Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Remote CPhT: Medicaid Prior Authorization Expert

Actalent

Dallas, TX
  • Remote job

Actalent is seeking a Fully Remote Certified Pharmacy Technician to evaluate and authorize Medicaid prior authorization requests in a high-volume call center. The role requires active state registration and national certification (CPhT) and offers remote training, modern equipment, and potential contract extension after one year. Responsibilities include evaluating requests, communicating decisions to prescribers, documenting outcomes, and escalating complex cases to a Pharmacist when needed. #J-18808-Ljbffr Actalent

Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Remote CPhT: Medicaid Prior Authorization Expert in Dallas, TX vacancy
  •  ...Primary Responsibilities • Serve as a senior Medicaid business and policy SME for the EDW,...  ...enhanced match rules, reporting periods, prior period adjustments, and reconciliation of...  ..., managed care, waivers, TPL, and claims adjudication. This is a remote position.... 
    Remote work
    Permanent employment
    Full time
    Work at office

    CLOUDSCOUTS SOFTWARE SOLUTIONS LLC

    Remote
    18 days ago
  • $90.9k - $129.9k

     ...career development. Summary As a Prior Authorization Registered Nurse Consultant -...  ...Services and Private Duty Nursing within Medicaid programs. In this remote role, you will support providers...  ...as a clinical subject matter expert and resource for providers, internal... 
    Remote work
    Full time
    Flexible hours
    Weekend work

    Gainwell Technologies LLC

    Columbus, OH
    1 day ago
  • Aetna in Oklahoma seeks a Labor Force Expert to create and manage a continuum of professional, work and business enhancement services for Medicaid beneficiaries, including adults and youth, to help them achieve their goals. The incumbent will collaborate with OHCA and... 
    Remote job

    MaziCTools

    Los Angeles, CA
    3 days ago
  • The Panther Group is seeking a Business Analyst with Medicaid prior authorization expertise for our client in the Quincy, MA area. This hybrid role combines onsite work in Quincy with remote work as needed. You will gather requirements, support SDLC activities, and help... 
    Remote work

    The Panther Group

    Quincy, MA
    2 days ago
  • $39k - $52k

     ...Certified Pharmacy Technician - Remote US It takes great medical minds to create...  ...as a Certified Pharmacy Technician (CPhT) and support Rhode Island Medicaid and other state pharmacy programs through pharmacy claims, prior authorization, provider support, eligibility,... 
    Remote work
    Full time
    Work from home
    Monday to Friday
    Flexible hours

    Gainwell Technologies

    United States
    4 days ago
  • Industry Employment - Recruiting - Staffing Work Experience 4-5 years Remote Job About Us Rockstar is an industry-leading staffing company...  ...WebPT, Prompt, Raintree, or similar Experience with Medicare, Medicaid, workers’ compensation, and out-of-network billing Experience... 
    Remote work
    Full time
    Work experience placement
    Home office

    Rockstar

    Phoenix, AZ
    2 days ago
  • Ohio County Healthcare is seeking a Pharmacy Technician CPhT for our hospital setting. Under the direction of a pharmacist, you will support sterile and non-sterile compounding, medication labeling, and distribution across the facility. CPhT certification within 180 days... 

    Ohio County Healthcare

    Hartford, KY
    20 hours ago
  • $68.9k - $131.1k

     ...America Location: US-AZ-REMOTE Position Role Type: Remote...  ...required, as only U.S. citizens are authorized to access information under...  ...Source to Pay Systems Expert What You Will Do Influence...  ...and a minimum of 2 years of prior relevant experience unless... 
    Remote work
    Contract work
    Temporary work
    Work experience placement
    Work at office
    Local area
    Work from home
    Flexible hours

    RTX

    Arizona
    1 day ago
  • $74.3k - $106.1k

     ...Summary As a Data Analytics and Reporting Subject Matter Expert (SME) at Gainwell, you can contribute your skills as we harness...  ...solutions. What you should expect in this role Fully remote position. Opportunity to travel through your work up to 25%... 
    Remote work
    Full time
    Work at office
    Flexible hours

