Average salary: $43,553 /yearly
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- ...and retrospective chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare... ...and perform timely prospective review for services requiring prior authorization as well as timely concurrent review for...SuggestedFull timeWork experience placementRemote workWorldwide
University of Miami
Ogden, UT5 days ago - ...Job Description The Prior Authorization Representative is responsible for verifying prior authorization requirements and obtaining authorization when required. Works directly with physician offices and payers to facilitate patient access to various therapies. Representative...Suggested
Hire Talent
Salt Lake City, UT4 days ago - ...guidelines, and Centers for Medicare and Medicaid Services (CMS) standards. Provides coordination and processing of pharmacy prior authorization requests and/or appeals. Explains point-of-sale claims adjudication, state, NCQA and CMS policies/guidelines, and any...SuggestedWork at office
Molina Healthcare
Salt Lake City, UT2 days ago - ...Pharmacist Advisor Location: Fully remote Duration: 06+ months contract Note: Ideal candidates must have experience of Prior Authorization, Medicare Part D and Pharmacy Benefit Management experience. Shift Timing: Business Hours are 7am - 8pm EST Monday - Friday and...SuggestedContract workRemote workMonday to FridayShift work
US Tech Solutions
Salt Lake City, UT1 day ago - ...to patient questions. • Prepare exam rooms with necessary equipment/supplies and keep exam rooms clean. • Obtain insurance prior authorizations for procedures. Qualifications: • Previous medical experience preferred. • Current CPR certification or obtain within 3 months...SuggestedPart timeWork at office
Reverhealth
Provo, UT4 days ago - ...Psychiatry- FT (CNA) Behavioral Health - FT (Phlebotomy) Receive phone calls and respond to patient concerns. Obtain prior authorizations for prescriptions and procedures. Schedule follow-up appointments for physician. Assist with other office duties as...SuggestedFull timePart timeReliefWork at officeImmediate start
Tanner Clinic
Layton, UT2 days ago - ...building and maintaining decision tools, also known as questionnaires. These tools support pharmacy operations, specifically around prior authorization processes. We develop and manage configurable questionnaires that align with health plan and drug policies which help the...SuggestedWork experience placementWork at officeRemote workMonday to FridayFlexible hours
Spectraforce Technologies
Salt Lake City, UT1 day ago $19.01 per hour
...and pharmacy network provider inquiries concerning oral, injectable and infusion medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly defines the medical necessity of non-formulary and prior authorization medication...SuggestedFor contractorsLocal areaHighmark Health
Salt Lake City, UT3 days ago- Proactively connect with prospective clients to assess life insurance needs and recommend appropriate coverage solutions Operate as a performance-driven consultant, setting and tracking personal sales goals and activity metrics Educate clients on life insurance products...SuggestedRemote jobFull time
Zuzick Organization of Globe Life
Orem, UT3 days ago - ...ups as needed; submits prescriptions per provider instructions. Works with insurance companies, pharmacies as needed for prior authorizations. Maintains safe, secure, and healthy work environment by establishing and following standards and procedures, complying with...SuggestedFull timeWork at officeLocal area
Reverhealth
Provo, UT1 day ago - ...approval for sign off. # Assists provider with procedures. # Performs patient follow-up and coordinates care (e.g. obtains prior authorizations, completes patient forms/documents for provider review, follows-up on abnormal results, etc.), per clinic protocol. #...SuggestedWork at office
HealthWest
Providence, UT2 days ago - Zions Bancorporation is one of the nation's premier financial services companies operating as a collection of great banks under local brands and management teams in high-growth western markets. Zions is regularly recognized by American Banker as one of the "Best Banks...SuggestedWork experience placementLocal areaFlexible hours
Zions Bancorporation
Salt Lake City, UT1 day ago - ...Responsibilities: Primary responsibilities include the following. Other duties may be assigned. Educate HCPs on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local...SuggestedPermanent employmentFull timeWork at officeLocal area
Johnson & Johnson
Ogden, UT14 hours ago $20 - $21 per hour
...; or disability or any other legally protected status. This position is not eligible for visa sponsorship. Applicants must be authorized to work in the United States on a full-time basis without the need for current or future sponsorship. Supplementary information...SuggestedRemote jobFull timePart timeSummer workInternshipWork at officeImmediate startWork from homeQBE North America
Ogden, UT1 day ago$20 - $21 per hour
