Average salary: $84,285 /yearly

More stats
Get new jobs by email
  •  ...A leading home infusion service provider in the United States is seeking a Remote Authorization Specialist. This role involves obtaining and maintaining prior authorization for patient medications. Ideal candidates will have at least two years of authorization experience... 
    Suggested
    Remote work

    New England Life Care

    Woburn, MA
    1 day ago
  •  ...Our Client, a Retail Phamacy company, is looking for a Prior Authorization/Insurance Verification Specialist for their Remote location. Responsibilities: This position takes in-coming calls from members, providers, etc providing professional phone assistance to all callers... 
    Suggested
    Local area
    Remote work

    ICONMA

    Los Angeles, CA
    2 days ago
  •  ...policies to ensure all the payer required guidelines are met prior to the service being rendered to ensure maximum reimbursment....  ...authorizaiton of services. Responsible for any required retro-authorizations as well as communicating any peer-to-peer review requirements... 
    Suggested
    Work experience placement
    Work at office

    Bryan Health

    Lincoln, NE
    1 day ago
  •  ...Schedule M-F Day Shift - 8:30am to 5pm Position Summary An Authorization & Account Verification Specialist reviews radiology orders to verify demographic information, insurance eligibility, review prior?authorization requirements, initiate or verify authorization... 
    Suggested
    Work at office
    Work from home
    Day shift

    Advanced Radiology Consultants

    Shelton, CT
    1 day ago
  • $22.14 - $28.78 per hour

     ...Location: UCHealth Admin Lowry, Denver, CO Department: Pharmacy Authorization Center and Pharmacy Atrium Work Schedule: Full Time, 80.00...  ...Technician experience or 1 year of experience performing prior authorizations or refill renewals. Summary:... 
    Suggested
    Full time
    Temporary work
    Local area
    Remote work
    Monday to Friday
    Flexible hours
    Shift work

    UC Health

    Denver, CO
    1 day ago
  • $27 per hour

     ...deliver accurate benefit estimates, verify coverage, obtain pre-authorizations, and help maximize insurance reimbursement for both the clinic...  ...procedures. Obtain Pre-Authorizations: Facilitate the prior authorization process by submitting necessary clinical and coding... 
    Suggested
    Hourly pay
    Full time
    Remote work

    DrSnip

    Seattle, WA
    23 hours ago
  • $36 per hour

     ...peace of mind." – LaKita, Health Services Manager What You'll Do Conduct intake assessments and submit documentation for prior authorization based on pay sources Develop care plans with nursing diagnoses, physician input, and measurable goals Review medical... 
    Suggested
    Part time
    Immediate start
    Remote work
    Relocation package
    Flexible hours
    Rotating shift

    Sevita

    Lees Summit, MO
    23 hours ago
  • $50 - $55 per hour

     ...needs, health equity that ensures access to care for all, price transparency to make healthcare more affordable, streamlined prior authorizations for medications, the availability of therapeutic alternatives, health literacy to promote informed decision-making, reduced... 
    Suggested
    Hourly pay
    Local area
    Work from home
    Flexible hours
    Shift work

    ClinDCast

    Laurel, MD
    4 days ago
  • $25 - $28 per hour

     ...Duration: 24 months Location: Virtual Connecticut 06355 (Remote) Pay Rate: $25 - 28/hr Patient Access Representative The Prior Authorization Representative is responsible for verifying prior authorization requirements and obtaining authorization when required. Works... 
    Suggested
    Remote work

    Artech

    Denver, CO
    4 days ago
  • $37 per hour

     ...part of the Utilization Management team, primarily responsible for inpatient medical necessity reviews, concurrent reviews, and prior authorization activities. The role ensures members receive the right care at the right time in the most appropriate setting, while... 
    Suggested
    Remote work

    Careers Integrated Resources Inc

    Atlanta, GA
    3 days ago
  • $54k - $70.88k

     ...setting ~ Experience implementing process improvements ~ Prior healthcare or health insurance experience ~ Proficiency navigating...  .... Experience in utilization management and/or prior authorization processes. At Oscar, being an Equal Opportunity Employer... 
    Suggested
    Full time
    Work at office
    Remote work

    Oscar Health

    Albuquerque, NM
    23 hours ago
  • $54k - $70.88k

     ...setting ~ Experience implementing process improvements ~ Prior healthcare or health insurance experience ~ Proficiency navigating...  .... Experience in utilization management and/or prior authorization processes. At Oscar, we cultivate an environment where people... 
    Suggested
    Full time
    Work at office
    Remote work

    Oscar Health

    Dallas, TX
    23 hours ago
  • $24 - $25 per hour

     ...Customer Service Rep II Location: Virtual CT (Remote) Duration: 24 months Payrate: $24.00-25.00/hr The Prior Authorization Representative is responsible for verifying prior authorization requirements and obtaining authorization when required. Works directly with physician... 
    Suggested
    Remote work

    Artech

    Salt Lake City, UT
    1 day ago
  •  ...Prior Authorization Medical Director Physician Opportunity in the Los Angeles Area Please consider this unique opportunity to join a well-established and respected group of innovators in value-based care. This group of thought-leaders are in search of physician leaders... 
    Suggested
    Live in
    Remote work
    Work from home
    Relocation package

    Curative

    Los Angeles, CA
    3 days ago
  •  ...resolve adjudication errors and rejections. Completes pharmacy benefits investigation and coordination, initiates and completes prior authorization approval and/or denials (appeals), tracks progress, expediting responses from insurance carriers and payers, and coordinates... 
    Suggested
    Work experience placement
    Work at office
    Shift work

