Remote Director, Prior Authorization & Appeals
Kestra Medical Technologies Inc.
- Remote job
Kestra Medical Technologies Inc. seeks an experienced leader to head the Prior Authorization team. This role ensures timely submissions, accurate outcomes, and effective appeals while coordinating with across departments to optimize workflows. Strong focus on clinical relevance and policy adherence guides decision making. The position emphasizes mentorship, vendor management, and driving automation to reduce revenue leakage. #J-18808-Ljbffr Kestra Medical Technologies Inc.
- ...clinical utilization management teams, the full-time remote Utilization Management Director will oversee the implementation of UM programs,... ...the UM Department to ensure timely review of prior authorizations and appeals Oversee and execute the workplan to maintain NCQA...Remote workFull time
- ...Position Summary The Director of Patient Access owns and continuously strengthens the prior authorization operating system that stands... ...escalation pathways that keep PA and appeals workflows aligned end to end... ...Environment Location: Remote. Schedule: Full-time...Remote workFull timeShift work
$135.5k - $230.3k
...Job Duties Director of Utilization Management About Blue Cross... ...reviews. They manage and monitor prior authorizations and concurrent reviews through the clinical appeals process to ensure that the... ...week you are empowered to work remote. Compensation and Benefits$...Remote workFull timeFor contractorsWork at officeShift work2 days per week$141k
...Overview Associate Director, Field Reimbursement is a customer-facing role reporting... ...reimbursement journey through payer prior authorization to appeals/denials requirements, procedures and... .... Work Environment Work from home or remote locations such as airports, hotels, and...Remote workWork at officeWork from homeFlexible hours$112.7k - $193.2k
...start Caring. Connecting. Growing together. The Associate Director Business Process, Claim & Appeal Operations serves as a key strategic partner to the... ...Operations.You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough...Remote workMinimum wageFull timeTemporary workWork experience placementWork at officeLocal area$154.4k - $242.55k
...role: Field Reimbursement Associate Director – Northwest As a member of Takeda Oncology... ...education on insurance coverage, prior authorizations, appeals, and patient support solutions to ensure... ...position is currently classified as "remote" in accordance with Takeda's Hybrid...Remote workMinimum wageFull timeTemporary workLive inLocal area$141k
Overview Associate Director, Field Reimbursement - iovera/Zilretta North Central is... ...Reimbursement journey through payer prior authorization to appeals/denials requirements procedures and forms... ...Work Environment Work from home or remote locations such as airports, hotels...Remote workWork at officeLocal areaWork from homeFlexible hours- ...Cycle Management · Full-Time · Executive Leadership · Remote/Hybrid About Finale RCM Finale RCM is a technology-... ...accountability for VOB, credentialing, contracting, prior authorization, denial management, appeals, and compliance - with ownership of quality, throughput...Remote workFull time
$160k - $185k
...Requisition ID: 6896 Job Title: Associate Director, Market Access & Reimbursement - Alpharetta, GA or Remote Job Country: United States (US)... ...Outpatient, and ASC); insurance coverage, prior authorization, and appeals support; and cost-effectiveness evaluations...Remote workWork at officeImmediate startRelocation- ...To enhance patient therapy initiation, the fully remote Director of Patient Access will manage prior authorization performance, oversee a multi-tiered team, and build partnerships with Field Reimbursement Manager teams while ensuring timely and accurate processing of authorizations...Remote work
$130k - $155k
...Overview The Director of Pharmacy is responsible for supporting the AVP of Medical Cost Containment in the implementation... ...goals Manage a team of 8 pharmacists through a remote setting, overseeing a countrywide prior authorization program specific to workers compensation claims....Remote workWork at officeFlexible hours- ...Director Of Revenue Cycle The Director of Revenue Cycle provides... ...and expanding service lines prior to launch, ensuring billable... ...eligibility confirmation, prior authorization, and point-of-service... ...staff and managing contracted or remote resources. Ability to influence...Remote workContract workShift work
$23 - $28 per hour
...are currently looking for an Associate Director, Patient Navigator in the United... ...Support patients in understanding coverage, prior authorizations, and access to resources, ensuring... ...00.00 1 day ago Family Centered BCBA (Remote, No RBT Supervision) Illinois, United...Remote work16 hoursFull timeWork at officeWorldwideFlexible hours- The Director IV performs highly advanced (senior-level) managerial work providing executive leadership, strategic direction, and oversight for the Office of Consumer Affairs and the Office of Appeals. The position is responsible for establishing vision, goals, policies...Remote workWork at officeLocal area
