Average salary: $53,196 /yearly

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  •  ...pharmacy directory updates with EHR Coordinator • Contact pharmaceutical representatives for sample medications • Obtain prior authorizations for medications and durable medical equipment • Handle new, renewal, and/or refill prescriptions for providers via EMR... 
    Suggested
    Full time
    Work at office

    Brandywine Urology Consultants

    New Castle, DE
    3 days ago
  • $200k - $300k

     ...care for patients. Instead, too many days are spent running through 15-minute visits, clearing an overflowing inbox, fighting prior authorizations and finishing charts long after the last patient leaves. Across the country, primary care physicians are carrying heavier... 
    Suggested
    Full time
    Part time
    For contractors
    Monday to Friday
    Afternoon shift

    Skilled Wound Care

    Wilmington, DE
    3 days ago
  •  ...does not accept unsolicited resumes from agencies not under contract. Any resume submitted without a signed agreement and prior written authorization from our Talent Acquisition team will be deemed the property of Allan Myers. We reserve the right to engage with such... 
    Suggested
    Contract work
    Work experience placement
    Night shift

    Allan Myers

    Millsboro, DE
    3 days ago
  • $240k - $340k

     ...responsibility shared amongst multiple Physicians. Robust support team that allows physicians to focus on patient care. Internal prior-authorization team to reduce administrative burden on Physicians. Clinical PharmD Support. Highly engaged leadership here to support... 
    Suggested
    Work at office
    Local area
    Flexible hours

    Summit Health Medical Group

    Newark, DE
    1 day ago
  • $350k - $400k

     ...Way It Should Be Full Autonomy, Zero Burnout If you got into internal medicine to actually manage your patients not fight prior authorizations and hospital bureaucracy this is the practice you've been looking for. We're a physician-owned and physician-led group,... 
    Suggested
    Full time
    Flexible hours
    Afternoon shift

    Medrina

    Wilmington, DE
    3 days ago
  • $200k - $300k

     ...chronic conditions in rushed visits, carrying ever-growing hospitalist censuses, working 12-hour shifts and nights, and fighting prior authorizations and overflowing inboxes. Across the country, Internal Medicine physicians are feeling the strain. Skilled Wound Care, a... 
    Suggested
    Full time
    Part time
    For contractors
    Monday to Friday
    Shift work
    Afternoon shift

    Skilled Wound Care

    Wilmington, DE
    4 days ago
  •  ...lists in compliance with health-plan, PBM, and regulatory standards. Provide clinical support for utilization management, prior-authorization criteria, and step-therapy guidelines. What you'll bring: Education: PharmD or Bachelor of Pharmacy. Licensure: Active... 
    Suggested
    Remote work

    Pharmacy Careers

    Newark, DE
    3 days ago
  •  ...the country, physicians in every specialty are dealing with the same problems: long hours, nights and call, packed schedules, prior authorizations, overflowing inboxes and less control over how they practice. Burnout has become a nationwide problem, and too many... 
    Suggested
    Part time
    For contractors
    Work from home
    Shift work
    Afternoon shift

    Skilled Wound Care

    Wilmington, DE
    4 days ago
  • $54.1k - $129.63k

     ...schedules will include holidays and evening hours · Associate Degree in Nursing Nice to Have · Utilization Management or Prior Authorization experience · Managed care background · Familiarity with MedCompass · Ambulatory surgery experience · BSN preferred... 
    Suggested
    Hourly pay
    Full time
    Temporary work
    Work at office
    Local area
    Remote work
    Work from home
    Monday to Friday
    Afternoon shift
    Weekday work

    CVS Health

    Delaware State
    6 days ago
  • $54.1k - $142.58k

     ...download / 3 Mbps upload) Preferred Qualifications Hospital-based behavioral health experience Utilization Management or Prior Authorization experience Managed Care experience Education Behavioral Health Clinicians: Master's degree in Social Work,... 
    Suggested
    Hourly pay
    Full time
    Temporary work
    Local area
    Remote work
    Shift work
    Night shift
    Weekend work

