Remote Pharmacy Prior Authorization Specialist (MA)
Optum
- Remote job
Atrius Health, part of the Optum family, seeks a Pharmacy Technician focused on prior authorizations. The role supports patients, insurers, and providers to ensure timely medication approvals. Strong knowledge of formularies, regulatory guidelines, and Epic usage is required. Remote in Massachusetts with standard hours Mon-Fri, 8:30am-5:00pm. MA residency preferred; hospital/clinic collaboration and patient advocacy are core to this role. #J-18808-Ljbffr Optum
- ...The Rep I, Clinical Services takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation...Remote work
$23 per hour
...Pharmacy Prior Authorization Specialist – CareMed Specialty Pharmacy Houston, TX | Full-Time | Starting at $23.00/hr and up Sign-On Bonus: $5,000 for... ...team making a difference in the lives of cancer patients. Remote work possible after initial on-site training. Company...Remote workFull timeTemporary workRelocation package$20 - $21.96 per hour
...Navitus - Innovative Specialty Pharmacy Solutions- Lumicera Health... ...5pm) 6am CST to 7pm, CDT Remote Work Notification ATTENTION... ...we are adding an Intake Specialist to our team! Under direction... ...insurance companies in triaging prior authorizations for patients of the...Remote workFlexible hoursShift work- ...Medication Access Specialist We are relentless in solving... ...pharmacydesigning pharmacy footprints that meet... ...providing integrated remote support to patients, pharmacists... ..., handling medication authorizations, managing insurance... ...documentation for prior authorization...Remote workFull timeWork at office
$5,000 per month
...Job Title Medicare B Specialist Job Description PharMerica... ..., is a long-term care pharmacy services provider that supplies... ..., processing, and tracking prior authorizations on behalf of customers.... ...experience; Medicare B preferred. Remote: May reside anywhere with...Remote workLocal areaMonday to FridayFlexible hoursShift work$40 per hour
Job Title: Intake Authorization Specialist Job Type: Full-time Pay: up to $40... ...home infusion and specialty pharmacy services. We are accredited... ...Qualifications Required: Prior experience in home infusion... ...holidays. Opportunity for remote work based on qualifications...Remote workHourly payFull time- All Jobs > Clearance Specialist - Remote Soleo Health is seeking a Clearance... ...our Specialty Infusion Pharmacy and work Remotely (USA) . Join... ..., and follow up of payer authorization requests. Responsibilities... ...Initiate, follow-up, and secure prior authorization, pre-...Remote jobFull timeContract work
- ...Job Title Pharmacy Benefit Management Solution Job Description... ...Managers (CPMs), Clinical Specialists, and Clinical PA Guidelines... ...Implementation and perform Prior Authorization processing as needed.... ...company location (or from a remote location with management approval...Remote workFull timeLocal areaMonday to FridayNight shiftWeekend work
- ...Coordinator - Infusion & Specialty Pharmacy (Parenteral Nutrition & DME... ...have expertise in handling prior authorizations (PA), billing, insurance... ...(CPhT), Medical Assistants (MA), and LPNs with the... ...position offers flexibility for remote or hybrid work arrangements,...Remote workWork at officeFlexible hours
$134.32k - $164.09k
...General Brigham. Burlington, MA. Site: Mass General Brigham... ...theory of the practice of pharmacy by reviewing literature, attending... ...access by assisting with prior authorizations, drug therapy appeals,... ...weekly onsite attendance. Remote Type Hybrid Work Location 31...Remote workFull timeWork at officeImmediate startWork from homeFlexible hoursShift work2 days per week1 day per week- TriHealth is seeking a Prior Authorization Specialist (Certified Medical Assistant or Pharmacy Technician) to support the PA process across the health system. The role focuses on verifying insurance, managing formulary reviews, and coordinating with patients, prescribers...
