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
- ...you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now.We are currently seeking a Systems Administration Specialist to join our team in New York, New York (US-NY), United States (US).PIpeline RR 365 CollaborationAdvanced...SuggestedWork at officeRemote workFlexible hours
$100k - $140k
...is the right place to build a fulfilling career.The Learning Systems specialist is responsible for the administration, optimization, and continuous... ..., tracking and reporting on support metricWhat You’ll Bring Prior experience managing Docebo required; Docebo administrator...SuggestedFull timeContract workWork at officeLocal area3 days per week$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$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...SuggestedFull timeWork at officeRemote work$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$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...Full timeContract workWork at officeRemote work- ...Location: Remote/Hybrid with 10% travel nationwide The PAHub & Prior Authorization Specialist serves as a trusted consultant to customers and internal... ...that reflects local market conditions. Agadia Health Systems, Inc. is a leading healthcare management technology...Local areaRemote work
- ...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
$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- ...providers. Job Overview: The Intake Specialist is responsible for managing... ...information, and referral details into the system Verify completeness of referral... ...required elements are obtained prior to benefits investigation and authorization Conduct welcome calls to...Work at officeRemote work
- ...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
$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$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$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- Wellstar Health System is hiring a PAS III for Pre-Service Operations to secure authorizations and verify benefits, working with physicians and care teams. You will escalate issues, maintain accurate records, and support pre-registration activities in a fast-paced hospital...
$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$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- ...Description Nonclinical Drug Safety (NDS) Specialist in Information Management coordinates,... ...validatable generative-AI pipeline for authoring/reviewing draft reports. Responsibilities... ...experience (APIs, prompt engineering/LLMs, systems thinking, technical design/development)....
$30 per hour
...energized by a multitude of possibilities and a dynamic team. Join us here at Liberty Coca-Cola Beverages LLC. Summary The System Maintenance Mechanic Specialist is responsible for repairing and maintaining all equipment within the warehouse system, including parts purchasing....Hourly payPermanent employmentFull timeWork at officeLocal areaNight shiftWeekend work- ...Pennsylvania invites applications for a Vocational Rehabilitation Specialist with the Office of Vocational Rehabilitation. You will support statewide efforts to enhance vocational rehabilitation systems and ensure technology aligns with program needs, requiring coordination...Remote jobWork at office
$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...- System is seeking a systems-minded individual to help build scalable operational, commercial, and organizational systems in a fast-moving startup focused on healthcare. You will collaborate with engineering, product, and research to align efforts and execute on complex...
- MedImpact Healthcare Systems, Inc. is hiring for a Prior Authorization Operations role to process PA requests, validate information, and ensure timely, accurate determinations following clinical guidelines and client requirements. The position emphasizes collaboration with...
$140k - $170k
...development. Bala is hiring an experienced building technology systems designer to work onsite in our New York office. The position... ...offerings which are positioned for growth. The Senior Systems Specialist - Technology will have a telecommunications and security discipline...Full timeContract workWork at officeRemote work- Judi Health, LLC is seeking a PA Specialist to maintain and validate prior authorization criteria, decision trees, and communication templates within the PA system. You will translate clinical requirements into system logic, perform QA, and partner with pharmacists and...
- The Department of Transportation in New York City is seeking skilled electricians to install, repair, and maintain electrical systems across buildings and highways, supporting traffic signals, cameras, and related infrastructure. Role involves field work, coordination with...For contractors
- Agadia Health Systems, Inc. seeks a PAHub & Prior Authorization Specialist to guide customers through implementation, optimization, and ongoing support, leveraging deep PAHub knowledge to improve adoption and outcomes. Responsibilities include conducting product demonstrations...Remote job
- ..., I am looking for a EDI Integration Specialist (Not Developer) for our client . Please... ...processes between internal systems and external partners. Ensure compliance... ...including claims, eligibility, payments, and prior authorizations. ~ Solid understanding of XML,...Contract workRemote work
- ...registered and covered, securing authorizations, moving claims through to... ..., and referral management Prior Authorizations & Utilization... ...Direct experience with the systems this work runs on — payer portals... ...Manager Revenue Cycle Specialist / RCM Analyst Medical Billing...Work at office
- Inspire Medical Systems is recruiting a Prior Authorization Specialist to implement the US-based Prior Authorization Program and collaborate with Territory Managers and the prior authorization team to resolve coding and coverage questions efficiently. The role requires...Remote job
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