    CVS Health

    Delaware State
    13 days ago
  • $174.07k - $374.92k

     ...primarily on overseeing utilization review / quality assurance and be responsible for predetermination reviews. This includes Prior Authorization / Pre Certification / Concurrent Reviews / Peer to Peer Calls / First Level Appeals / Special Projects and Committee... 
    Suggested
    Hourly pay
    Full time
    Temporary work
    Local area
    Remote work
    Work from home

    CVS Health

    Delaware State
    14 days ago
  •  ...administering local anesthetic, and applying allergy test patches, always prioritizing patient safety and well-being.Complete prior authorizations and medication requests efficiently to support timely treatment.Schedule follow-up appointments with care and diligence,... 
    Suggested
    Temporary work
    Local area

    Dermatology-Partners

    Delaware State
    2 days ago
  • $15 - $17 per hour

     ...Healthcare Coordinator plays a critical role in managing referrals, authorizations, and ensuring patients can follow through on their care plans....  ...patient referrals and coordinate with providers Manage prior authorizations for services Communicate with patients by... 
    Suggested
    Casual work
    Local area
    Monday to Friday

    Addison Group

    Wilmington, DE
    5 days ago
  • $23 - $25 per hour

     ...does not accept unsolicited resumes from agencies not under contract. Any resume submitted without a signed agreement and prior written authorization from our Talent Acquisition team will be deemed the property of Allan Myers. We reserve the right to engage with such... 
    Suggested
    Hourly pay
    Contract work
    Traineeship
    Work experience placement
    Night shift

    Allan Myers

    Middletown, DE
    2 days ago
  • $300k

     ...Significant Administrative Support: You focus on patient care, and we'll handle scheduling, insurance verification, billing, prior authorizations, pharmacy coordination, etc. Patient Acquisition: Unlike with a private practice, we'll work to fill your schedule, so... 
    Suggested
    Remote job
    Weekly pay
    Full time
    Part time
    For contractors
    Private practice
    Immediate start
    Work from home

    Legion Health

    Dover, DE
    2 days ago
  • $75k - $165k

     ...Make decisions that matter with clear accountability and broad authority This market-facing role will be within the West region and...  ...formulating fact based conclusions and recommendations. Prior experience managing/growing profitable portfolio of customers... 
    Full time
    Contract work
    Temporary work
    Apprenticeship
    Work at office
    Local area
    Remote work
    Visa sponsorship

    Zurich NA

    Dover, DE
    3 days ago
  • $90k

     ...directed. Oversee pharmacy and medication needs This may include but is not limited to reviews, obtaining medications, and prior authorizations. Order medical supplies from established formularies as applicable for your program. Maintain health-related records,... 
    Full time
    Temporary work
    Work from home
    Monday to Friday
    Flexible hours

    Benchmark Human Services-GA

    Dover, DE
    23 hours ago
  • $200k - $250k

     ...nursing facilities across the area. Maybe you're a Bariatric Surgeon ready to step away from back-to-back laparoscopic cases, prior-authorization battles and productivity targets at large health systems. Maybe you want clinical autonomy outside the high-pressure hospital... 
    For contractors
    Afternoon shift

    Skilled Wound Care

    Wilmington, DE
    1 day ago
  • $54.1k - $129.63k

     ...Proficiency in Microsoft Office (Outlook, Teams, Excel) ~ Associates degree in nursing Nice to Have Utilization Management or Prior Authorization experience Managed care and/or Medicare experience MedCompass or similar system experience Ambulatory surgery... 
    Hourly pay
    Full time
    Temporary work
    Work at office
    Local area
    Remote work
    Work from home
    Monday to Friday
    Afternoon shift
    Weekday work

    CVS Health

    Delaware State
    4 days ago
  • $23 - $26 per hour

    Come join our amazing team and work remote from home! The Loss Mitigation Underwriter l will be responsible for underwriting Loan Modifications applications in accordance with Treasury, Company and Investor guidelines while following company's policies and procedures...
    Hourly pay
    Extra income
    Remote work
    Work from home

