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$137k - $165k
...your ideal work life balance with options to practice hybrid remote with a 4-day work week option all with and built-in... ...practice, allowing you to focus on patient care while they handle prior authorizations, medication refills, insurance, billing, and so much more. Our...Remote workMinimum wageWork experience placementWork at officeLocal areaWork from homeFlexible hoursOptum
Everett, WA6 days ago- ...Receive and respond to provider and pharmacy calls regarding the prior authorization and formulary process. Perform review of pharmacy and... ...utilization review and reporting processes. Critical Information Remote work; full-time hours. Compliance with all policies and...Remote workFull time
A-Line Staffing Solutions
California City, CA1 day ago Physician / Not Specified / Utah / Locum Tenens / Remote 1099 Utilization Review Work for Physicians
...Week! An active, unrestricted California, Texas or Nebraska medical license are required. We are seeking Family Medicine or Internal Medicine board certified physicians to review Prior Authorizations for treatments, DME requests, SNF admissions, medications, and more.Remote workFor contractorsLocumFlexible hoursMRIoA
Salt Lake City, UT5 hours agonew- ...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
Pharmacy Careers
Honolulu, HI5 hours ago - ...flexible and willing to work some weekends and holidays. This is a REMOTE position working from home. Please consider that scheduling... ...and/or procedures. • Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. • Processes...Remote workWork at officeWork from homeFlexible hoursWeekend work
Molina Healthcare
Long Beach, CA5 hours ago $65k - $78k
...work-life balance, continuous learning, and career development. We are seeking a skilled Utilization Review Nurse to conduct prior authorization, prospective, concurrent, and retrospective reviews for medical necessity and appropriateness of services, following clinical...Remote workFull timeContract workWork at officeWork from homeFlexible hoursIntelyCare
Nags Head, NC3 days ago- ...Pharmacist Position Our client is looking for multiple Pharmacists with prior authorization experience. This is a remote position so you must have a secure and quiet place to work without interruptions. Responsibilities include evaluating and reviewing all prior authorization...Remote work
ICONMA
Hempstead, NY5 hours ago - ...Prior Authorization Pharmacist Location: Remote The main focus of this position is to ensure that all prior authorizations are processed efficiently and accurately. This role requires a deep understanding of insurance policies and the ability to navigate complex...Remote work
US Tech Solutions
Poughkeepsie, NY2 days ago $19.71 - $26.28 per hour
...organization in Denver is seeking a detailed-oriented team member to evaluate referral and pre-certification requests and assist with prior authorizations. The ideal candidate will possess strong customer service and communication skills, along with knowledge of medical...Remote workHourly payAlpine Physician Partners
United States13 hours ago- ...A leading academic medical center in Miami is seeking an experienced Oncology Prior Authorization Case Manager to work remotely. The role involves conducting utilization reviews and coordinating patient care to ensure efficient healthcare delivery. Candidates should hold...Remote work
University of Miami
United States4 days ago $140k - $180k
...crucial role in providing operational leadership to the UM/Prior Authorization and Inpatient Teams (50 FTEs in total). Youll be responsible... ...vision, and life insurance. This is an onsite position- no remote options are available at this time. Requirements: ~ Healthplan...Remote workFull timeAmi Network
Pasadena, CA15 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...Remote workContract workMonday to FridayShift work
US Tech Solutions
Salt Lake City, UT3 days ago - ...A prestigious academic healthcare institution is seeking a Prior Authorization UM Case Manager who will manage the prior authorization process... ...essential. A hybrid work schedule involves both on-site and remote work, requiring excellent interpersonal and teamwork...Remote work
University of California San Diego
San Diego, CA2 days ago - ...Job Title: Clinical Review Nurse - Prior Authorization - J00927 Location : Fully Remote, TX, central time zone preferred Pay : Not specified Shift Training: 4-5 weeks (No days off) CAMERA ON, Mon - Fri 8AM 5PM CST Working Shift: Mon - Fri 10 AM-7PM CST, 1 hour lunch Duration...Remote workHourly payShift work
Axelon
Austin, TX1 day ago - ...adherence concerns, or potential drug interactions. Support prior authorization and appeals processes when needed. Educate patients and... .... Flexibility: Many organizations offer hybrid or fully remote work options. Rewards: Competitive pay, benefits, and...Remote work
Pharmacy Careers
United States5 hours ago - ...Program Administrator & experienced practice managers. ~ Prior authorizations handled by a dedicated team. ~ Strong referral base from a... ...& focus on increased patient access. ~ Hybrid model of remote/in person. ~40-minute new patient & 20-minute follow-up....Remote workRelocationRelocation package
