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  • $250k - $300k

     ...Job Description We are seeking a Remote Medical Director to replace a retiring physician. This is a long-term, non-clinical...  ...or trainings. Key Responsibilities Review and approve prior authorization requests using clinical guidelines. Collaborate with... 
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    Inspire Healthcare

    Los Angeles, CA
    17 days ago
  • $360k

     ...Support & Program Features: Work with two sleep labs and remote study interpretation capabilities Collaborate with a...  ...programs, including Inspire therapy Access EMR and a dedicated prior authorization team to streamline workflow Opportunity to help redesign... 
    Remote work
    Local area
    Relocation
    Flexible hours

    Britt Medical Search

    Rockford, IL
    17 days ago
  • $20 - $25 per hour

     ...policies, insurance plans requiring pre-authorization Experience in a health care related industry...  ...program verifies benefits and works on prior authorization. Working directly with...  ...in office in Minneapolis, MN and 4 days remote  Pay: $20-$25/hr (based on... 
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    Monday to Friday

    TEKsystems

    Bloomington, MN
    1 day ago
  • $20 per hour

     ...Full-Time Insurance Specialist (Remote) Schedule: Monday-Friday, 8:00 am - 4:00 pm (Remote) Pay: Starting at $20/hour...  ...accurately and consistently Claims Processing/Adjusting Prior-Authorizations Claim Follow - up and Appeals What we're looking for:... 
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    Full time
    Work at office
    Monday to Friday

    Beltone

    Terre Haute, IN
    20 hours ago
  •  ...weekend requirements. There is a possibility of working hybrid remote following the successful completion of training and...  ...assisting the department by scheduling appointments, obtaining prior authorizations from insurance companies, and filling in during the absence... 
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    Full time
    Work at office
    Monday to Friday
    Flexible hours
    Night shift
    Weekend work

    Christie Clinic

    United States
    4 days ago
  • $68.1k - $125k

     ...policies and procedures. Full time remote position Travel required. PREFERENCES...  ...NOTE: Applicants must be legally authorized to work in the United States. At this...  ...submitted for this or any other position without prior authorization from Human Resources will... 
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    Argonaut Management Services, Inc

    Wilmington, DE
    4 days ago
  • $33.94 - $50.91 per hour

     ...Department: 1007190 PRE-SERVICE AUTHORIZATION - EH SS Job Description: Conducts...  ...of managed care, including the referral, prior authorization/precertification processes...  ...of employment FTE: 1 Possible Remote/Hybrid Option: Remote Shift Rotation... 
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    Essentia Health

    United States
    16 hours agonew
  •  ...eligibility to participate in these DOW sponsored programs. The Prior Authorization, Registered Nurse, RN, Intern will report to a manager of...  ...troubleshoot and resolve basic technical difficulties in a remote environment. Possess an interest in working in the... 
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    Full time
    For contractors
    Apprenticeship
    Work experience placement
    Internship
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    Home office
    Weekday work

    Humana

    Richmond, VA
    7 days ago
  •  ..., and efficiency of utilization review processes, including prior authorization, concurrent and retrospective review, discharge planning, and...  ...required. Position Location This position may be remote and may travel to any of our markets as needed. About P3... 
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    P3 Health Partners

    Henderson, NV
    8 days ago
  • $50k - $100k

     ...Working within a program that includes two sleep labs with remote study interpretation capability No call requirement if practicing...  ...team-based care model Access to EPIC EMR and a dedicated prior authorization team to support workflow Opportunity to help redesign... 
    Remote work
    Full time
    Local area
    Flexible hours
    Weekend work

    Arlington HealthCare

    Rockford, IL
    22 days ago
  • $37.66 - $44.33 per hour

     ...Non-Exempt Location: In-Officeor Remote Summary: Although Rockwood...  ...direction and within significant limits and authority,adjudicateworkers' compensation claims of...  ...for this or any other position without prior authorization from Human Resources will be... 
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    Argonaut Management Services, Inc

    Springfield, MO
    1 day 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... 
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    Hourly pay
    Local area
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    ClinDCast

    United States
    20 hours ago
  •  ...involves conducting insurance benefit investigations, liaising with healthcare providers, and supporting prior authorization processes. The position primarily allows remote work with potential onsite attendance. Ideal candidates will have experience in benefit... 
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    AssistRx, Inc.

    Florida, NY
    2 days ago
  • $20 - $22 per hour

     ...Title: Customer Service Rep II Job ID: 24186 Location: Remote Duration: 24 Months Pay Rate: $20 - 22.00/hr ALTERNATE...  ...Access Representative JOB DESCRIPTION The Prior Authorization Representative is responsible for verifying prior... 
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    Artech

    United States
    20 hours ago
  • $22 per hour

     ...Duration: 4+ Months Job Type: Temporary Assignment Work Type: Remote Pay Rate: $ 22.00-22.00/ Hourly Overview: TekWissen Group is...  ...care) with Medicare Part B drug coverage inquiries, and prior authorizations. Top 3 Required Skills/Experience: 2-4 years Specialty and/or... 
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    Night shift

    TekWissen ®

    Detroit, MI
    3 days ago
  • $19 - $22 per hour

     ...insurance inquiries, conduct benefit investigations, and process prior authorizations. The ideal candidate has 2-3 years of relevant experience,...  ...familiarity with Salesforce. Enjoy a flexible culture with remote options and ample career growth opportunities. Competitive... 
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    Flexible hours

    AssistRx, Inc.