    Carrington

    Dover, DE
    1 day ago
  • $40k - $52k

     ...providers and have responsibilities that extend beyond traditional rooming and vital signs, including treatment coordination, prior authorizations, prescription support, patient communication, and helping patients navigate their care. We are looking for someone who is... 
    Work at office

    Infusion Solutions of Delaware

    Dover, DE
    4 days ago
  • Carrington Mortgage Services is seeking a Loss Mitigation Underwriter II to assess loan files for compliance with Treasury, Company and Investor guidelines. The role supports remote work from home and targets an hourly pay range. The ideal candidate has 2–3 years of underwriting...
    Hourly pay
    Remote work
    Work from home

    Carrington

    Dover, DE
    4 days ago
  • $200k - $300k

     ...nursing facilities across the area. Maybe you're a Bariatric Surgeon ready to step away from back-to-back laparoscopic cases, prior-authorization battles and productivity targets at large health systems. Maybe you want clinical autonomy outside the high-pressure hospital... 
    Full time
    Part time
    For contractors
    Monday to Friday
    Afternoon shift

    Skilled Wound Care

    Wilmington, DE
    7 days ago
  • $18 per hour

     ...UM Intake reports directly to the Manager, UM Intake. In support of our daily operations this individual also works with our prior authorization and clinical review teams. Opportunities to work collaboratively with other UM staff including our leadership team both clinical... 
    Full time
    Immediate start
    Remote work
    Work from home

    Evolent

    Dover, DE
    1 day ago
  •  ...clean and organized manner. Handle patient phone calls, messages, and prescription refill requests. Coordinate referrals, prior authorizations, and follow-up appointments. Document all clinical interactions accurately in the electronic health record (EHR).... 
    Full time
    Monday to Friday

    Integrated Health Services

    Middletown, DE
    4 days ago
  • $62.7k

    Company : Highmark Inc. Job Description : JOB SUMMARY This job serves as a point of contact for sales teams and assigned customers, delivering insights and recommendations to aid customer acquisition and retention while maintaining performance goals. This role...
    Contract work
    For contractors
    Work at office
    Local area

    Highmark Health

    Dover, DE
    4 days ago
  • $21.45 - $32.17 per hour

     ...coordination activities. This role is responsible for facilitating patient access to therapy, including benefits investigation, prior authorization, appeals coordination, and financial assistance navigation.Working collaboratively with pharmacists, technicians, and office... 
    Hourly pay
    Work at office
    Local area
    Work from home
    Monday to Friday
    2 days per week

    ChristianaCare Union Hospital

    Newark, DE
    14 hours agonew
  • $45k - $47k

    Christiana, DE (Job Posting) Warrington, PA (Job Posting) Full time 44511 The AAA Advantage: ~ Ability to Sell Through Multiple Insurance Carriers ~ Opportunity to Build Your Book and Earn Renewal Income ~ Preferred Access to Millions of AAA Members ~ Company...
    Full time
    Work at office
    Local area
    Remote work
    Work from home

    AAA Mid Atlantic

    Newark, DE
    2 days ago
  • $136k - $200k

     ...ensuring closed-loop communication with referring clinicians. Support patient access and affordability through coordination of prior authorizations, financial assistance programs, and benefit investigations. Provide clinical oversight for patients on specialty... 
    Permanent employment
    Locum

    Astrya Global

    Dover, DE
    2 days ago
  • $55k - $65k

     ...insurance. Backed by a Fortune 100 company, you'll receive hands-on training, resources, and team support to help you succeed - no prior insurance experience required. We are looking for candidates living in: Newark, DE | Oxford, PA | Avondale, PA | West Grove, PA &... 
    Full time
    Work at office
    Local area
    Remote work
    Flexible hours

    Comparion Insurance Agency

    Newark, DE
    4 days ago