Average salary: $48,392 /yearly
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$106.2k - $225k
...support and input to clinical programs such as: Health Management (IDT), Drug Utilization Review, Formulary development, and Prior Authorization programs to encourage appropriate, high quality, cost effective drug therapy; and to identify opportunities for improvement in...SuggestedHourly payFull timeTemporary workWork experience placementLocal areaRemote workShift workWeekend work$174.07k - $374.92k
...per quarter) each year. Fundamental Components: • Utilization management - The medical director will perform concurrent and prior authorization reviews with peer to peer coverage of denials. • Appeals - The medical director will perform appeals in their “base plans” and...SuggestedHourly payFull timeTemporary workWork experience placementLocal areaWork from homeMonday to FridayWeekend work- ...assembly and stocking of first responder bags. 6. Compile clinical notes for the practitioner review 7. Monitor medication prior authorizations and refills. 8. Aid in the setup and execution of pre-employment physical exams under the practitioner's direction. 9....SuggestedTemporary workLocal area
Marathon Staffing
Osceola, AR3 days ago $19.5 per hour
...billing issue resolution. The ideal candidate will have at least 3 years of experience working with pharmacy insurance claims, prior authorizations, rejection troubleshooting, or long-term care pharmacy billing processes. This position plays a critical role in ensuring...SuggestedMonday to FridayCrawford Thomas Recruiting
North Little Rock, AR3 days ago- ...will participate in the following assignments in this role: Clinical Review: Conduct comprehensive clinical reviews of prior authorization requests to determine medical necessity and benefit eligibility. Apply advanced evidence-based clinical guidelines in review...SuggestedFull timeFor contractorsApprenticeshipWork experience placementInternshipRemote workWork from homeHome officeWeekday work
Humana
Little Rock, AR16 days ago - ...thrive with strong autonomy and initiative. It blends administrative responsibilities with hands-on patient care—including prior authorizations, care coordination, and support of complex chronic disease management—while contributing to a highly collaborative specialty...SuggestedWork experience placement
IntelyCare
Little Rock, AR3 days ago - ...coordination of infusion treatments, and efficient check-out processes. Position is responsible for verifying insurance, obtaining prior-authorizations, and managing inbound and outbound calls. This position requires excellent communication, organizational skills, and the...SuggestedWork at office
St Bernards Medical Center
Jonesboro, AR3 days ago - ...treatment needs to the parent and patient utilizing the prescribed treatment plan. • Must be able to recognize and identify prior authorization requirements, along with ensuring signed consent forms. • Maintain awareness of comfort and safety needs of patients. •...SuggestedWork at officeFlexible hours
Rock Dental Brands
Bryant, AR19 hours ago - ...the treatment needs to parent and patient utilizing the prescribed treatment plan. • Must be able to recognize and identify prior authorization requirements, along with ensuring signed consent forms. • Maintain awareness of comfort and safety needs of patients. •...SuggestedWork at officeFlexible hoursShift work
Rock Dental Brands
Conway, AR3 days ago $116k - $166.75k
...information to healthcare providers. Address key aspects of product access, such as local market payor coverage, co-pay options, prior authorization requirements, formulary placement, and availability expectations. This information helps healthcare providers understand how...SuggestedTemporary workWork at officeLocal areaWorldwideFlexible hoursOtsuka America Pharmaceutical Inc.
