Prior Authorization Policy & Criteria Specialist
TrueScripts Limited
TrueScripts Management Services is seeking a detail-oriented professional to draft and govern clinical PA criteria across our PBM platform. You will work with pharmacists and the policy committee to ensure accuracy, compliance, and timely updates. In this role you’ll maintain Confluence logs, build criteria in the PA system, and support audits and state-specific requirements with meticulous documentation and cross-team collaboration. #J-18808-Ljbffr
$29 - $30 per hour
...Immediate need for a talented Prior Authorization Specialist | EPIC / Referral Management . This is a... ...Review benefit information, coverage criteria, and supporting documentation. Communicate... ...STOP to cancel and HELP for help. You can access our privacy policy here ....PolicyContract workWork at officeLocal areaImmediate start$94.5k - $148.06k
...Tennessee. The Field Reimbursement Specialist (FRS) to serves as a subject-matter expert... ...in pharmacy benefit reimbursement, prior authorizations, appeals, and specialty pharmacies is... ...coverage, patient assistance, and health policy to educate office staff, address...PolicyFull timeWork at officeLocal areaNight shift$70k - $75k
...SUMMARY The Utilization Specialist will report to the... ...review of carrier policies and forms to ensure current... ...care guidelines/criteria to assess the patient'... ...sharing provider and authorization numbers. Written and... ...authorizations are valid, renewed prior to the expirations...PolicyFull timeWork at office- ...DescriptionProSidian Seeks a Stakeholder Engagement Specialist | Energy Technical Consulting Services [... ..., advancing climate and energy policies through strategic studies and policy... ...LOCATED ON - ONLY CANDIDATES WITH REQUIRED CRITERIA ARE CONSIDERED. OR SEND YOUR RESUME’S,...PolicyFull timeContract workPart timeH1bWork at office
- ...DescriptionProSidian Seeks a Explosive Safety Specialist (SCA Code: -) in CONUS - Mid... .... concerned with the US' policies regarding energy and safety... ...and comply with established criteria. The candidate shall ensure... ...for a “Facility Access Authorization” (also referred to as an “...PolicyFull timeTemporary workFor contractorsWork at officeFlexible hours
- ...efficiency), and are aligned at the intersections of assets, processes, policies and people delivering value. ProSidian clients represent a... ...TO CAREERS @ PROSIDIAN.COM. ONLY CANDIDATES WITH REQUIRED CRITERIA ARE CONSIDERED. Be sure to place the job reference code in the...PolicyContract workFor contractorsWork at officeFlexible hours
- ...UTRS) is currently seeking a Cybersecurity Specialist to join our team! At UTRS, we enjoy the... ....Familiarity with Army and DoD policies influencing the cybersecurity community,... ...evaluating job-related qualifications against criteria established by UTRS. This technology does...PolicyCasual workWork at officeRemote work
- ...the intersections of assets, processes, policies, and people delivering value. See Link To... ...Seeks a Performance & Evaluation Specialist | Learning Management System (LMS) & Training... ...ProSidian.com. Only candidates who meet the criteria will be considered. For clarity and...PolicyFull timeContract workTemporary workFor contractorsH1bWork at officeFlexible hours
- ...intersections of assets, processes, policies and people delivering value.... ...Seeks a Change Management Specialist - Transition and Economic... ...and comply with established criteria. All employees, in the... ...eligible for a “Facility Access Authorization” (also referred to as an “...PolicyFull timeTemporary workFor contractorsWork at officeFlexible hours
- ...the intersections of assets, processes, policies, and people delivering value. See Link To... ...Seeks a LMS Integration Specialist | Learning Management System (LMS) & Training... ...ProSidian.com. Only candidates who meet the criteria will be considered. For clarity and tracking...PolicyFull timeContract workTemporary workFor contractorsH1bWork at officeFlexible hours
$61.44k - $102.42k
...443.20 - $102,419.20 The CTL Specialist routinely performs manual and... ...Ability to follow procedures/policies and adhere to all documentation... ...acceptability and release criteria. Works as part of a team to execute... ...individual’s combination of prior work experience, level of...PolicyTemporary workFor contractorsWork experience placement- ...Alternative Construction Methods Specialist will serve as a key advisor... ...-build, Other Transactional Authorities (OTA), Commercial Solutions... ...compliance with DoD policy, design standards, and mission... ...MILCON projects and programmatic criteria (e.g., design guides and...PolicyFor contractors
- ...Description Job Description Flexible Staffing Assistant (RPO Specialist) We are looking for customer-service oriented people to... ...applicants feel welcomed and informed Communicate role details, policies, expectations, and requirements Ensure hiring steps are...PolicyWork at officeFlexible hoursWeekend work
- ...Seeks a Information Protection Specialist in CONUS - Mid Atlantic... ...Govt. concerned with the US' policies regarding energy and safety... ...and comply with established criteria. The candidate shall ensure... ...eligible for a "Facility Access Authorization" (also referred to as an "...PolicyFor contractorsWork at office
- ...Senior Reg Ops Specialist SME | Healthcare and Life SciencesProSidian... ...Advanced Research and Development Authority (BARDA) Generally Located In... ...; clinical and/or regulatory policy; and/or manufacturing (... ...and comply with established criteria. All employees, in the performance...PolicyFull timeContract workFor contractorsWork at office
$17 - $20.6 per hour