    Gainwell Technologies LLC

    Ohio
    1 day ago
  • $93.6k - $187.2k

     ...scenarios. The project brings together experienced subject matter experts to help assess how effectively AI systems handle complex...  ...artificial intelligence evaluation projects. In this fully remote, project-based contractor role, selected professionals will use... 
    Remote work
    Hourly pay
    Contract work
    For contractors
    Worldwide
    Flexible hours

    ELITEBRAIN

    Remote
    5 days ago
  •  ...Senior Safety Domain Expert - Falcon Team: Product Management & Alliances Country: United Kingdom Remote Work Available: Yes Veeva Systems is a mission-driven organization...  ...customers Nice to Have ~ Prior experience contributing to the design,... 
    Remote work
    Work at office
    Work from home
    Shift work
    3 days per week

    Veeva Systems

    United States
    3 days ago
  • Now Hiring: Agentic Engineering Subject Matter Expert (SME) DEPARTMENT: AI & Software Engineering EMPLOYMENT TYPE: Full-Time | Fully Remote LOCATION: Dominican Republic | Philippines | United States WORK SCHEDULE: Monday – Friday, 8:00 AM – 5:00 PM US-EST POSITION OVERVIEW... 
    Remote work
    Full time
    Work experience placement
    Immediate start
    Home office
    Monday to Friday

    Spectra Healthcare Management

    Remote
    11 days ago
  • $53 per hour

     ...Job Description Job Description REMOTE RN OPPORTUNITY – GRIEVANCE & APPEALS /...  ...Management experience Experience with prior authorizations and medical necessity reviews...  ...experience Managed care, Medicare/Medicaid experience Strong clinical judgment... 
    Remote job
    Long term contract
    Work from home
    Monday to Friday
    Shift work
    Weekday work

    Phaxis - Healthcare

    Huntington, NY
    10 days ago
  • $20 - $22 per hour

     ...Jack Dorsey . Position: AI Safety Experts — English & Odia Type: Contract...  ...Compensation: $20–$22/hour Location: Remote Role Responsibilities Red team conversational...  ...Fluent in English & Odia . Prior red teaming experience in AI adversarial... 
    Remote work
    Contract work
    Summer work

    Mercor

    New York, NY
    23 days ago
  • $17 - $25 per hour

     ...Jack Dorsey . Position: AI Safety Experts — English & Vietnamese Type: Contract...  ...Compensation: $17–$25/hour Location: Remote Role Responsibilities Red team...  ...Skills Required: English & Vietnamese. Prior red teaming experience in AI adversarial... 
    Remote work
    Contract work
    Summer work

    Mercor

    New York, NY
    20 days ago
  • $135 per hour

     ..., Larry Summers , and Jack Dorsey . Position: Pharma Commercial Forecasting Expert — Launch Curves Type: Contract Compensation: $135–$210/hour Location: Remote Duration: 1–2 week pilot Role Responsibilities Create and critique rubrics... 
    Remote work
    Hourly pay
    Contract work
    For contractors
    Summer work
    Flexible hours

    Mercor

    San Francisco, CA
    19 days ago
  •  ...steps. Our partner is looking for a Financial Services Industry Expert based in the United States. The Financial Services Industry Expert...  ...to strategic growth initiatives. Benefits Fully remote work: Remote working arrangement with locations associated with... 
    Remote work

    Jobgether

    Remote
    1 day ago
  •  ...JOB SUMMARY: The Agent, Fun Expert identifies where the guest is in the booking journey, plans possible itineraries, answers vacation...  ...that are assigned including evenings and weekends. #LI-BM1 #LI-Remote At Carnival, your total rewards package is much more than... 
    Remote work
    Full time
    Part time
    Work at office
    Local area
    Monday to Friday
    Day shift
    Afternoon shift

    Private Destinations

    Florida, FL
    1 day ago
  •  ...leading AI labs (via one of our partners); supporting them in training their AI models. Have you been curious about how LLMs generate expert-level answers and wanted to contribute to their development? There are knowledge gaps in specialized fields like Mathematics, and... 
    Remote work
    Currently hiring
    Weekday work

    Weekday

    United States
    1 day ago
  •  ...applications and next steps. Our partner is looking for a Migration Expert (SQL Server to PostgreSQL) based in United States. We are...  ...performance, maintainability, and operational reliability. This remote opportunity is ideal for a seasoned database professional who enjoys... 
    Remote work
    Permanent employment
    Temporary work
    Immediate start
    Worldwide

