Remote NP/PharmD - Prior Authorization & Appeals Lead
$44.09 - $78.7 per hourSarasota Memorial Hospital
- Remote job
Sarasota Memorial Hospital is looking for a Licensed Nurse Practitioner or Pharm D for a remote position focusing on specialty medication management. Candidates should have at least 3 years of clinical experience and be adept in utilization management. The position offers flexibility to work from home within the U.S. with competitive pay ranging from $44.09 to $78.70 per hour, dependent on experience and qualifications. Benefits include comprehensive packages, incentive programs, and 401(k) contributions. #J-18808-Ljbffr Sarasota Memorial Hospital
- ...provide clinical guidance and support utilization review for specialty medication populations, while enjoying the flexibility to work remotely. The position requires a strong background in utilization management and evidence-based medicine, with access to high-speed...Remote job
$44.09 - $78.7 per hour
The Council of State and Territorial Epidemiologists is seeking a qualified Clinical Reviewer to work remotely within the U.S. This role emphasizes supporting utilization review determinations and providing clinical guidance on specialty medications. Applicants must have...Remote jobHourly pay$44.09 - $78.7 per hour
...supports utilization reviews and provides clinical guidance in managing specialty medications. You’ll have the flexibility to work remotely from anywhere within the U.S. The hourly pay ranges from $44.09 to $78.70 depending on experience and qualifications, accompanied...Remote jobHourly pay$44.09 - $78.7 per hour
...utilization reviews and provide clinical guidance for specialty medications. The role is fully remote, allowing candidates to work from anywhere in the U.S. Responsibilities include leading clinical audits, educating peers, and evaluating data for continuous improvement in...Remote jobHourly pay$44.09 - $78.7 per hour
...optimal clinical outcomes. This role requires 3+ years of clinical experience, particularly in utilization management, and offers remote work flexibility across the U.S. The position also involves clinical audits and education related to specialty medications, all within...Remote jobHourly pay$44.09 - $78.7 per hour
...Candidates should have a minimum of 3 years clinical experience and 2 years advising on treatment plans. This position allows for remote work flexibility across the U.S., with an hourly pay range of $44.09 to $78.70. A comprehensive benefits package is also offered, alongside...Remote jobHourly pay- ...looking for a Clinical Nurse Practitioner or Pharmacist for the Prior Authorization/Appeals Specialty Infusion role. This position supports... ...least 3 years of clinical experience. Candidates will work remotely with a need for a dedicated workspace and high-speed internet...Remote job
$139k
...A leading virtual care company is seeking an Assistant Nurse Practitioner Manager to support... ...support. Ideal candidates will have a valid NP license, experience in women's health, and... ...communication skills. This position is remote within the U.S. and offers a competitive salary...Remote work- A leading healthcare solutions firm seeks a Payment Integrity Supervisor to oversee daily... ...assurance measures and resolving provider appeals. The ideal candidate will also ensure compliance... ...on improving service delivery. This remote position requires strong experience in...Remote workDaily paid
- A healthcare services division is seeking a Payment Integrity Supervisor to oversee a remote team focusing on quality assurance and provider appeals. The supervisor will manage daily activities, ensuring timely processing of requests and improving service delivery. Ideal...Remote work
$44.09 - $78.7 per hour
...Corporation is looking for a Licensed Nurse Practitioner or Pharm D to support utilization reviews and manage specialty medications remotely from anywhere in the U.S. This role requires 3+ years of clinical experience and knowledge of utilization management. The ideal...Remote workHourly pay- ...healthcare management company is seeking a Remote Coverage Review Pharmacist located in... ...role requires a Doctor of Pharmacy (PharmD) degree, clinical experience, and a... ...for reviewing medication-related prior authorizations, appeals, and grievances, working independently...Remote work
$248.5k - $373k
...Texas Health Institute is looking for a Medical Director dedicated to reviewing and adjudicating appeals and grievances for UnitedHealthcare. This position offers remote work flexibility and requires communication with medical directors across the organization. Qualified...Remote work$248.5k - $373k
...Psychiatric Association Inc is searching for a Medical Director to oversee clinical reviews and adjudications for appeals at UnitedHealthcare. This remote position allows flexibility while requiring substantial clinical and quality management expertise. Candidates should...Remote work- ...Emory University Emory University is a leading research university that fosters excellence... ...practice providers (Nurse Practitioner (NP) or Physician Assistant (PA)). Provides... ...at an Emory University location; working remote is not an option. Emory reserves the right...Remote workFull time
