Remote CPhT: Medicaid Prior Authorization Expert
Actalent
- 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
- ...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 workPermanent employmentFull timeWork at office
$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 workFull timeFlexible hoursWeekend work- 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
- 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
$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 workFull timeWork from homeMonday to FridayFlexible hours- 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 workFull timeWork experience placementHome office
- 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...
$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 workContract workTemporary workWork experience placementWork at officeLocal areaWork from homeFlexible hours$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 workFull timeWork at officeFlexible hours$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 workHourly payContract workFor contractorsWorldwideFlexible hours- ...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 workWork at officeWork from homeShift work3 days per week
- 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 workFull timeWork experience placementImmediate startHome officeMonday to Friday
$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 jobLong term contractWork from homeMonday to FridayShift workWeekday work$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 workContract workSummer work$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 workContract workSummer work$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 workHourly payContract workFor contractorsSummer workFlexible hours- ...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
- ...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 workFull timePart timeWork at officeLocal areaMonday to FridayDay shiftAfternoon shift
- ...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 workCurrently hiringWeekday work
- ...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 workPermanent employmentTemporary workImmediate startWorldwide
$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 workWork from homeFlexible hours$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 workFull timeWork at office$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 workContract workFlexible hours$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 workHourly payFull timeContract workTemporary workPart timeWork at officeLocal areaFlexible hours- ...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 workFull timePart timeFor contractors
- ...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 workWork from home
$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 workWeekly payFull timeLocal areaFlexible hours$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 workFull timePart timeWork from home$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 workContract workSummer workWork at office$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 workContract workPart timeSummer workImmediate start
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