Little Rock, AR1 day ago- ...calmly the treatment needs to parent and patient utilizing prescribed treatment plan. Must be able to recognize and identify prior authorization requirements, along with ensuring signed consent forms. Maintain awareness of comfort and safety needs of patients....SuggestedWork at officeFlexible hours
Rock Dental Brands
Little Rock, AR4 days ago - ...Understanding of infection control and central sterile processes Administrative Skills Ability to manage referrals, prior authorizations, and scheduling workflows Experience answering multi-line phones and communicating with patients professionally Basic...SuggestedWork at office
Conway Regional
Conway, AR1 day ago - ...chronic disease management, medications, side effects, and self-care strategies. Support medication management, including prior authorizations, refills, and patient adherence. Coordinate care across providers, including referrals to specialists, labs, imaging, and...SuggestedLive outWork at officeFlexible hours
Community Clinic
Fayetteville, AR19 hours ago - ...DegreePreferred QualificationsClinical background (RN, MD, PA) or significant experience working with clinical leadersExperience with prior authorization, or throughput optimizationExposure to EHR-enabled workflow redesign (e.g., Epic, Cerner)Ability to translate clinical...SuggestedWork at officeLocal areaWorldwide
Accenture
Bentonville, AR19 hours ago $195k
...oncology, rheumatology, neurology, and other high-cost or high-touch therapies. You will help design and monitor clinical pathways, prior authorization processes, refill management, and patient education and counseling initiatives that improve adherence and reduce...SuggestedMercy
Rogers, AR26 days ago$29.25 - $44 per hour
...exercises and education to participants. May assist in outpatient clinic as needed and may schedule sleep studies and obtains prior authorizations for the sleep studies when applicable. Performs diagnostic testing through pulmonary function, stress exercise,...Full timePart timeWork experience placementRelocation packageShift workNight shift- ...provider as appropriate Communicate with patients regarding lab results as directed by the provider Assist with obtaining prior authorizations as needed Process, manage, and distribute incoming and outgoing provider faxes Maintain accurate documentation in the...Work at office
Conway Regional Health System
Conway, AR3 days ago - ...Claims Processing Team member Duties include: • Opening and distributing mail to dental unit staff • Logging incoming prior authorization requests • Adding or updating prior authorization records in the MMIS system • Answering incoming phone calls from providers...For contractorsWork at office
Arete Technologies Inc
Little Rock, AR1 day ago $14 - $18 per hour
...treatment needs to patient and responsibly party by utilizing the prescribed treatment plan. Must be able to recognize and identify prior authorization requirements, along with ensuring responsible party has signed treatment consent forms before any treatment is rendered....Work at officeToothio
Bryant, AR3 hours agonew- ...processes) to individuals or entities that do not qualify as "U.S. persons," as defined by 22 CFR 120.62, is prohibited without prior authorization from the appropriate U.S. government agencies, such as the Department of State's Directorate of Defense Trade Controls (DDTC)...Permanent employmentFull timeLocal areaWeekend work
Quantic BEI
Maumelle, AR1 day ago - ...is a PART TIME position. Essential Job Responsibilities Include: Utilization Management Review Review and evaluate prior authorization requests submitted by staff pharmacists or clinical team members that require physician review. Conduct clinical medical...Part timeWork at officeLocal area
RxBenefits
Little Rock, AR1 day ago - Hancock Claims Consultants specialize in Ladder Assist and Property Inspection Services, collaborating directly with numerous insurance agencies for efficient claims management. At Hancock, we are at the forefront of claims resolution services, offering nationwide ...Permanent employmentContract workFor contractors
- ...Supports the psychiatric APRNs in direct patient care, such as measuring vitals, handling medication refills, and completing prior authorizations. Job Duties: # Demonstrates ability to set priorities. Executes job duties to achieve optimal productivity...Work at office
White River Health System
Batesville, AR4 days ago $18 per hour
...applicable bonus plan, which is subject to change at Allstate’s discretion. Eligible licensed external candidates who complete licensing prior to hire or bring an active Property & Casualty or Personal Lines license before start date may be eligible for a bonus. Full suite...Full timeContract workWork at officeRemote workWork from homeHome officeWork visaWeekend workAfternoon shiftAllstate Insurance Company
Little Rock, AR1 day ago- ...from providers and recipients. Duties include: Opening and distributing mail to dental unit staff Logging incoming prior authorization requests Adding or updating prior authorization records in the MMIS system Answering incoming phone calls from...For contractorsShift work
vTech Solution
Little Rock, AR3 days ago $50k - $70k
...Managing renewals, claims follow-up, and ongoing client service Requirements Active state insurance license (Life and/or Health) Prior experience in insurance, financial services, or related sales preferred Entrepreneurial mindset and strong time management skills...Full timePart timeInternshipAflac
Little Rock, ARa month ago$1,000 - $1,500 per week
Overview High End Insurance Sales Agency looking for top tier sales people who are self motivated, self managing, and don't need their hand held. Who We Are NOT Looking For: Agents who NEED to make money that they are so desperate Agents who CAN'T buy their own leads to...Remote workEmergent Financial Group
Mountain Home, AR19 hours ago- Commercial and personal line insurance carriers rely on EXL as a key business partner through our Castle High Value and EXL Risk Control service offerings. We offer a variety of field inspections and risk control services to support our clients’ underwriting processes....For contractorsWork at officeLocal areaWork from home
EXL
Texarkana, AR1 day ago - ...designated). If you close the browser or exit your application prior to submitting, the application process will be saved as a draft... ...Education Office for Civil Rights. Persons must have proof of legal authority to work in the United States on the first day of employment....Work at officeVisa sponsorshipShift workDay shift
University of Arkansas
Little Rock, AR12 days ago $144.5k - $175.1k
...accommodations/adjustments and ongoing support in their roles. Applicants can request a reasonable workplace accommodation/adjustment prior to accepting a job offer. If you require reasonable accommodations/adjustments in completing this application, or in any part of the...Hourly payFull timeTemporary workPart timeFor contractorsSummer workPrivate practiceLive inWork at officeLocal areaRemote workFlexible hoursShift work