$20 per hour
...role emphasizes clear communication and accurate documentation while managing sensitive issues. Position is remote but requires onsite training in Hingham, MA. Candidates must reside in Massachusetts. Pay is $20/hour, with paid training included. #J-18808-Ljbffr ProPivotalRemote job- ...Prior Authorization Specialist PHIL is looking for a full-time Prior Authorization... ...Specialist - with a focus on pharmacy support for Monday through... ...to meet the needs of remote processing (required) Reliable... ...CO, FL, GA, IA, ID, IL, IN, MA, MI, MO, NC, NH, NJ, NY, OH...Remote workFull timeWork at officeMonday to FridayShift work
$20 - $36 per hour
...Access & Reimbursement Pharmacy Specialist Optum is a global organization that delivers care, aided by technology, to help millions... ...obtain patient access, the role includes ongoing follow up on prior authorizations and appeals. The role also includes identifying and...Remote workHourly payMinimum wageFull timeTemporary workWork experience placementLocal areaMonday to FridayShift work- ...UPMC Corporate Pharmacy is hiring a Reimbursement Specialist to join our team! This role will work... ...guidelines, and referral/authorization processes. Maintains... ...pre-determination and/or prior authorization procedures... ...without insurance, verifies MA application process,...Contract workWork at officeMonday to Friday
$75 per hour
...D'Angelo , Larry Summers , and Jack Dorsey . Position: Pharmacy Prior Authorization & Specialty-Medication Access Specialist Type: Contract Compensation: $75/hour Location: Remote Role Responsibilities Process and manage prior authorisation...Remote jobContract workSummer work$19.37 - $27.71 per hour
...time, 40-hour Practice Specialist to join our Sports... ...Street in Wellesley, MA. The schedule is Monday... ...issues for staff. Manage authorizations in collaboration with... ...takes messages related to prior authorizations,... ...strongly preferred. Remote Type: Onsite Work Location...Remote workHourly payFull timeMonday to FridayShift workWeekend work$75 per hour
...Pharmacy Prior Authorization & Specialty-Medication Access Specialist is a remote review track for evaluating AI outputs across pharmacy prior authorization specialty medication access specialist operations workflows. Reviewers grade workflow correctness, policy adherence...Remote jobFor contractorsWork experience placement10 hours per week- ...challenges in health system pharmacy—designing pharmacy... ...THE POSITION (Fully Remote) (Requires... ...The Medication Access Specialist Supervisor is an essential... ...also review medication authorizations, conduct benefits investigations... ...documentation, submit prior authorizations, and...Remote workFull timeWork at office
- ...seeking an Acute Clearance Specialist to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying... ...submission, and follow up of payer authorization requests. Responsibilities... ..., follow-up, and secure prior authorization, pre-determination...Remote jobFull timeContract workImmediate startMonday to Friday
$140.47k - $190.04k
...serve patients, we are actively searching for a Senior Oncology Specialist to deliver on this commitment to patients. Amgen Oncology is... ...incentivesAward-winning time-off plansFlexible work models, including remote and hybrid work arrangements, where possibleApply nowfor a...Remote workFull timeLocal areaFlexible hours$40 - $50 per hour
...Position: Healthcare Administrative Specialist Type: Contract Compensation... ...: $40–$50/hour Location: Remote Role Responsibilities... ...Design efficient processes for prior authorizations and utilization support using real-...Remote workFull timeContract workSummer workWork at office$29.62 - $45.31 per hour
...Responsibilities Be responsible for all core functions in the Prior Authorization (PA) Department Coordinate and execute the review and... ..., customer service inquiries, provider resolutions, etc.) Remote Work This position offers 100% remote work for candidates...Remote workMinimum wageFull timeWork experience placementLocal areaShift work$18 - $19 per hour
...conversion to FTE Location : REMOTE (see list of NON... ...9/hr Must-haves State pharmacy license (see below for... ...Pharmacy Support Specialist (Tues-Fri 1130a-8p; Sat... ...Pharmacy Technician - Prior Authorization - Work From Home Pharmacy... ...Technician (Remote in NH or MA), Remote Pharmacy...Remote workHourly payContract workWork from homeShift work- ...Fremont Economic Development Corporation is looking for a Prior Authorization Specialist to enhance patient care by ensuring timely access to healthcare... ...and communication skills. This position allows remote work for residents of several states and offers competitive...Remote work
- ...Working remotely in a full-time capacity, the Prior Authorization Specialist will screen prior authorization requests, coordinate specialized services, and ensure compliance with healthcare delivery standards while managing financial clearance activities. Key responsibilities...Remote workFull timeWork at office
$23 - $27 per hour
...Soleo Health is actively seeking an Acute Clearance Specialist to join our Specialty Infusion Pharmacy. This full-time role offers remote work opportunities within the USA and focuses on supporting patient benefit verification and insurance management. Ideal candidates...Remote workHourly payFull time- ...currently seeking an Revenue Cycle Specialist (Medical Practice, Part B... ...This is a Full-time remote position Monday - Friday, 8:0... ...documentation, eligibility, authorization, and payer-related discrepancies... ...limitations, and obtain necessary prior authorizations to prevent...Remote workFull timeWork experience placementWork at officeWork from homeMonday to FridayFlexible hours
- ...CVS Health is seeking a Prior Authorization Representative for a remote role, serving as the initial contact for authorization requests from members, providers, and a diverse customer base. The Rep I will determine if complex cases require pharmacist escalation and will...Remote workNight shift
- ...Supporting a Specialty Infusion Pharmacy, the full-time Infusion Benefit Clearance Specialist will manage patient referrals by verifying insurance... ..., coordinating benefits, and securing prior authorizations, all while working remotely. Key responsibilities Perform benefit...Remote workFull time
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