- ...looking to fill: An Associate Medical Director will be joining a dynamic experienced... ...the professional community exist with prior authorizations, peer-to-peer discussions and CME... ...those with administrative experience. Remote work is a consideration following...Remote workFull timeWork at officeLocal areaWork from homeVisa sponsorshipWork visa
$138.6k - $257.4k
...will not have the ability to be located remotely. This position will require about 20%... ...will be considered.The Associate Director, PSC Program Monitoring leads the quality... ...reimbursement services, including prior authorization, appeals, and other payer utilization management...Remote workFull timeTemporary workLocal areaRelocation- A healthcare management company is seeking a Remote Coverage Review Pharmacist located in Tennessee. This role requires a Doctor... ...will be responsible for reviewing medication-related prior authorizations, appeals, and grievances, working independently or in a team to deliver...Remote work
$135k - $225k
...Associate Director, Health Technology Consulting Guidehouse's Health Technology Consulting... ..., or revenue cycle operations, with prior consulting firm experience strongly preferred... ..., including CMS billing rules, prior authorization workflows, and value-based contracting...Remote workTemporary workFlexible hours- ...pharmaceutical companies and healthcare providers, streamlining workflows with seamless integration for patient enrollment, consent, and prior authorization. Our best-in-class patient support services enhance every step of care, connecting patients, providers, and brands to drive...Remote workLocal areaFlexible hours
- ...now.We are currently seeking a Director, State Income Tax to join our... ...tax audits, examinations, appeals, and controversy matters.Develop... ...with state taxing authorities.Minimize tax risks and exposures... .... While many positions offer remote or hybrid work options, these...Remote workFull timeTemporary workWork at officeLocal areaFlexible hours
$134.6k - $230.8k
...togetherThe Clinical Program Director of Brain and Behavior is responsible... ...the flexibility to work remotely * from anywhere within the U.... ...of the programAnalyze appeal trends, overturn rates, peer-... ...program design and feasibility prior to transition to the Clinical...Remote workMinimum wageFull timeWork experience placementLocal areaFlexible hours$100k - $150k
...Description Job Description Director of Revenue Cycle Management (Remote) Compensation: $100,000–$150,0... ...credentialing, from eligibility and authorizations, and billing, collections, and... ...accounts receivable, denials, and appeals. Lead payer contracting initiatives...Remote workWeekly payFull timeWork from homeFlexible hours- ...a Clearance Specialist to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex Care! Infusion benefit verification and prior authorization experience required, including running test claims and calculating HCPC codes....Remote workContract workImmediate startMonday to Friday
- ...million. Position Summary: The Director of Donor Engagement is a proactive senior... ...projects, including but not limited to email appeals, newsletter articles, stewardship reports... ...Location Requirements: This is a remote position. Some travel is required for...Remote workTraineeship
- ...professional to join our team as the Senior Director, Field Reimbursement. In this role,... ...with patient support services. Prior experience leading and managing FRM teams... ...and specialty pharmacy pathways, prior authorization and appeal requirements, coding, appropriate claim...Full timeWork at office
- ...About this role: Director of Individual Giving Location: Remote Commitment: Part-time (volunteer, pro bono role) Contribution Requirements: Minimum... ...annual giving campaigns (e.g., year-end appeals, spring campaigns, monthly giving programs) across various...Remote workPart timeFlexible hours
- ...Location: Hybrid/Remote (Georgia/Tennessee preferred) Salary Range: Competitive Market Salary... ...—and we are seeking a mission-driven Director of Development to help expand our support... ...comm team on compelling donor messaging, appeals, and events. Cross-departmental collaboration...Remote workFull time
- ...Responsibilities New Cassel’s Current Foundation Director is Retiring. Position: Foundation... ...giving, grant and report writing, appeals, donor research, and special events. As a... ...Cassel at least 50% of the time, partial remote is possible. • Strong financial and budget...Remote workFull timeWork at office
$102.97k - $144.89k
...– New Hampshire UniServ Director Based in Concord, NH Job... ...proficiency required. Prior employment in union field work... ...Relations Board and at NH statutory appeals hearings. Working cooperatively... ...) Work Location: Hybrid remote in Concord, NH 03301 To Apply...Remote workFull timeContract workSummer workSeasonal workLocal areaMonday to FridayFlexible hours- ...Director of Revenue Cycle Management Remote, USA Full-time The Director of Revenue Cycle Management is a pivotal... ...eligibility and benefits prior to appointments to prevent claim rejections... ...claims immediately. Denial & Appeals Management: Investigate claim...Remote workFull timeImmediate start
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