    Jobgether

    Remote
    1 day ago
  • $120 per hour

    Prolific is looking for Licensed Pharmacists to help train AI models, offering competitive pay up to $120 USD/hr per task completed. Responsibilities include reviewing AI-generated responses for accuracy and creating structured feedback to improve model performance. Candidates...
    Remote work
    Work from home
    Flexible hours

    Prolific

    Dallas, TX
    1 day ago
  • $90k - $175k

     ...Joint Training & Doctrine Subject Matter Expert (SME) Location: Arlington VA (On-site...  ...operations, Defense Support of Civil Authorities (DSCA), and Department of Defense (DoD)...  ...Region. This is an on-site position. Remote work is not authorized. Government-approved... 
    Remote work
    Full time
    Work at office

    Nationwide IT Services

    Arlington, VA
    15 days ago
  • $50 per hour

     ...Remote contract for PhDs in Biology, Biotechnology, Biochemistry, or related fields. Work on cutting-edge projects with top AI labs...  ...depends on role and candidate expertise).Assessment: Shortlisted experts complete an evaluation before selection.Assignments: Contract roles... 
    Remote work
    Contract work
    Flexible hours

    Turing

    Los Angeles, CA
    4 days ago
  • $60 - $65 per hour

     ...increasing need for skilled talent. With national remote training and campuses in 20+ cities and...  ...is seeking a Critical Infrastructure Expert Trainer to become a member of our...  ...Preferred Skill Sets Significant prior experience working in data centers, critical... 
    Remote work
    Hourly pay
    Full time
    Contract work
    Temporary work
    Part time
    Work at office
    Local area
    Flexible hours

    Per Scholas

    Illinois
    20 hours ago
  •  ...Word and PDF Experts Remote 49 openings $20 - $55/hr Required Skills: Microsoft word Pdf editing tools Document formatting...  ..., and perform through high-quality, real-world input. No prior experience in AI is required your domain knowledge is what matters... 
    Remote work
    Full time
    Part time
    For contractors

    ESR Healthcare

    Palo Alto, CA
    2 days ago
  •  ...Vaya Partners seeks a Registered Nurse to perform Personal Care Services assessments for Medicaid beneficiaries in North Carolina. The role is remote but requires residency in NC and travel within specified counties to complete in-home and community-based assessments.... 
    Remote work
    Work from home

    Vaya Health

    Clayton, NC
    20 hours ago
  • $100k - $300k

    Unlock Your Sales Potential with Home Genius Exteriors! Ditch the cold calls and step into a full-time, high-opportunity W-2 sales role where 90% of the work is done for you before you ever meet the customer. Be a part of our Detroit, MI branch! Detroit is a brand...
    Remote work
    Weekly pay
    Full time
    Local area
    Flexible hours

    Home Genius Exteriors

    Pinckney, MI
    4 days ago
  • $12 - $15 per hour

     ...Scribe Opportunity at The Kidney Experts Locations: Jackson, TN | Dyersburg, TN | Union City, TN Type: Full-Time (Part-Time Considered...  ...Meet — even when you're at the same location as the provider. Remote work may become available based on demonstrated performance and... 
    Remote work
    Full time
    Part time
    Work from home

    The Kidney Experts, PLLC

    Union City, TN
    1 day ago
  • $120 per hour

     ...Jack Dorsey . Position: Incident management / reliability / SRE Evaluator Type: Contract Compensation: $80–$120/hour Location: Remote Role Responsibilities Evaluate AI-generated artifacts against domain-specific quality rubrics. Identify factual, aesthetic... 
    Remote work
    Contract work
    Summer work
    Work at office

    Mercor Inc

    United States
    2 days ago
  • $70 per hour

     ...Catalyst , Peter Thiel , Adam D'Angelo , Larry Summers , and Jack Dorsey . Position: Chemistry Expert (PhD) — AI Safety Type: Contract Compensation: $65–$70/hour Location: Remote Commitment: 15–40 hours/week Role Responsibilities Write expert-level prompts across... 
    Remote work
    Contract work
    Part time
    Summer work
    Immediate start

    Mercor Inc

    United States
    3 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote CPhT: Medicaid Prior Authorization Expert. Be the first to apply!