- ...professional for a leadership role managing complex healthcare appeals and driving revenue recovery. This position involves overseeing... ...least 2-5 years in a supervisory role. The role offers a fully remote work environment and a flexible schedule, allowing for a balance...Remote jobFlexible hours
$68 - $75 per hour
...weight loss start-up in the United States, is seeking a part-time contractor, ideally someone with a current PA-C or NP license in Illinois. This remote role involves telehealth patient care, managing a panel of 250 patients, and collaborating with a multidisciplinary team...Remote jobHourly payFull timePart timeFor contractors$102.18k
Lead Customer Solution Center Appeals and Grievances RN Job Category: Clinical Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition... ...work after hours, on weekends, holidays, a hybrid remote schedule, and occasional flexibility in hours/shift in critical...Remote workFull timeShift workWeekend work$91.7k - $163.7k
...A leading health services organization is seeking a Regional Nurse Practitioner based in Colorado... ...Practitioner program and an unrestricted NP license, along with experience managing... ...medications. The position offers remote work flexibility and a competitive salary...Remote work- ...A healthcare technology company is seeking a Nurse Practitioner Team Lead to manage a growing team and provide remote healthcare solutions. This role involves direct patient consultations and administrative duties to ensure effective telehealth practices. Ideal candidates...Remote workFlexible hours
- ...A healthcare provider is seeking a Lead Nurse Practitioner or Physician Assistant to support the United States Coast Guard. Candidates must have a Doctorate or Master's degree in a medical field, an unrestricted medical license, and experience in medical assessments....Remote work
- ...A leading healthcare technology firm in the United States is seeking an experienced Advanced Practice Provider Informatics Lead. This remote role involves supporting HCA Healthcare’s Digital Transformation team in implementing MEDITECH Expanse. Responsibilities include...Remote work
- A healthcare technology firm is seeking a Lead Nurse Practitioner to oversee a team of NPs in delivering exceptional virtual cardiac... ...is licensed in the region. Competitive salary and supportive benefits are offered, with a fully remote work environment. #J-18808-LjbffrRemote work
- ...PharmaForce is a leading provider of innovative pharmacy solutions, specializing in 3... ...Collaborative and innovative work environment Remote-friendly work environment Location:... ...- Start of Care Specialist I, Prior Authorization-Lumicera Clinical Pharmacist Patient Care...Remote workFull timeContract workWork at officeShift work
$50 - $55 per hour
...Location: Work from home (100% remote) - refer list of states... ...drug utilization review and appeals per State and Federal regulations... ...RESPONSIBILITIES Provides prior authorization services for formulary drugs... .../Certifications: Rph or PharmD, Doctor of Pharmacy, State Licensure...Remote workContract workWork from home- Silna Health is seeking an Operations Vendor Lead to manage offshore teams handling prior authorization and benefit verification. The role involves coordinating... ...organized, and possess strong communication skills. This remote position offers competitive pay and benefits, with...Remote job
- Empower Behavioral Health is looking for a Revenue Cycle Specialist Lead in San Antonio. This role is crucial for managing overall claim... ...at the corporate office for those in San Antonio, but remote options are available for eligible candidates residing in certain...Remote workWork at office
$2,734 - $2,889 per week
...Embark on an exciting remote, weekday pharmacist role... ...services, lead medication therapy management... ...utilization reviews, support prior authorizations and care coordination,... ...~ Doctor of Pharmacy (PharmD) degree ~ PGY-1... ...authorizations, audits, appeals, ALJ hearings ~...Remote workContract workTraineeshipWork from homeFlexible hoursShift workWeekday work- Nahse is seeking an RCS Manager for Prior Authorization - Infusion in Indianapolis, Indiana. The position involves leading Revenue Cycle operations and ensuring efficient use... ...hybrid position provides opportunities for both remote and onsite work at the Shadeland Ave office,...Remote workWork at office
$160k - $180k
...Architecture, and Customer Experience Lead the execution team, including delivery... ...strategic initiative. Pay & Perks Fully remote opportunity with about 25% travel Medical... ...providers and handles over 12 million prior authorization requests annually. Its responsible AI auto...Remote workContract workFlexible hours
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