...Vision, Life, and other insurance plans (subject to eligibility criteria) Work-life Balance, Including Paid vacation and sick time for... ...ethnicity, citizenship, or any other category protected by law. This policy applies to all areas of employment, including recruitment,...PolicyFull timePart timeMonday to Friday$30.98 - $48.34 per hour
...quality control checks of conflict reports prior to delivery. Provides a foundational... ...meeting high standards. Comply with firm policies and procedures. Maintain confidences... ..., nor should it serve as the sole criteria for personnel decisions and actions. The...PolicyHourly payWork at officeRemote workRelocationVisa sponsorshipRelocation package- ...seeking an experienced Staffing Specialist to support the customer’s... ..., including qualification criteria, duty statements, knowledge,... ...Guard staffing regulations, policies, and procedures. Respond... ...applicants within the scope authorized by the Government. Maintain...PolicyContract workFor contractorsWork at officeWorldwide
$165k - $198k
..., prepare, and update authorization packages Notify customer... ...with security policies and practices Perform... ...related experience ~ Prior performance in roles such... ...Technology/Assurance Specialists Education... ...Security Standards, Common Criteria, and System Security...PolicyFull timeLocal areaShift work$60k - $70k
...seeking Records Management Specialists to support a... ...of expired records for authorized destruction or other disposition... ...records retention policies, schedules, or records... ...dispersed teams.Prior federal records management... ...must fulfill eligibility criteria for accessing...PolicyContract workFor contractorsRemote workMonday to Friday- ...Senior Partnership Specialist Job #: req38578 Organization: World Bank Sector: Other... ...‑making frameworks, and evolving policy objectives. Monitor and analyze political... ...donor engagement practices. Selection Criteria Master’s degree in international relations...PolicyPermanent employmentWork at officeWorldwide
$75k - $95k
...Division has an opening for a Produce Ops Specialist in D84 in Northern VA. This is a... ...compliance and program execution to company policy and procedures.Measures store level performance... .... Starting salary will vary based on criteria such as location, experience, and...PolicyWork experience placement- ...the intersections of assets, processes, policies, and people delivering value. See Link To... ...Seeks a Power Platform Specialist (Power Apps/Automate/BI) | Servicenow &... ...ProSidian.com. Only candidates who meet the criteria will be considered. For clarity and tracking...PolicyFull timeContract workTemporary workFor contractorsH1bWork at officeFlexible hours
- ...currently looking for Modern Work Technology Specialist professionals to join our teams across... ...new growth capabilities.Tracks success criteria and performance metrics.Identifies and... ...expert in relevant local regulatory and policy environments (e.g., opening doors and removing...PolicyLocal areaWork from homeFlexible hoursShift work
$143.91k - $187.09k
...DC, the Cybersecurity Specialist will help shape long-range... ...plans and policies, including ensuring compliance... ...offers may be withdrawn if criteria cannot be met within a... ...may apply (no prior federal experience required... ...delegated Direct Hire Authority (DHA). Relocation...PolicyWork experience placementSecond jobWork at officeLocal areaRelocationFlexible hours$145k - $190k
...State (DOS). This opportunity will provide policy direction and oversight in the areas of... ...and senior, mid-level, and junior M&E Specialists as needed. Manage relationships with... ...Only those applicants who meet the above criteria will be contacted for interview. Dexis...PolicyFull timeContract workTemporary workWork at office- ...the intersections of assets, processes, policies, and people delivering value. See Link To... ...Seeks a LMS Integration Specialist | Learning Management System (LMS) & Training... ...ProSidian.com. Only candidates who meet the criteria will be considered. For clarity and tracking...PolicyFull timeContract workTemporary workFor contractorsH1bWork at officeFlexible hours
- ...the intersections of assets, processes, policies and people delivering value. ProSidian clients... ...Matter Expert VI - Subject Matter Specialist (NSS014) headquartered near CONUS - Washington... ....COM.ONLY CANDIDATES WITH REQUIRED CRITERIA ARE CONSIDERED.Be sure to place the job...PolicyFull timeTemporary workFor contractorsWork at officeRemote workFlexible hours
- ...The Workers' Compensation Specialist assists in the administration... ...Claims Manual (WCCM) and WC Policy Instruction (P/I). Develops... ...Washington Metropolitan Area Transit Authority (WMATA), known as Metro, is... .... Evaluation Criteria Consideration will be...PolicyContract workWork experience placementWork at office
$115k - $150k
...with the Department of State (DOS). This opportunity will provide policy direction and oversight in the areas of international security,... ..., apply now! Only those applicants who meet the above criteria will be contacted for interview.Dexis is an Equal Opportunity Employer...PolicyFull timeContract workTemporary workWork at officeFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Prior Authorization Policy & Criteria Specialist. Be the first to apply!
- sewing specialist Washington DC
- graduation specialist Washington DC
- technology integration specialist Washington DC
- consumer insights specialist Washington DC
- vulnerability management specialist Washington DC
- evaluation specialist Washington DC
- escalation specialist Washington DC
- educational technology specialist Washington DC
- policy specialist Washington DC
- strategic sourcing specialist Washington DC




