Average salary: $56,553 /yearly

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  •  ...individualized care for cancer patients. Mature practice - treating approximately 25 patients per day Staff: 1 RN, 1 prior authorization, 3RTT's (1 supervisor), I PhD physicist, 1 CMD, and the Director. Elekta Versa HD, 120 leaf MLC, Hexapod robotic couch... 
    Suggested
    Full time
    Local area

    Mercy

    Joplin, MO
    4 days ago
  • A large nonprofit healthcare organization is seeking a team member to support non-oncology medication prior authorizations for infusion centers. This role requires strong attention to detail, excellent communication skills, and the ability to work in a multidisciplinary... 
    Suggested
    Remote job

    BJC HealthCare

    Saint Louis, MO
    4 days ago
  • A prominent healthcare organization is looking for a detail-oriented professional to manage non-oncology medication prior authorizations. This role requires effective communication with clinics and providers while ensuring accurate patient data is obtained. The ideal candidate... 
    Suggested
    Remote job
    Casual work

    Direct Jobs

    Saint Louis, MO
    1 day ago
  • $22 per hour

     ...Insurance Guidebook and related materials. High School Diploma or GED. Experience in medical insurance and medical device prior authorization (preferred). 3+ years of reimbursement process experience. Database (SAP, Oracle or JDE), MS Suite. Strong ability to communicate... 
    Suggested
    Hourly pay
    Full time
    Contract work
    Temporary work
    Work at office
    Remote work
    Monday to Friday
    Shift work

    Mavenwise

    California, MO
    1 day ago
  •  ...employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include:...  ..., including access solutions, patient support services, prior authorization assistance, and therapy‑specific workflows.* Develop strategic... 
    Suggested
    Remote job
    Work at office
    Local area
    Work from home
    3 days per week

    Cigna Health and Life Insurance Company

    California, MO
    2 days ago
  • $90.8k - $140k

     ...0 - $140,000 PLEASE NOTE: Applicants must be legally authorized to work in the United States. At this time, we are not able to...  ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited... 
    Suggested
    Local area

    Argonaut Management Services, Inc

    Springfield, MO
    2 days ago
  •  ...seeking a full-time Revenue Cycle & Claims Resolution Specialist. This role focuses on insurance verification and managing prior authorizations for home health services, primarily for Medicare and Medicaid. Candidates should have 3+ years of relevant experience, strong... 
    Suggested
    Full time
    Flexible hours

    Aging Well Health Care, LLC

    Saint Louis, MO
    2 days ago
  •  ...decision to physicians, physicians office staff, medical management staff and/or pharmacists. Researches, resolves and documents prior authorization outcomes in pharmacy system. Communicates selected prior authorization criteria, pharmacy benefit coverage and formulary... 
    Suggested
    Work at office

    Careers Integrated Resources Inc

    Maryland Heights, MO
    2 days ago
  •  ...Pharmacy Prior Authorization Specialist Blink Health is the fastest growing healthcare technology company that builds products to make prescriptions accessible and affordable to everybody. Our two primary products BlinkRx and Quick Save remove traditional roadblocks... 
    Suggested
    Full time
    Casual work
    All shifts
    Flexible hours
    Shift work

    Blink Health

    Wildwood, MO
    2 days ago
  •  ...Communicate directly with providers regarding compliance issues, addendums, and missing elements within prescriptions. Perform prior authorizations, insurance eligibility checks, and referral processing with outside suppliers and payors. Maintain advanced catheter and... 
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    Rippling

    Saint Louis, MO
    1 day ago
  • $29.77 - $43.93 per hour

     ...continuity of care, and prudent risk management for the organization. Validates payer source, obtains pre-certification and/or prior authorization by obtaining clinical data and reviewing insurance eligibility criteria and/or Medicare guidelines, and, as necessary,... 
    Suggested
    Hourly pay
    Immediate start
    Monday to Friday
    Shift work

    University of Missouri Health Care

    Columbia, MO
    3 days ago
  • Note: This is a fully remote position. Are you an Entrepreneur Physician who is tired of completing Prior Authorizations for medications YOU KNOW your patients need? Are you tired of waiting for insurance to approve your patient's treatment plan that YOU KNOW will work... 
    Suggested
    Private practice
    Remote work

    The Health Pals Company, LLC.

    California, MO
    5 days ago
  •  ...needed, including: Botox injections Nerve blocks Support & Resources Dedicated medical scribe support No responsibility for prior authorizations or administrative paperwork Strong APP team with specialized headache experience Centralized operational and administrative... 
    Suggested
    Remote job
    Full time
    Monday to Friday

    Rosman Search

    California, MO
    4 days ago
  • A leading healthcare organization seeks a Business Configuration Sr. Coordinator to manage operational development of prior authorization criteria. This role involves project management and supporting cross-functional teams. Candidates should have strong MS Office skills... 
    Suggested

    Hispanic Alliance for Career Enhancement

    Louisiana, MO
    2 days ago
  • $68k - $95k

     ...specializes in evidence-based treatment for trauma, anxiety, and OCD. We're a private-pay practice — no insurance billing, no prior authorizations, no treatment plans dictated by a managed care company. Just good therapy with motivated clients who want to do the work.... 
    Suggested
    Hourly pay
    Private practice
    Work at office
    Flexible hours
    Weekend work
    Afternoon shift

