Remote Clinical Prior Authorization Reviewer
Actalent
Portland, OR
- Remote job
Actalent seeks a Clinical Prior Authorization Reviewer to assess medical necessity and determine the appropriate level of care for requests. You will support complex cases with evidence-based recommendations and collaborate with the care team to ensure compliant, cost-effective decisions. The role emphasizes utilization management, adherence to InterQual/Milliman criteria, and timely documentation in One Note within a fully remote, contract-based environment across Pacific/central time zones. #J-18808-Ljbffr Actalent
Vacancy posted 8 hours ago
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