Hybrid Pharmacy Prior Authorization Specialist
Elevance Health, Inc.
BioPlus Specialty Pharmacy, part of the Elevance Health family, is seeking a Pharmacy Prior Authorization Specialist to manage prior authorization requests across therapy types for patients whose health plans require approvals. This hybrid role combines in-office collaboration 1–2 days per week with remote work to support productivity and work-life balance. The specialist will review requests for accuracy, complete medical necessity documentation, and coordinate with physicians and payers to #J-18808-Ljbffr Elevance Health, Inc.
- ...Due to growth we are adding an Intake Specialist to our team! Under direction from the... ...Services and pharmacists in the Specialty Pharmacy, the Intake Specialist I is primarily... ...and insurance companies in triaging prior authorizations for patients of the specialty pharmacy...SuggestedRemote workFlexible hoursShift work
- ...make a difference! Rayonier is seeking a detail-oriented Revenue Specialist to join our team. In this role, you will play a critical part... ...of work-life integration and offer flexible work schedules and hybrid work from home options (for most positions), along with a...SuggestedWeekly payContract workWork at officeWork from homeFlexible hours
- PrideStaff is seeking a Treasury Operations & Cash Management Specialist in the Clearwater area, FL. You will oversee daily banking activity... ...-paced environment. The position offers on-site training with hybrid flexibility as proficiency grows, and a comprehensive benefits...Suggested
- Nemours in Jacksonville, FL is seeking an Access Specialist II in a hybrid role. This position schedules specialty appointments, collects demographic and insurance data, and ensures timely processing in the EMR system. You will verify insurance eligibility, discuss financial...Suggested
- ...guiding clients through premium appliance brand selections. We offer a competitive base salary with an uncapped earning potential, hybrid remote flexibility linked to the Lake Mary showroom, and full benefits after 90 days. #J-18808-Ljbffr Prestige Products of Central...SuggestedRemote work
$22.18 - $23.48 per hour
...loss. You will answer inbound calls, arrange payments, and review delinquency across consumer, mortgage, and business loans. This hybrid role requires 1-2 years in debt collections or sales and a high school diploma. Starting pay is $22.18-$23.48 per hour, with bonus...Hourly pay- ...meet delivery commitments. The ideal candidate has experience in supply chain management, production planning, and ERP systems (SAP). The position offers hybrid work options and requires commuting to Naples or New Port Richey, FL as needed. #J-18808-Ljbffr Quest GlobalRemote job
- BridgePrep Academy is seeking a Student Enrollment & Outreach Coordinator (Hybrid) to drive field recruitment and family engagement in Palm Beach County. This role serves as the primary brand ambassador, hosting events, guiding families from first inquiry to enrollment...
- ...Community Health NHS Foundation Trust is seeking a Children’s Specialist Speech and Language Therapist to join our integrated Children’s... ...Therapies Team. The role covers early years and school years with hybrid clinic and community sessions. You will support AAC and...
- ...Emergency Services, LLC (IES) is seeking a certified Medical Coding Specialist with emphasis on surgical services. The role involves accurate... ..., and ensuring compliance with payer guidelines. Work will be Hybrid at 4835 Lyndon B Johnson Fwy, Dallas, TX, 75244. The candidate...
$24 - $26 per hour
...Utilization Review Specialist – Behavioral Health (Remote) PHP/IOP | Full-Time | Monday–... ...Review (UR) Specialist to manage insurance authorizations for adolescent and adult mental health,... ..., and coverage requirements. Complete prior authorizations, pre-certifications,...Full timeRemote workMonday to Friday- ...leading healthcare systems. Our platform automates intra-facility transport workflows such as lab samples, medications, supplies, pharmacy runs, dietary deliveries, and more, enabling hospitals to streamline operations and reallocate staff to higher-value tasks. We partner...
