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$20 - $23 per hour
...on tracking and triaging coverage determination requests for prior authorizations and Medicare Part D recipients. You will support the... ..., Vacation or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated...Remote workContract workTemporary workWork at officeActalent
Fort Worth, TX3 days ago$18 per hour
...Calls / Refill Support Location: Fully Remote – Texas Only; preference for Dallas,... ...physician offices and clinics to obtain verbal authorization for prescription refill renewals when... ...office processes, refill requests, renewals, or prior authorization workflows...Remote workHourly payFull timeWork at officeWork from homeHome officeMonday to FridayA-Line
Dallas, TX1 day ago$23 per hour
...prescriptions to verify clinical accuracy prior to processing. Communicate with... ...rejections, and discrepancies. Initiate prior authorizations or other claim overrides required to... ...in Fort Worth, Texas, with no hybrid or remote options. The standard schedule is Monday...Remote workContract workTemporary workWork at officeMonday to FridayFlexible hoursActalent
Fort Worth, TX5 days ago- ...Vendors must have a valid written agreement and received prior written authorization from an authorized Brown & Brown representative before submitting... ...Diversity, Inclusion & Belonging (DIB) motto, “The Power to Be Yourself”. SummaryLocation: Remote - FloridaType: Full timeRemote workFull timeTemporary workWork at officeLocal area
Brown & Brown Insurance Services
Tallahassee, FL4 days ago $20 - $23 per hour
...Job Description Job Description Job Title: Remote Pharmacy Technician Prior Authorization Job Description This role focuses on supporting Medicare and Medicaid patients by processing and reviewing medication prior authorizations in a fully remote environment...Remote jobContract workTemporary workHome officeMonday to FridayFlexible hoursAfternoon shiftWeekday workActalent
Houston, TX2 days ago$17 - $34.15 per hour
...CVS Health is seeking a Pharmacy Technician for Prior Authorization to work from home in Hawaii. This role involves processing and communicating prior authorization referrals for specialty medications while collaborating with customer service and pharmacy operations. Candidates...Remote workHourly payFull timeWork from homeCVS Health
United States4 days ago- ...Detail-oriented and customer-focused, the full-time Remote Medical Insurance Verification Specialist will assist patients in obtaining... ...or benefits experience is mandatory Previous experience in prior authorization and claims, along with knowledge of HIPAA regulations Must...Remote workFull timeShift work
Virtual Vocations Inc
United States4 days ago - ...Onco360 Pharmacy is seeking a Pharmacy Prior Authorization Specialist in Saint Louis, MO, to handle insurance pre-authorizations, resolve claim... ...with providers and patients. This full-time role may allow remote work with Missouri licensure. The position offers a $5,00...Remote workFull timeRelocation package
Onco360
United States15 hours ago $71.1k - $97.8k
...The Hong Kong Study Skills Research Institute is seeking a Pre-Authorization Registered Nurse to join their team. This role involves reviewing prior authorization requests to ensure appropriate care while working from home. Ideal candidates will be licensed RNs with a...Remote workWork from homeHong Kong Study Skills Research Institute
Juneau, AK1 day ago- ...Managing insurance authorizations for mental health and substance use treatment, the full-time Behavioral... ...Specialist will verify benefits, complete prior authorizations, and support medical necessity criteria while working remotely. Key responsibilities Verify insurance...Remote workFull time
Virtual Vocations Inc
New York, NY1 day ago - ...VYTLOne is seeking a Prior Authorization Specialist for TMH Specialty Pharmacy to verify insurance eligibility and obtain benefits before medication delivery. You will communicate with payers, clinical partners, and patients to facilitate authorization, maintain clear...Remote work
RXinsider
United States1 day ago - ...To support patient care, the fully remote Precertification Specialist will obtain and manage prior authorizations, ensuring compliance with insurance requirements and facilitating timely access to treatment. Key responsibilities Ensures timely acquisition and management...Remote work
Virtual Vocations Inc
United States15 hours ago - ...Remote Prior Authorization Pharmacist Market leading national healthcare organization is hiring prior authorization pharmacists for a remote role! Great opportunity! The basic function of the pharmacist is to review and complete criteria based on prior authorization...Remote work
Randstad
United States1 day ago - ...TrueScripts Management Service is seeking a detail-oriented Prior Authorization Coordinator for a remote role. You will review and process PA requests for pharmacy claims received electronically, by fax, or from providers or members, verifying documentation and ensuring...Remote work
TrueScripts Limited
United States1 day ago - Judi Health is seeking a Pharmacy Technician to support prior authorization requests and pharmacist reviews in a remote US-based role. You will validate prescriber and member information, guide reviews with clinical guidelines, and liaise with providers to gather necessary...Remote work
Capital Rx