    VCU Health

    Richmond, VA
    1 day ago
  • $140k - $180k

     ...reports on the IPA side (UM supervisors + coordinator), and play a crucial role in providing operational leadership to the UM/Prior Authorization and Inpatient Teams (50 FTEs in total). You'll be responsible for CMS + Health Plan audits, and ensuring compliance with... 
    Part time
    Remote work

    Ami Network

    Pasadena, CA
    1 hour agonew
  • $60 - $68 per hour

     ...needs, health equity that ensures access to care for all, price transparency to make healthcare more affordable, streamlined prior authorizations for medications, the availability of therapeutic alternatives, health literacy to promote informed decision-making, reduced... 
    Hourly pay
    Remote work
    Shift work

    ClinDCast

    Addison, TX
    4 days ago
  • $65 - $70 per hour

     ...needs, health equity that ensures access to care for all, price transparency to make healthcare more affordable, streamlined prior authorizations for medications, the availability of therapeutic alternatives, health literacy to promote informed decision-making, reduced... 
    Hourly pay
    Remote work
    Shift work

    ClinDCast

    Delray Beach, FL
    3 days ago
  •  ...email addresses and telephone numbers, including their relationship to the candidate. References will not be contacted without prior authorization from the candidate. Please direct any nominations, expressions of interest, or questions regarding the application process... 
    Full time
    Relocation package
    Flexible hours

    AGB Search

    Belmont, CA
    1 day ago
  •  ...locum assignment with the hope that the provider will transition into a permanent role. Responsibilities: ~ Reviews prior authorization and appeals request for approval or denial of claims payment based on medical necessity. ~ Performs peer to peer... 
    Permanent employment
    Locum
    Local area
    Remote work
    Weekend work

    Med Ninjas

    Dallas, TX
    23 hours ago
  •  ...no exceptions) NPDB - REQUIRED Texas Medical License (or willingness to obtain) Experience in Managed Care & Prior Authorization - REQUIRED Experience in Utilization Management committees - PREFERRED Knowledge of Texas Medicaid Regulations... 
    Permanent employment
    Locum
    Local area
    Immediate start
    Remote work
    Monday to Friday

    RecruitWell LLC

    Dallas, TX
    23 hours ago
  •  ...businesses/agencies are required to contact GSK's commercial and general procurement/human resources department to obtain prior written authorization before referring any candidates to GSK. The obtaining of prior written authorization is a condition precedent to any... 
    Local area
    Remote work

    GSK LLP

    Shreveport, LA
    23 hours ago
  • $68.9k - $93.2k

     ...preferred Skills and Attributes: Demonstrated knowledge of claims processing systems, Cambia systems (medical claims, prior authorization, PBM vendor systems), MS Office products, and other corporate software; ability to implement and support RFP data management... 
    Immediate start
    Work from home
    Flexible hours

    Cambia Health Solutions

    Oklahoma City, OK
    23 hours ago
  •  ...use of resources and appropriateness of care. Case review types include workers' compensation, disability, and health plan prior authorizations and appeals. As part of our reviewer network, you would provide evidence-based medical reviews regarding subjects such as... 
    For contractors
    Remote work
    Flexible hours

    ExamWorks

    New York, NY
    1 day ago
  •  ...Physicians, who are licensed in Minnesota to join our industry-leading peer review panel to conduct Medical Claims Reviews and Prior Authorization Reviews.Review cases from your home or office anywhere in the USA, around your current clinical activities typically 2-5... 
    Work at office
    Remote work

    Medical Review Institute

    West Valley, UT
    2 days ago
  • $39k

     ...level utilization review for all inpatient and outpatient services requiring authorization: Prospective Review Urgent/ Non-urgent, Concurrent Review and Retrospective Review. Completes prior authorizations as appropriate in a timely manner. Conducts an initial... 
    Full time
    Contract work
    Remote work

    eQHealth Solutions

    Doral, FL
    2 days ago
  • $16 - $27.69 per hour

     ...phone calls per day from members and identify the type of assistance needed. Will be taking calls to verify benefit coverage, prior authorization approval, checking on status of prior authorization and educating members on appeal option. Ask appropriate questions and... 
    Hourly pay
    Minimum wage
    Full time
    Work experience placement
    Live in
    Work at office
    Local area
    Remote work
    Monday to Friday
    Shift work

    CPS Solutions , LLC

    Costa Mesa, CA
    2 days ago
  •  ...conjunction with MTF Physical Evaluation Board Liaison Officer and MTF monitors). Verifies appropriate paperwork is on file prior to authorization. Initiate, receive, and coordinate, (telephone/computer/written), communication between beneficiaries, team members,... 
    Full time
    Contract work
    Local area
    Remote work

    Cherokee Federal

    Anchorage, AK
    3 days ago
  • $106.9k - $147k

     ...technical orchestrator for new client partnerships. You will not author detailed technical designs, but you must deeply understand...  ...understanding of pharmacy operations, PBM models, benefits coordination, prior authorization workflows, and specialty care dynamics... 
    Full time
    Temporary work
    Apprenticeship
    Remote work
    Work from home
    Home office

    Kentucky Staffing

    Frankfort, KY
    1 day ago
  • $150k - $170k

     ...Job Description Job Description Reporting to the Director of Clinical Operations, the Nurse Manager, Prior Authorizations, provides clinical and operational leadership to the Prior Authorizations (PA) team within the Utilization Management (UM) function. You will... 
    Work at office
    Remote work

    San Francisco Health Plan

    San Francisco, CA
    15 days ago