Prior Authorization Systems Specialist
Judi Health
Judi Health is seeking a PA Systems Specialist to maintain and validate prior authorization criteria, decision trees, and templates within the PA system. You will translate clinical requirements into system logic, collaborate with pharmacists and cross-functional teams, and ensure data integrity and compliant operations. The role involves implementing formulary updates, configuring PA criteria, and supporting testing, validation, and communications to ensure timely and accurate authorizations #J-18808-Ljbffr Judi Health
$140k - $160k
OVERVIEWWe are seeking a technically strong Senior Systems Specialist, Business Development Platforms to support and enhance the Firm’s business development and marketing technology. As a member of the Information Technology (IT) department, the Senior Systems Specialist...SuggestedTemporary workWork at office$80 per hour
...United States-based healthcare professionals experienced in prior authorization, utilization management, clinical review, medical necessity... ...and service typesProficiency with authorization management systems and EHR platforms such as Epic, Cerner, or similar systemsExceptional...SuggestedHourly payPart timeFor contractorsWork at officeRemote workFlexible hours- ...Prior Authorization Specialist Full-Time | On-Site | Ashland, PA About the Role Concept Billing Solutions is seeking a detail-oriented and organized... ...learning and working across multiple computer systems. Proficiency with Microsoft Office. Benefits Concept Billing...SuggestedFull timeWork at office
$140k - $170k
...development. Bala is hiring an experienced building technology systems designer to work onsite in our New York office. The position... ...which are positioned for growth. The Senior Systems Specialist - Technology will have a telecommunications and security...SuggestedFull timeContract workWork at officeRemote work- ...Systems Specialist Customized Assistance Services (CAS) helps Human Resources Administration (HRA) clients with health and/or mental health problems reach the highest attainable level of functioning and self-sufficiency by providing comprehensive, integrated, individualized...SuggestedFull timeFlexible hours
- ...with 10% travel nationwide Position Summary The PAHub & Prior Authorization Specialist serves as a trusted consultant to customers and internal... ...compensation that reflects local market conditions. Agadia Health Systems, Inc. is a leading healthcare management technology...Local areaRemote work
- ...Primary Responsibilities Provide technical leadership and production support for AMI applications, including Meter Asset Management Systems (MAMS), Meter Data Management Systems (MDMS), Head-End Systems (HES), and field service applications. Collaborate with vendors...
- ...Outreach Specialist – Transit Homeless Outreach Every night, hundreds of New Yorkers sleep in the subway system. BRC's Transit Homeless Outreach team meets them where they are—building trust and helping individuals transition into housing and stability. As an Outreach...Full timeSleeping nightsNight shiftDay shiftAfternoon shift
- ...Health Is Building The Clinical Operating System For Modern Musculoskeletal Care We... ...and improve financial performance. Prior authorizations are a critical component of that success... ...We are seeking a Prior Authorization Specialist (Contract) to support high-volume...Contract work
$140k - $170k
...development. Bala is hiring an experienced building technology systems designer to work onsite in our New York office. The position... ...York offerings which are positioned for growth. Senior Systems Specialist - Technology will have a telecommunications and security...Full timeWork at officeRemote work- Law & Crime is seeking a People Operations Specialist to support the employee experience across the organization. You will manage onboarding, HR systems, recruitment support, and employee communications in a fast-paced media company. The role offers exposure to senior leadership...
- Responsibilities Design and document telecommunications systems, including structured cabling (copper and fiber) Design equipment rooms, MDF/IDF layouts, and pathways Design backbone and horizontal distribution Coordinate carrier demarcation and service provider coordination...