New York, NY3 days ago - ...Retail Pharmacy company, is looking for a Pharmacist for their Remote location. Responsibilities: This individual... ...responsible for: Reviewing and completing criteria based on prior authorization as per policy and procedure. This position is...Remote work
ICONMA
United States15 hours ago $27.02 - $48.55 per hour
...Prior Authorization Reviewer Position Purpose: Analyzes all prior authorization requests to determine medical necessity of service and appropriate... ...: Applicants for this role have the flexibility to work remotely from their home anywhere within the state of Missouri. This...Remote workHourly payFull timePart timeWork at officeWork from homeMonday to FridayFlexible hoursCentene Corporation
United States2 days ago$50 - $60 per hour
...healthcare insurance and pharmacy services organization for an remote contract opportunity based in North Carolina. The Clinical... ...for the Clinical Pharmacist include: • Evaluate prior authorization and coverage review requests by applying clinical guidelines...Remote workHourly payLong term contractContract workPiper Companies
United States3 days ago- ...Talent Partner | Passive Hiring Expertise Job Type: 100% Remote role in New Jersey, Pennsylvania, and Delaware Summary:... ...role combines traditional dispensing responsibilities with prior authorization review and managed care coordination. Primary Responsibilities...Remote workContract work
The Judge Group, LLC
New York, NY4 days ago - ...Pharmacy Technician IJob Location: 100% Remote Job Duration: 13 Weeks | Possibility of Extension Shift: Monday–Friday | 9:30 AM... ...The role handles pharmacy benefit inquiries, formulary and prior authorization questions, and ensures accurate documentation while meeting...Remote workMonday to FridayShift work
Careers Integrated Resources Inc
Philadelphia, PA2 days ago - ...Job Title Work Mode: 100% Remote Duration: 3 months Shift: 9am – 6pm EST, No OT Responsibilities Review completed prior authorization requests from providers and pharmacy technician recommendations. Verify member's ID number, date of birth, and eligibility...Remote workShift work
Axelon
United States4 days ago - ...Pharmacist - Remote 11/2 Address: Anywhere in US. Job Description Review and complete criteria based on prior authorization as per policy and procedure. Ensure potential hires understand the requirement to provide own high-speed internet with at least 25 Mb download and...Remote workFull timeCasual workWork at officeLocal areaWork from homeMonday to FridayShift work
A-Line Staffing Solutions
Woonsocket, RI15 hours ago $20 per hour
...Remote Coverage Determination Specialist (PBM / Health Plan) — Work From Home (U.S.) Location:Remote / Work From Home (United... ...with experience inMedicare Part D, coverage determinations,prior authorizations (PA), exceptions, and pharmacy benefit support. You’ll complete...Remote workFull timeWork experience placementImmediate startWork from homeMonday to FridayA-Line Staffing Solutions
Lewisville, TX2 days ago- ...reviews and assess care for mental health and substance use. This remote role supports clinicians across the continuum of care while... .... Responsibilities include evaluating treatment, conducting prior authorization and concurrent reviews, and educating providers and families...Remote work
IntelliResume
Seattle, WA4 days ago $159.2k - $225.99k
...Operations, PGY1, PGY2, Central Fill, Medication Distribution, Prior Authorization, Omnicell, Leadership, Hampton Roads, Norfolk, Virginia... ...tobacco-free environment.For positions that are available as remote work,Sentara Health employs associates in the following states...Remote workFull timeTemporary workLocal areaRelocationShift workSentara Healthcare
Norfolk, VA3 days ago$70 per hour
...outcomes, ensuring appropriate medication utilization, and supporting quality pharmacy care through prior authorization reviews and clinical decision-making. Location: Remote (North Carolina Resident Required) Pay Rate: $70/hour Employment Type: Contingent Schedule: Day...Remote workTemporary workWork from homeMonday to FridayDay shiftManpower
United States3 days ago- ...Position Title: Pharmacist Location: Remote EST Duration: 3 Months Schedule: Mon Fri 8:00 AM 5:00 PM. PR:... ...As a licensed healthcare professional employed in the Prior Authorization Department the primary responsibility of Pharmacist (R) is to...Remote work
Pacer Group
United States15 hours ago - ...clinical documentation, apply clinical judgment to authorization requests, and navigate high-volume queues in a remote work environment. Key responsibilities: Review... ...utilization review workflows Apply clinical judgment to prior authorization and utilization review requests...Remote workFull time
Virtual Vocations Inc
United States3 days ago - ...Utilization Review Case Manager to work Remote. The incumbent conducts initial, concurrent... ...reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates... ...review for services requiring prior authorization as well as timely concurrent...Remote workFull timeTemporary workWork experience placementWorldwide
- ...Coordinator to support patients and clinical staff in a fully remote role. The position focuses on handling 100+ inbound calls,... ...Assistant or Pharmacy Technician, with responsibilities including prior authorizations, lab orders, and clear communication with patients and...Remote work
Actalent
United States1 day ago