- Lumicera is seeking a Specialist, Patient Programs to join our team in the United States. Under the supervision of the Supervisor, Patient... ..., monitor, and audit manufacturer programs with Specialty Pharmacy teams to support quality patient-centered care and efficient pharmacy...Remote job
- Aerodyne Industries is seeking a detail-oriented HR Specialist to support HRIS administration, reporting, and data analysis in a government contracting environment. The role requires independent project management and collaboration with cross-functional teams across our...Work at officeRemote work
- ...to Florida. The Field Reimbursement Specialist (FRS) to serves as a subject-matter expert... ...between providers, manufacturers, pharmacies, and payers to navigate reimbursement... ...in pharmacy benefit reimbursement, prior authorizations, appeals, and specialty pharmacies is...Full timeWork at officeLocal areaNight shift
$750 per month
Overview Lumicera Health Services is seeking a Reimbursement Specialist I to join our team! Under direction from the Assoc. Manager, Specialty Pharmacy Services, Reimbursement Team Lead, and pharmacists in the Specialty Pharmacy, the Reimbursement Specialist I is primarily...TraineeshipRemote workFlexible hours- ...Stroke Center, NICU, PICU, and top cancer, heart, vascular, orthopedic and surgery programs. The role focuses on managing the prior authorization process, verifying coverage, maintaining documentation, and collaborating with clinicians to ensure timely patient #J-18808-...
- Memorial Healthcare System in Hollywood, FL is seeking a Referrals and Authorizations Coordinator to secure prior authorizations and primary care referrals for inpatient and outpatient services, including surgeries and procedures. The role supports timely access to care...
- Intake & Authorization SpecialistEVO Care Group | Miramar, Florida | Office-BasedTHE QUESTIONWhen... ...looking for an Intake & Authorization Specialist who knows that behind every referral is... ...knowledge of insurance eligibility, prior authorizations, and patient...Work at office
- ...nutrition & weight loss services, monitoring between visits, pharmacy & pathology services, and the latest therapies, including clinical... ...competent, conscientious, service-oriented Front Office Specialist with strong character to join our team. This role is ideal for...Work at officeImmediate start
$13.5 - $15.5 per hour
...: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories... ...the deductible and co-pay information prior to the appointment time. Make comments... ...Management system. Obtain referrals/authorization/LOA from PCP, referring physician’s...Private practice$22 - $25 per hour
...Gallagher Bassett. We are seeking a qualified Associate Project Specialist to become a valued member of Industrial Hygiene and Building... ...nights and weekends) How You'll Make An Impact Position Summary: Hybrid work location (e., home and office), reporting to a Senior...Work at officeLocal areaShift workNight shiftWeekend work$750 per month
Overview Due to growth, we are adding a Specialist III, Prior Authorization to our team. Under direction from the Supervisor, Prior Authorization,... ...triaging prior authorizations for patients of the specialty pharmacy. The Specialist III, Prior Authorization will solve...Remote workFlexible hours$50k
...relevant healthcare laws and regulations. Demonstrate prior experience working with pharmacy benefit products and patients, or in immunology... ...patients' plan benefit coverage, including any prior authorization, appeal, tier exception, or formulary exclusion requirements...Temporary workWork at officeImmediate startMonday to FridayFlexible hoursShift work- ...Recovery Center is seeking a remote Utilization Review Specialist to manage insurance authorizations for adolescent and adult behavioral health, PHP, and... ...and CALOCUS criteria. You will verify benefits, prepare prior authorizations, and coordinate with clinical teams to...Remote job
- The Pharmacy Hub in Florida seeks a Shipping Clerk to organize and process shipments for efficient pharmacy logistics. This onsite role requires careful attention to detail, adherence to regulatory guidelines, and the ability to work in a fast-paced environment. Responsibilities...
- Lumicera Health Services is seeking a Reimbursement Specialist I to join our team in Tallahassee, FL. You will follow SOPs to obtain and... ..., and may contact patients about balances, supported by our pharmacy team and procedures. The role emphasizes accurate documentation...Remote job
$18 per hour
211 Palm Beach Treasure Coast is seeking a Call Center Representative/Resource Center Specialist to provide information, assessment, referral, and crisis intervention to callers via phone, text, and email. Training begins Jan 4, 2027, with a nesting phase and a 6-8 week...Remote jobHourly payShift work$17.36 per hour
Job Description QUALIFICATIONS, KNOWLEDGE AND SKILL REQUIREMENTS: A minimum of an Associate in Science degree in the discipline with 2 or more years of documented professional experience directly related to the discipline; OR Bachelor's degree in the discipline; Appropriate...Part timeWork at office- JobRx, Inc. seeks a Pharmacy Technician for Tallahassee Memorial Healthcare. The role involves clerical and technical duties under pharmacist supervision, such as maintaining medication supplies and handling data. Candidates should have a high school diploma and be registered...
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