WellSpan Health
Chambersburg, PA1 day ago - ...license to join our panel of clinical reviewers. This is a remote, non-clinical opportunity ideal for dental professionals... ...of requested dental treatments and procedures Review prior authorization and appeal cases based on clinical guidelines and standards...Remote workExtra incomeFor contractorsFlexible hours
Dane Street
New York, NY4 days ago - ...Utilization Review Case Manager to work to work remote. The incumbent conducts initial,... ...chart reviews for clinical utilization and authorization. The Utilization Review Case Manager... ...prospective review for services requiring prior authorization as well as timely...Remote workFull timeWorldwide
Remote Staffing
United States3 days ago $155k - $160k
...appointments. You would also have medical assistants handle prior authorizations. The patient population is almost 100% adults ages 25 years... ...Tremont Ave. We are also allowing our Psychiatric NP's to work remote for now. The hours of this position are very flexible on...Remote workFlexible hoursWeekend workSmith Arnold Partners
New York, NY4 days ago- ...Job Description Pharmacy Technician (Licensed) | Remote Work | Medication Processing & Patient Support We are seeking a... ...verifying patient and insurance information, assisting with prior authorizations, and providing excellent customer support. The ideal candidate...Remote work
Acro Service Corp
Chicago, IL5 days ago - ...Prior Authorization Medical Director Physician Opportunity in the Los Angeles Area Please consider this unique opportunity to join a well... ...organization forward. Requirements: MD/DO degree required Remote position, but candidate must live in the greater L.A. area...Remote workLive inWork from homeRelocation package
Curative
Los Angeles, CA3 days ago - ...Accurate document coverage details, copayments, deductibles, prior authorization requirements, and plan limitations. Prepare and submit... ...confidentiality. Other tasks as assigned. Travel: 100% Remote Supervisory Responsibilities : ~ N/A Qualities & Skills...Remote workWork at office
Senior Care Therapy
Franklin, Somerset County, NJ3 days ago $100 - $120 per hour
...team will assist practitioners closely on scheduling, billing, prior authorizations, and insurance. Flexible hours : Klarity allows... ...limits. Klarity also allows for part-time commitment. Fully Remote : Klarity provides an easy-to-use telehealth solution (EMR,...Remote workPart timeFor contractorsFlexible hoursKlarity Health
Santa Monica, CA4 days ago$55k
...Reimbursement for approved work-related mileage This is a remote first position which will allow you to primarily work from... ...coordination Case management Utilization review Prior authorizations Claims reviews Healthcare billing Analyzing healthcare...Remote workFull timeImmediate startWork from homeHome officeMonday to FridayLiberty Healthcare
Annapolis, MD1 day ago- ...Boston, MA Hybrid (2 days onsite, 3 days remote) No 3rd parties or C2C!!!!!!!!!!!!!... ...JWTs, enforcing OAuth 2.0 scope-based authorization, and managing a secure internal token... ...the multi-stage workflows required by the Prior Authorization API, differentiating...Remote workContract work
Cyperus Group LLC
Boston, MA19 days ago - ...Health. Responsibilities This role provides medication prior authorization support for assigned clinics in the Des Moines region using... ...access to medications. This position is primarily remote. Limited on-site workspace may be available upon request....Remote workDaily paidFull timeTemporary workWork at officeWork from homeMonday to FridayShift work
UnityPoint Health
West Des Moines, IA3 days ago - ...insurance verification for benefits and eligibility, completion of prior authorizations/pre-certifications, estimates of patient responsibility and... ...Facing Options ~ Position is Not Patient Facing Remote Work Guidelines Workspace is a quiet and distraction-...Remote workWork at office
Stormont-Vail HealthCare
Topeka, KS5 hours ago - ...About the job Remote Coverage Review Pharmacist Remote Coverage Review Pharmacist needs 3 years and Doctor of Pharmacy... ...reviews and appeals including the review of medication related prior authorizations, pharmacy appeals, and member grievances focused on...Remote workWork at office
Global Channel Management
Chattanooga, TN3 days ago - ...reliable, detail-oriented, and compassionate Remote Medical Assistant to support our... .... * Prepare and update patient charts prior to appointments. * Enter and maintain... ...appointment scheduling, referrals, and prior authorizations when applicable. * Verify patient...Remote workWork at office
UES Interventional Pain
Saint Petersburg, FL2 days ago $85 per hour
...embodying the core values of Anywhere Clinic. This is a full remote role, and will remain as such unless telehealth laws change... ...last appointment. Completing and signing labs, letters, forms, prior authorization requests, or other medical records for patients.Requirements...Remote workHourly payFor contractorsLocal areaShift workAnywhere Clinic
Cambridge, MA1 day ago