...; or disability or any other legally protected status. This position is not eligible for visa sponsorship. Applicants must be authorized to work in the United States on a full-time basis without the need for current or future sponsorship. Supplementary information...SuggestedRemote jobFull timeSummer workInternshipImmediate startQBE North America
West Jordan, UT14 hours ago- ...us: Industry • Financial Services Employment Type • Full-time The Guardian Network® is a network of preferred providers authorized to offer products of The Guardian Life Insurance Company of America (Guardian), New York, NY and its subsidiaries. Wealth...Permanent employmentFull timeWork at office
Wealth Strategies
Salt Lake County, UT5 days ago - ...Remote Prior Authorization Pharmacist – Work From Home in Managed Care A confidential managed care organization is seeking a motivated Remote Prior Authorization Pharmacist to evaluate prescription requests, ensure medical necessity, and improve patient access to safe...Remote workWork from homeFlexible hours
$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...Remote work$120 - $131 per hour
" Licensed Mental Health Counselor (LMHC) Wage: Between $120-$131 an hour Licensed Mental Health Counselor — Are you ready to launch or expand your private practice? Headway is here to help you start accepting insurance with ease, increase your earnings with higher...Bi-weekly payPrivate practiceHeadway
Saint George, UT25 minutes agonew- ...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 work
$120 - $131 per hour
" Licensed Mental Health Therapist (LMHT) Wage: Between $120-$131 an hour Licensed Mental Health Therapist — Are you ready to launch or expand your private practice? Headway is here to help you start accepting insurance with ease, increase your earnings with higher...Bi-weekly payPrivate practiceHeadway
Saint George, UT3 hours agonew- ...overrides as you develop leadership skills Strong communicator who cares about helping people Self-disciplined, organized, and goal-oriented Willing to obtain a life insurance license (we help guide you) Prior sales or service experience is a plus—but not required...Remote jobFull time
Fisher Organization
Ogden, UT1 day ago $68k - $88k
Why WWT? At World Wide Technology, we work together to make a new world happen. Our important work benefits our clients and partners as much as it does our people and communities across the globe. WWT is dedicated to achieving its mission of creating a profitable growth...Full timeContract workRemote workShift workWorld Wide Technology
Logan, UT14 hours ago- The Engineering Change Management (ECM) Process, Methods and Tools Specialist is part of a Business Owning team responsible for the Stellantis North America Engineering Change Management (WebCN, CCD, C2PC) Systems. This team owns all the Engineering Change Management data...Full timeImmediate start
Stellantis
West Jordan, UT4 days ago - ...provided) Previous sales, customer service, or leadership experience preferred but not required Reliable internet connection and ability to work remotely Comfort using CRM systems, video conferencing, and digital tools Legal authorization to work in the U.S....Remote jobFull time
Fisher Organization
Orem, UT2 days ago $20.2 per hour
Description & Requirements Maximus is currently looking for an Employment Specialist to join the Montana Employment and Training Project. This role collaborates with case managers, outreach liaisons, as well as participants on the program. The role also includes case ...Minimum wageFull timeContract workTemporary workWork experience placementLive inRemote workHome officeMaximus
Orem, UT2 days ago$20 - $21 per hour
Job Description IT Service Desk Agent &##128205; Location: South Jordan, Utah, USA &##128176; Pay: $20 - $21/hour &##128198; Contract: 12 months (potential for extension or permanent hire) A large financial services company is looking for an IT Service...Permanent employmentContract workWork experience placementRussell Tobin
South Jordan, UT5 days ago$185k - $225k
Are you looking to try something new and exciting ? If so, then I have an exclusive opportunity for you! We’re seeking a unique individual to join our remarkable team-someone passionate about serving and caring for our service members and their families! This is ...Full timeRelocation packageU.S. Navy
Orem, UT4 days ago- ABOUT As a Cryptologic Technician, you are one of the world’s greatest problem-solvers. We’re looking for people with sharp minds, whose brains are built for picking out patterns most will miss. CRYPTOLOGY JOBS IN THE NAVY CRYPTOLOGIC TECHNICIAN COLLECTION Much...Full timePart timeWorldwideOverseas
U.S. Navy
West Jordan, UT4 days ago - ++ ABOUT ++ In the Navy, the galley, or dining area, is the heart of every ship. This is where the crew gathers to eat, socialize and relax. As a Culinary Specialist, you run the show by providing one of the key components of every Sailor’s quality of life. Whether you...Full timePart timeOverseas
U.S. Navy
West Jordan, UT14 hours ago