    Orlando, FL
    2 days ago
  • $19 - $22 per hour

     ...post-training schedule offered depending on availability. Remote Opportunity: The opportunity is primarily remote, but may...  ...reimbursement issues. This position also provides support for Prior Authorizations (PA) for an assigned caseload and helps navigate the appeals... 
    Remote work
    Monday to Friday
    Flexible hours

    AssistRx

    Maitland, FL
    3 days ago
  •  ...Job Title: Care Review Clinician I Location: 100% Remote Duration: 3 Months+ (temp to hire) Schedule: Wednesday - Sunday 8 – 5...  ...for performing utilization management (UM) reviews, including prior authorization of outpatient services, to ensure medical necessity,... 
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    Temporary work

    Careers Integrated Resources Inc

    Long Beach, CA
    20 hours ago
  •  ...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... 
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    Molina Healthcare

    United States
    4 days ago
  •  ...Position Title : Authorization Specialist II Work Location : Remote - must reside in Florida Assignment Duration : 3 months Work Schedule : Monday - Friday...  ...Summary : Acts as a resource and supports the prior authorization request process to ensure that all authorization... 
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    Work at office
    Monday to Friday

    Spectraforce Technologies

    Jacksonville, FL
    4 hours agonew
  •  ...as a hybrid model. This means a rotating schedule of working remotely and from the office. JOB SUMMARY: We are seeking a...  ...Participates in performance improvement projects. Obtain prior authorizations for medications and durable medical equipment as indicated.... 
    Remote work
    Part time
    Work at office
    Monday to Friday

    Duke University

    Durham, NC
    2 days ago
  •  ...Clinician I Job Location: Chicago, IL (Remote) Job Duration: 3 months (Possible...  ...Collaborate with & outreach facilities to ensure authorization information is up to date and clinical...  ...*** and its members. May also perform prior authorization reviews and/or related... 
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    Integrated Resources

    United States
    3 days ago
  • $20 per hour

     ...Hiring Now for 10 Remote/Work from Home Pharmacy Technicians for work!! Hours: Mon to Fri, any 8 hour shift between 7:00AM - 8...  ...phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation... 
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    Temporary work
    Work from home
    Shift work

    A-Line Staffing Solutions

    United States
    3 days ago
  • $29 - $37 per hour

     ...contracted providers are in place when authorizing. Identify cases that require additional...  ...Outpatient experience. ~2-5 years of prior authorization experience in utilization...  ...Work Environment The position offers a remote work environment with hours from Monday... 
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    Actalent

    Redlands, CA
    2 days ago
  • $67k - $68k

     ...opportunity with long-term potential and is located in Missouri (Remote). Please review the job description below and contact me...  ...and make on-line payment determinations for claims and prior authorizations that require medical determination. Review exception requests... 
    Remote work
    Full time
    Work at office
    Local area
    Immediate start

    Pyramid Consulting

    United States
    2 days ago
  • $19 - $22 per hour

     ...EST post-training schedule offered depending on availability. Remote Opportunity: The opportunity is primarily remote, but may...  ...reimbursement issues. This position also provides support for Prior Authorizations (PA) for an assigned caseload and helps navigate the appeals... 
    Remote work
    Temporary work
    Local area
    Immediate start
    Monday to Friday
    Flexible hours

    AssistRx, Inc.

    Orlando, FL
    3 days ago
  • $300k

     ...support staff, and administrative work that can be completed remotely make this one of the more turnkey rheumatology opportunities...  ..., including an MA, triage nurse, practice manager, and prior authorization specialist In-house lab, X-ray, ultrasound, and DEXA to streamline... 
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    Full time
    Part time
    Relocation package
    Shift work
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    CURAtive

    Peterborough, NH
    4 days ago
  • A confidential managed care organization is seeking a Remote Prior Authorization Pharmacist. This work-from-home role involves evaluating prescription requests, ensuring medical necessity, and collaborating with healthcare professionals. Ideal candidates will have a PharmD... 
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    Pharmacy Careers

    Ewa Beach, HI
    3 days ago
  • A confidential managed care organization is seeking a Remote Prior Authorization Pharmacist to evaluate prescription requests and ensure medical necessity. This work-from-home position is ideal for pharmacists looking to transition from retail or hospital settings, offering... 
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    Pharmacy Careers

    Olathe, KS
    1 day 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... 
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    Work from home

    Pharmacy Careers

    Lincoln, NE
    3 days ago