benefit plan parameters.
You will work with ePA navigation software, communicate with members, pharmacies and physicians, and move approved requests to the appropriate queues.
#J-18808-Ljbffr- ...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$19 - $20 per hour
...): - At Amber Specialty Pharmacy, our commitment to patient... ...Specialty Pharmacy Job Title: Authorization Management Specialist Department: Operations... ...appeal summaries and prior authorizations,... ...conferences, meetings, and remote events Constantly operates...Remote workHourly payWork experience placementWork at officeLocal areaMonday to Friday- ...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
- ...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
$20.31 per hour
...changes everything. We are looking for a Prior Authorization Specialist to join our team! In this role you... ...between 7 am -5 pm, 8-hour shifts Remote eligible after training in‑person in... ...health services; vision centers; pharmacies; and air and ground ambulance services...Remote workFull timeWork from homeMonday to FridayShift 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 workFull timeContract workImmediate startMonday to Friday
- The Cigna Group is seeking a Pharmacy Prior Authorization Senior Representative to obtain initial and renewal authorizations for Specialty Pharmacy and/or Specialty Infusion services. You will collaborate with clinicians to assemble documentation per formulary guidelines...Remote job
$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
- 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
- ...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$18.92 - $23.46 per hour
.... Vital Care is the premier pharmacy franchise business with franchises... ...: Perform duties to initiate authorizations, focusing on accuracy,... ...included to complete and submit prior authorizations timely for... ...for this position is $18.92 - $23.46 #J-18808-Ljbffr Remote JobsRemote workFull timeContract workTemporary workLocal areaImmediate startFlexible hours- ...Medication Access Specialist We are relentless in solving... ...pharmacydesigning pharmacy footprints that meet... ...providing integrated remote support to patients, pharmacists... ..., handling medication authorizations, managing insurance... ...documentation for prior authorization...Remote workFull timeWork at office
$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$22 per hour
About the job JX22004069329 - Pharmacy Technician I - Remote 2 Years Contract (3 Months) Pay Rate USD... ...Description: Responsibilities: The Tech I Prior Auth takes in-bound calls from... ...through the criteria based prior authorization process. Maintains complete, timely...Remote jobHourly payContract workWork at office$53 per hour
A-Line Staffing is seeking a Pharmacist for a remote Prior Authorization role. The position is full-time, temporary-to-permanent, with hourly compensation of $53.00. The work delivers PBM-focused responsibilities from a home office while adhering to regulatory standards...Remote jobHourly payPermanent employmentFull timeTemporary workHome office$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- ...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
$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- ...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
$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$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
$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- ...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
- ...the financial clearance process, the part-time Per Diem Prior Authorization Specialist will screen prior authorization requests, coordinate specialized... ...compliance with departmental guidelines while working remotely. Key responsibilities Prioritizes and processes incoming...Remote workDaily paidPart timeWork at office
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