    Aspire Counseling MO

    Columbia, MO
    1 day ago
  • $75k

     ...Manager What You’ll Do Perform intake assessments for individuals served, including submission of required documentation for prior authorization of services as needed based on pay sources Develop care plans based on nursing diagnoses and physician input, including... 
    Immediate start
    Remote work
    Relocation package
    Flexible hours
    Shift work
    Rotating shift

    Sevita

    Saint Joseph, MO
    1 day ago
  •  ...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.... 
    Work at office
    Flexible hours

    Rock Dental Brands

    Poplar Bluff, MO
    2 days ago
  •  ...! For a comprehensive list of benefits, please click here: Benefits | CoxHealth Job Description: The role of the Prior Authorization Specialist is to centrally coordinate, obtain, review, and track prior authorizations for medications and other home care needs... 
    Shift work
    Day shift

    CoxHealth

    Springfield, MO
    9 days ago
  •  ...treatment plans. - Medication Management: Support complex medication regimens (e.g., biologics, immunomodulators), including prior authorization support, refills, and patient adherence coaching. - Symptom Management: Monitor and respond to changes in patient symptoms... 
    Full time
    Monday to Friday

    Mercy

    Saint Louis, MO
    8 days ago
  •  ...bottleneck that delays access to life-saving medications . Every day, patients are held back by insurance red tape — endless prior authorizations, forms, and policies. We believe AI + smart operations can change that. We’re building tools that automate messy, manual... 
    Full time
    Contract work
    Part time
    Remote work
    Flexible hours

    Lamar Health

    California, MO
    3 days ago
  •  ...support. Offer assistance from physician order to reimbursement, supporting the entire reimbursement journey through payer prior authorization to appeals/denials requirements procedures and forms. Reviewing patient-specific information in cases where the site has specifically... 
    Work at office
    Flexible hours

    Syneos Health

    Kansas City, MO
    5 days ago
  • $30.37 - $59.21 per hour

     ...benefits, eligibility and expected length of stay for requested treatments and/or procedures. Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. Processes requests within required timelines. Refers appropriate cases to... 
    Hourly pay
    Work experience placement
    Work at office

    Molina Healthcare

    California, MO
    5 days ago
  • $26.01 - $68.55 per hour

     ...platforms/systems 1+ year of experience with Microsoft Office Applications (Outlook, Teams, Excel) Preferred Qualifications Prior authorization utilization experience preferred Outpatient Clinical experience Knowledge of Medicare/Medicaid Managed care experience... 
    Hourly pay
    Full time
    Temporary work
    Work at office
    Local area
    Remote work
    Work from home
    Flexible hours
    Afternoon shift

    Society of Trauma Nurses

    Louisiana, MO
    2 days ago
  • $26.01 - $56.14 per hour

     ...organization in Louisiana is seeking a Utilization Management Nurse Consultant to conduct comprehensive clinical reviews for prior authorization. This role requires collaboration with healthcare providers and internal teams to ensure quality care while meeting regulatory... 
    Hourly pay

    Society of Trauma Nurses

    Louisiana, MO
    5 days ago
  • A leading health organization is seeking a Clinical Pharmacist to join a remote team. This position involves evaluating prior authorization requests, collaborating with healthcare providers, and assisting colleagues in oncology processes. Required qualifications include... 
    Remote job

    Hispanic Alliance for Career Enhancement

    Louisiana, MO
    1 day ago
  •  ...trajectory, we are looking for a person who can grow with the company. This role will be divided into two areas: first review of prior authorization of specialty medications against clinical policies, high cost case management support functions and internal clinical process... 
    Full time
    Remote work

    Navitus Health Solutions

    Earth City, MO
    5 hours ago
  •  ...looking for a Utilization Management Nurse Consultant in Louisiana. This full-time role involves conducting clinical reviews for prior authorization, collaborating with healthcare professionals, and ensuring compliance with regulations. Candidates must hold an active... 
    Full time

    Association of California Nurse Leaders

    Louisiana, MO
    5 days ago
  • $200k - $245k

     ...strong leadership qualities. You will shape the UM strategy and supervise department staff, providing critical oversight on prior authorizations and medical claims reviews. The position operates in a hybrid work environment and offers competitive compensation ranging from... 

    The Alliance

    California, MO
    2 days ago
  •  ...is seeking an RN, Clinical Physician Concierge in Earth City, Missouri. The role involves delivering clinical messages about prior authorization and managing high-touch cases. Candidates must have a current nursing license and at least 3 years of clinical experience. Benefits... 

    Navitus Health Solutions, LLC

    Earth City, MO
    1 day ago
  •  ...patients. Conduct medication reviews to identify gaps in therapy, adherence concerns, or potential drug interactions. Support prior authorization and appeals processes when needed. Educate patients and caregivers on medication regimens and disease state management.... 
    Remote job

    Pharmacy Careers

    Saint Louis, MO
    5 days ago