Average salary: $73,171 /yearly
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$37.66 - $44.33 per hour
...Working under technical direction and within significant limits and authority, adjudicate workers' compensation claims of higher technical... ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedHourly payTemporary workLocal areaRemote workArgonaut Management Services, Inc
Omaha, NE2 days ago$86k - $101.5k
...Working under technical direction and within significant limits and authority,adjudicateGarage Bodily Injury claims of higher technical... ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedFull timeLocal areaArgonaut Management Services, Inc
Omaha, NE4 days ago$56k - $70k
...and comprehensive benefits packages. Notice to Recruitment Agencies Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited. BWS and/or its affiliates will not be responsible for any fees...SuggestedWork at officeLocal areaFlexible hours$19 - $20 per hour
Hy-Vee is seeking an Authorization Management Specialist to join Amber Specialty Pharmacy in Omaha, Nebraska. In this role, you will manage prior authorizations and appeals, engage with healthcare providers, and maintain accurate patient records. Applicants should have...SuggestedHourly pay- ...Working under technical direction and within significant limits and authority,adjudicateindemnity and federal black lung workers'... ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedHourly payTraineeshipWork experience placementLocal area
Argonaut Management Services, Inc
Omaha, NE15 hours ago $37.66 - $44.33 per hour
...Working under technical direction and within significant limits and authority, adjudicate workers' compensation claims of higher technical... ...: Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedHourly payTemporary workLocal area$111.38k - $132.5k
...under limited technical direction and within broad limits and authority,adjudicatehighly complexindemnity and federal black lung workers... ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedFull timeLocal areaArgonaut Management Services, Inc
Omaha, NE2 days ago- ...exercise their independent discretion and, within broad limits and authority, be creative in developing solutions and treat each case as the... ...: Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedTraineeshipWork experience placementLocal areaImmediate start
Argo Group
Omaha, NE4 days ago - ...healthcare facility in Sidney, Nebraska, seeks a full-time Clinic Utilization Review Specialist. This role focuses on ensuring timely authorization requests, analyzing medical justifications, and collaborating with medical staff to enhance patient care. Ideal candidates will...SuggestedFull time
- ...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
Lincoln, NE17 days ago $90k - $100k
...Concurrent Review to ensure compliance with utilization review processes. The role involves conducting telephonic reviews for prior authorizations, collaborating with providers, and providing clinical expertise. Candidates should have at least two years of nursing...SuggestedP3 Health Partners
Omaha, NE2 days ago- ...A managed care organization is seeking a Remote Prior Authorization Pharmacist to evaluate prescription requests and improve patient access to therapies. This work-from-home position is ideal for those transitioning out of retail settings, offering flexibility and competitive...SuggestedRemote workWork from home
Pharmacy Careers
Lincoln, NE4 days ago - ...and basic access provisioning/deprovisioning activities where authorized Ensure all access-related requests follow least privilege... ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedLocal areaShift work
American Indemnity
Omaha, NE4 days ago - ...A confidential managed care organization is seeking a Remote Prior Authorization Pharmacist. This role involves evaluating prescription requests, communicating decisions, and collaborating with healthcare professionals. Ideal for pharmacists aiming to transition from retail...SuggestedRemote work
Pharmacy Careers
Omaha, NE4 days ago $111.4k - $144.6k
...#LI-ME1 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...SuggestedWork at officeLocal areaArgonaut Management Services, Inc
Omaha, NE15 hours ago$82k - $114k
SFM, an AM Best rated MN based company, is growing and adding a Sr Marketing Underwriter in Nebraska. In this role, you will underwrite Workers’ Compensation insurance policy’s while growing and maintaining a profitable and diversified book of business. It is a blended...Full timeTemporary workWork experience placementWork at officeLocal areaRemote workFlexible hoursNight shiftSFM Companies (SFM Mutual Insurance)
Omaha, NE15 days ago$151k - $181.25k
...direction, adjudicate Garage Bodily Injury claims at the highest authority limits on assignments reflecting the highest degree of... ...Agencies Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...Full timeLocal area- ...jurisdictions is strongly preferred. 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...TraineeshipWork experience placementImmediate start
$201k - $241k
...comprehensive benefits packages. 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...Local area- ...program to submit their federal student loans for forgiveness. Responsibilities Provide excellent customer service. Ensure that prior authorization requests are completed in a timely fashion to meet contractual requirements. Ensure all reviews are conducted using...Full time
$80 per hour
...These notes must be completed within 24 hours of the patient’s last appointment. Completing and signing labs, letters, forms, prior authorization requests, or other medical records for patients. We seek people eager to bring their gifts and passions to this exciting...Hourly payFor contractorsLocal areaRemote workShift workAnywhere Clinic LLC
Lincoln, NE2 days ago$80k - $93k
...#LI-ME1 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...Local areaFlexible hoursAmerican Indemnity
Omaha, NE3 days ago$49 per hour
...include: Conduct inpatient reviews to determine financial responsibility for Molina Healthcare and its members. May also perform prior authorization reviews and/or related duties as needed. Refer appropriate cases to Medical Directors and present them in a consistent and...Work experience placementRotating shift$19 - $20 per hour
...federal, local ordinance, statutes and licensing/accreditation requirements.**Job Title:** Authorization Management SpecialistResponsible for preparing appeal summaries and prior authorizations, correspondence with prescriber's offices, and documenting information in the...Hourly payWork experience placementWork at officeLocal areaRemote workMonday to Friday- ...details Escalate incidents appropriately when issues exceed authorization, scope, or skill level Escalation & After-Hours Judgment... ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...Local areaShift workNight shift
Argonaut Management Services, Inc
Omaha, NE2 days ago $28 - $42 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 workDay shiftAvera Health
Nebraska10 days ago- ...working style Additional Information 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...Local area
$67.22k - $78.44k
...service standards. Utilize and follow internal guidelines, authority, and procedures to ensure that all assigned work transactions are... ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...Work at officeLocal areaFlexible hoursAmerican Indemnity
Omaha, NE3 days ago- ...injury protection). **This is an in-office position out of the Nebraska claims office** Job Duties: Obtains necessary authorization from the Claims Supervisor to pay claims in excess of authority. Performs a variety of duties which require in-depth...Work at officeLocal area
U-Haul
Omaha, NE15 hours ago - ...clinical staff on as regular basis to insure appropriate and timely service. Essential Functions Subject matter expert in prior authorization of Genetic and Complex Laboratory Testing. Coordinates scheduling process for patients receiving Genetic Testing....Work at office