$21.38 - $44.4 per hour
...Dependent on Experience) The Revenue Cycle Specialist is responsible for billing and... ...General Education Degree (GED) with 3 years prior hands‑on experience in a fast‑paced medical... ..., and other payer requirements and systems. Effective communication abilities for...- ...Harlem is seeking a Psychiatrist for the Addiction Response Team to address substance abuse disorders within a large municipal health system. The role involves collaborating with a multidisciplinary team and providing clinical care in the Addiction Clinic, with day shifts...Day shift
- The Senior Program Specialist supports high priority initiatives as a project manager and operator embedded within the Hospital and Health Systems team. This role is responsible for driving the operational heartbeat of our AI enablement and ACO operations, primarily by...Remote jobWork experience placementLocal areaFlexible hours
- Agadia Health Systems, Inc. is seeking a PAHub & Prior Authorization Specialist to serve as a trusted consultant for customers and internal teams. You will bridge product functionality with customer operations, implementation, and training to maximize value and adoption...Remote job
- JOB SUMMARY The basic function of the Authorization Specialist is to verify benefits/eligibility and... ...is secured with the insurance company prior to scheduled service. Obtains authorization... ...the results of the process in the EMR systems for future reference and for claims...Temporary workWork at officeMonday to Friday
$40.15k
...information, activate the button labeled "Explore your accessibility options". Openings as of 7/29/2026 Retirement Specialist - Gwinnett Retirement System JobID: 103608 Position Type: Office Professionals/ Retirement Specialist Date Posted: 7/21/2026 Location:...Work at officeLocal areaShift work$96.2k - $151.4k
Specialist, Document SystemsSkip to main content*This site uses cookies to provide you with... ...browser settings.*#Specialist, Document Systems page is loaded## Specialist, Document SystemsApplyremote... ...pipeline to leverage generative AI in authoring and reviewing draft reports across the...For contractorsWork at officeLocal areaRelocationVisa sponsorshipFlexible hours- ...New Zealand - Ireland - Japan Job Description This resource will be responsible for designing and building the required interfaces/system integration between the various software components. The resource must be technically adept and able to break user requirements...Work at office
$35 - $45 per hour
...environment following the consolidation of our prior systems (Impress, QuickBooks, and Bill.com)... .... This person will be the internal authority on NetSuite configuration, workflows, and... ...as a NetSuite administrator or systems specialist. Strong command of NetSuite...Hourly payFull timeWork experience placementWork at officeImmediate start- ...candidates located anywhere in North, Central, or South America. Role Description We are seeking a Remote AV Control Systems Commissioning Specialist for a project-based contract . The specialist will be responsible for commissioning and validating AV control systems...Remote jobContract workFreelance
- ...Pharmacy Technician to maintain PA criteria, decision trees, and communication templates. You will translate clinical requirements into system logic, test updates, and ensure data integrity while partnering with pharmacists and cross-functional teams to support compliant PA...
$67.93k - $80.42k
...———————|——————————————————-|——————-| | Title: | System Safety Specialist I-IV Environmental Protection | | Authority: | TA/OA | | Department: | Office of System Safety... ...least one year of service in their current role prior to applying. Additionally, eligibility to...Permanent employmentFull timeWork at officeRemote workFlexible hours$61.29k - $68.86k
...team as an Offshore Operational Specialist. In this role, the successful... ...hospital A/R guidance and system instructions. Support implementation... ...Financial Clearance, Authorization, Eligibility Verification & Patient... ...activities, including prior authorization, eligibility verification...Work at officeRemote work$24.28 - $32.44 per hour
Overview The Technical Services Building Systems Specialist II (BSS II) is a skilled member of the Technical Services (TS) team, with a strong technical background in building automation, HVAC, commissioning, or test and balance. The BSS II is responsible for evaluating...Full timeWork at officeRemote work$27.92 - $37.29 per hour
...and growth are more than just values—they are the pillars of our continued success. Overview The Technical Services Building Systems Specialist III (BSA III) is a highly skilled member of the Technical Services (TS) team, with a strong technical background in building...Work at officeRemote work$24.28 - $32.44 per hour
ENFRA LLC is seeking a Building Systems Specialist II (BSS II) in Pennsylvania. The BSS II will evaluate, program, and optimize building systems, both on-site and remotely. A strong background in building automation, HVAC, and a minimum of 7 years of experience in commissioning...Hourly payFull timeRemote work$67.93k - $80.42k
System Safety Specialist I-IV Environmental Protection System Safety Specialist I-IV Environmental Protection Authority: TA/OA Department: Office of System Safety Division/Unit: Location: 2 Broadway New York, NY 10004 Hours: As required Telework (if Applicable...Full timeWork at officeRemote work- ...in the configuration lab and the field Rack fabrication of AV systems in the configuration lab Verify systems integration wiring connectivity... ...configuration processes Provide technical guidance to junior specialists in their assigned job duties Required Skills: At least 5 years...
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