Get new jobs by email
  • $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... 
    Remote work
    Live in

    Inspire Healthcare

    Los Angeles, CA
    18 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
    18 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... 
    Remote work
    Contract work
    Temporary work
    Work at office
    Immediate start
    Work from home
    Monday to Friday

    DiversityJobs Inc

    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:... 
    Remote work
    Full time
    Work at office
    Monday to Friday

    Beltone

    Terre Haute, IN
    1 day 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... 
    Remote work
    Full time
    Work at office
    Monday to Friday
    Flexible hours
    Night shift
    Weekend work

    Christie Clinic

    United States
    10 hours 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... 
    Remote work
    Work at office
    Monday to Friday

    DiversityJobs

    Jacksonville, FL
    1 hour agonew
  • $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... 
    Remote work
    Full time
    For contractors
    Local area

    Argonaut Management Services, Inc

    Wilmington, DE
    10 hours ago
  •  ...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... 
    Remote work
    Full time
    For contractors
    Apprenticeship
    Work experience placement
    Internship
    Work from home
    Home office
    Weekday work

    Humana

    Richmond, VA
    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
    23 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... 
    Remote work
    Temporary work
    Local area

    Argonaut Management Services, Inc

    Kansas City, MO
    2 days 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... 
    Remote work
    Hourly pay
    Local area
    Work from home
    Flexible hours
    Shift work

    ClinDCast

    United States
    1 day 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... 
    Remote work

    Artech

    United States
    1 day 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... 
    Remote work
    Hourly pay
    Contract work
    Temporary work
    Work at office
    Work from home
    Night shift

    TekWissen ®

    Detroit, MI
    4 days 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... 
    Remote work

    AssistRx, Inc.

    Florida, NY
    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,... 
    Remote work
    Temporary work

    Careers Integrated Resources Inc

    Long Beach, CA
    1 day 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... 
    Remote job
    Flexible hours

    AssistRx, Inc.

    Orlando, FL
    3 days 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... 
    Remote work
    Contract work
    Work at office

    Molina Healthcare

    United States
    10 hours 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
    4 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... 
    Remote work
    Contract work
    Work at office

    Integrated Resources

    United States
    4 days ago
  •  ...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
    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... 
    Remote work
    Temporary work
    Work from home
    Shift work

    A-Line Staffing Solutions

    United States
    3 days ago
  • $90k - $108k

     ...Pre-Authorization RN Remote after training which is a hybrid schedule 2 days onsite, 3 remote until training complete (4-6 months) Training...  ...NY RN license and registration required CCM preferred Prior Authorization or Utilization Review experience required... 
    Remote work
    Work at office
    Relocation package

    RCM Healthcare Services

    New York, NY
    2 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... 
    Remote work
    Full time
    Part time
    Relocation package
    Shift work
    Weekend work

    CURAtive

    Peterborough, NH
    10 hours 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
    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... 
    Remote work
    Contract work
    Temporary work
    Monday to Friday
    Weekend work

    Actalent

    Redlands, CA
    3 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... 
    Remote job
    Work from home

    Pharmacy Careers

    Ewa Beach, HI
    4 days ago
  • $12.19 - $26.42 per hour

     ...leadership. Assists Molina member services, pharmacies, and health plan providers in resolution of member prescription claim, prior authorization, and pharmacy service access issues. Articulates pharmacy management policies and procedures to pharmacy/health plan... 
    Remote work
    Hourly pay
    Work experience placement
    Work at office

    Molina Healthcare

    United States
    10 hours ago
  • $75.5 per hour

     ...Health Plan or Risk-Based MSO setting. DIRECT HIRE, 100% Remote Mon-Fri 8-5, expectation for on-call availability Expected...  ...for their team, managing escalations. -Candidates must have prior authorization experience (ambulatory, health plans). If candidates have... 
    Remote work

    HELP-Hire

    Costa Mesa, CA
    10 hours 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... 
    Remote job
    Work from home

    Pharmacy Careers

    Olathe, KS
    2 days ago
  • $12.19 - $26.42 per hour

     ...Molina Healthcare is hiring for remote Certified Pharmacy Technicians. These roles will be in our Prior Authorization department. You will review prior auth requests that are submitted. Schedules for these roles will be Mon through Fri 11am-7:30pm MST or 12:30pm-... 
    Remote work
    Hourly pay
    Work experience placement
    Work at office

    Molina Healthcare

    United States
    1 day ago