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- ...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...Remote workLocal area
ICONMA
Los Angeles, CA2 days 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...Remote workArtech
Salt Lake City, UT2 days ago$25 - $28 per hour
...Customer Service Rep II 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...Remote workArtech
Denver, CO4 days ago- ...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...Remote work
New England Life Care
Woburn, MA1 day ago $37 per hour
...Job Title: Care Review Clinician Location: 100% Remote Duration: 3 Months+ (Possible Extension) Pay Rate: $37/hr (W2) Schedule... ...inpatient medical necessity reviews, concurrent reviews, and prior authorization activities. The role ensures members receive the right care...Remote workCareers Integrated Resources Inc
Atlanta, GA3 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 $36 per hour
...Conduct intake assessments and submit documentation for prior authorization based on pay sources Develop care plans with nursing diagnoses... ...Hybrid Work Environment offering a balance of fieldwork and remote flexibility Flexible Scheduling with no 12-hour shifts or...Remote workPart timeImmediate startRelocation packageFlexible hoursRotating shiftSevita
Lees Summit, MO17 hours ago$86.3k - $118.7k
...collaboration with internal enterprise business teams (e.g., claims, prior authorization, referrals, provider education). Guide the coordination... ...member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training...Remote workBi-weekly payFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeHumana
Oklahoma City, OK1 day ago- ...Duration: 6+ months contract Job Description: ~ Responsible for reviewing and completing criteria based on prior authorization as per policy and procedure. Responsibilities: This individual must have excellent interpersonal skills. Will be responsible...Remote workContract work
US Tech Solutions
Woonsocket, RI17 hours ago Physician / Internal Medicine / California / Permanent / Remote Medical Director " Prior Authorizati
$250k - $300k
...We are seeking a Remote Medical Director to replace a retiring physician. This is a long-term, non-clinical role " you will not... ...meetings or trainings. Key Responsibilities Review and approve prior authorization requests using clinical guidelines. Collaborate with...Remote workPermanent employmentLive inIntegrity Healthcare
Northridge, CA17 hours 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$4,000 per month
...signs Processing medication refill requests Managing prior authorizations Acting as a key liaison between patients, families, and providers... ...required or must obtain within 30 days of start date. Fully remote care team members are exempt from BLS certification...Remote workDaily paidFull timePart timeWork at officeRelocation packageFlexible hoursMaineHealth
Portland, ME1 hour agonew- ...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...Remote workContract workMonday to FridayShift work
US Tech Solutions
Woonsocket, RI17 hours ago $19 - $20 per hour
...Are you looking for an exciting remote opportunity to join a rapidly expanding healthcare... ...previous experience in insurance and authorization. The work requires a professional and organized... ...Pennsylvania Top skills needed: - Prior Authorization Experience - Healthcare...Remote workHourly payPermanent employmentTemporary workWork experience placementShift workRandstad
Saint Louis, MO3 days ago$36 per hour
...Conduct intake assessments and submit documentation for prior authorization based on pay sources Develop care plans with nursing diagnoses... ...Hybrid Work Environment offering a balance of fieldwork and remote flexibility ~ Flexible Scheduling with no 12-hour shifts...Remote workPart timeImmediate startRelocation packageFlexible hoursRotating shiftVivian Health
Lees Summit, MO1 day 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$180k - $190k
...geography. Provide education to HCP offices on coverage status, prior authorization processes, appeals, and alternate funding options for... ...proud to be an equal opportunity employer. We are committed to creating an inclusive environment for all employees. #LI-RemoteRemote workTemporary workWork experience placementWork at officeLocal areaFlexible hoursTaylor Strategy Partners
Dallas, TX1 day ago- ...company is seeking a Utilization Management Medical Director to support the Aetna Oklahoma Medicaid plan. This remote role involves managing prior authorization, concurrent review and ensuring timely responses to members and providers. Ideal candidates will have...Remote workPart time
CVS Health Corporation
Oklahoma City, OK11 hours agonew $60 - $68 per hour
Job Description: Position: S4 HANA ABAP Consultant Location: Remote Key Requirements: Technical Skills: ABAP on HANA Expertise (... ...to make healthcare more affordable, streamlined prior authorizations for medications, the availability of therapeutic alternatives...Remote workHourly payShift work$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 workPart timeAmi Network
Pasadena, CA18 hours ago- ...Pain Medicine looking to supplement your income in a flexible, remote, nonclinical setting? Then let me introduce you to ExamWorks... ...include workers' compensation, disability, and health plan prior authorizations and appeals. As part of our reviewer network, you would...Remote workFor contractorsFlexible hours
ExamWorks
New York, NY17 hours ago - ...Job Title: Senior Data Analyst Location: Remote Reports To: SVP, Data and Technology Who We Are Icon Health is a... ...Analyze structured healthcare data (e.g., claims, eligibility, prior authorization) to identify trends, monitor KPIs, and support clinical and...Remote work
$39k
...inpatient and outpatient services requiring authorization: Prospective Review Urgent/ Non-urgent,... ...and Retrospective Review. Completes prior authorizations as appropriate in a... ...Planning Intake Services, FT, 8:30A-5P, Hybrid Remote Miramar, FL $39,000.00 - $49,40...Remote workFull timeContract workeQHealth Solutions
Doral, FL2 days ago$50 per hour
...Job Title: Javelina Plan Builder Location: Remote Type: Long-Term Contract Rate: $50/hr Job Description: We are... ...to make healthcare more affordable, streamlined prior authorizations for medications, the availability of therapeutic alternatives...Remote workHourly payLong term contractContract workShift workClinDCast
Albany, NY17 hours ago- ...comprehensive care to PCHP members. This need will be FULLY remote while the provider is working locums, but they will need to... ...into a permanent role. Responsibilities: ~ Reviews prior authorization and appeals request for approval or denial of claims payment...Remote workPermanent employmentLocumLocal areaWeekend work
Med Ninjas
Dallas, TX17 hours ago $125 - $140 per hour
...based care. The initial 13-week locum assignment is fully remote , with a transition to a hybrid leadership role upon... ...quality management, and disease management programs Review prior authorizations, appeals, and medical necessity determinations Conduct...Remote workHourly payWeekly payPermanent employmentLocumImmediate startMonday to FridayWeekend workLocum Jobs Online
San Antonio, TX2 days ago- .../GYN) Dallas, Texas Availability ~ Need will be FULLY remote while the provider is working locums , but will need to... ...(or willingness to obtain) Experience in Managed Care & Prior Authorization - REQUIRED Experience in Utilization Management committees...Remote workPermanent employmentLocumLocal areaImmediate startMonday to Friday
RecruitWell LLC
Dallas, TX17 hours ago - ...Support Specialists to join our team in a remote role! Great opportunity, please call us... ...provides timely and accurate review and authorization of dental services based on eligibility... ...member eligibility Resolve claim and prior authorization that require UM Review...Remote workContract workTemporary workWork experience placementLocal area
Randstad
Fresno, CA4 days ago - ...ensure appropriate drug use, and improve member outcomes. This remote position plays a key role in supporting Serve You Rx in... ...suite of clinical programs such as drug utilization review, prior authorization review, health outcomes measurement, disease state management...Remote workFull timePart timeWork experience placementWork at office
Serve You Custom Prescription Management
Milwaukee, WI2 days ago - ...Social Workers, Nurses, and more). Dedicated prescription and prior authorization support, with pharmacy and medication access coordinators to... ...your goals. Additional Job Details (if applicable) Remote Type Onsite Work Location 307 West Central...Remote workFull timePart timeFlexible hoursShift work
Mass General Brigham
Natick, MA4 days ago
