Get new jobs by email
- ...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
Staten Island, NY1 day 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 - ...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 $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$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, MO19 hours 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, OK13 hours agonew $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, CA20 hours ago$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- ...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, NY19 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- ...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, TX19 hours 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, TX19 hours ago $54k - $70.88k
...Navigation. Work Location: This is a remote position, open to candidates who reside... ...Experience implementing process improvements ~ Prior healthcare or health insurance... ...in utilization management and/or prior authorization processes. At Oscar, we cultivate an...Remote workFull timeWork at officeOscar Health
Saint Louis, MO1 day ago$27 per hour
...Location: DrSnip The Vasectomy Clinic (Remote/On-site, depending on location) Reports... ...estimates, verify coverage, obtain pre-authorizations, and help maximize insurance reimbursement... ...Pre-Authorizations: Facilitate the prior authorization process by submitting necessary...Remote workHourly payFull timeDrSnip
Seattle, WA19 hours ago- ...adoption of digital and centralized solutions (e.g., eReg, remote SIVs, EMR-based identification). Build and maintain... ...general procurement/human resources department to obtain prior written authorization before referring any candidates to GSK. The obtaining of prior...Remote workLocal area
GSK LLP
Shreveport, LA19 hours ago $54k - $70.88k
...Navigation. Work Location: This is a remote position, open to candidates who reside... ...Experience implementing process improvements ~ Prior healthcare or health insurance... ...in utilization management and/or prior authorization processes. At Oscar, being an Equal...Remote workFull timeWork at officeOscar Health
Albuquerque, NM19 hours ago$16 - $27.69 per hour
...This position is National Remote. Youll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some... ...assistance needed. Will be taking calls to verify benefit coverage, prior authorization approval, checking on status of prior authorization and...Remote workHourly payMinimum wageFull timeWork experience placementLive inWork at officeLocal areaMonday to FridayShift workCPS Solutions , LLC
Costa Mesa, CA2 days ago$94.9k - $130.5k
...lead strategy and execution for our referral management, payer prior authorization, and specialist network solutions. This role is critical to... .... Preferred • Advanced Degree Additional Information • Remote role • Must work central or eastern hours; 8-5 Monday-Friday...Remote workBi-weekly payFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to FridayFlexible hours$106.9k - $147k
...for new client partnerships. You will not author detailed technical designs, but you must... ...operations, PBM models, benefits coordination, prior authorization workflows, and specialty... ...information Travel: While this is a remote position, occasional travel to Humana's...Remote workFull timeTemporary workApprenticeshipWork from homeHome officeAustin Staffing
Austin, TX2 days ago$140 per hour
...a strong pathway to permanent placement , starting fully remote and transitioning to a hybrid model upon conversion to permanent... ...value-based care Key Responsibilities Review prior authorizations and appeals for medical necessity Conduct peer-to-peer...Remote workHourly payPermanent employmentLocumLocal areaLanceSoft
Dallas, TX4 days ago- ...time/benefits eligible Monday - Friday 8:00am - 4:30pm Remote ESSENTIAL FUNCTIONS AND RESPONSIBILITIES: To perform... ...patient paperwork (not limited to processing of referrals, prior authorizations or pre-certifications, etc.). Respond to patient phone calls...Remote workFull timeMonday to Friday
Central Ohio Primary Care
Columbus, OH3 days ago - ...with Family Medicine Specialty needed in Dallas, TX! Fully REMOTE as locums, hybrid model as perm! "The Associate Medical Director... ...Start: Pending Credentialing Job Responsibilities: Reviews prior authorization and appeals request for approval or denial of claims payment...Remote workPermanent employmentLocumLocal areaMonday to Friday
OneStaff Locums
United States19 hours ago - ...Admissions Services Specialist Acadia Healthcare is seeking remote Admissions Services Specialists to support our Acute... ...calls inside of Salesforce and follow-up as needed Complete Prior Authorization Pre-Admit the patients in billing system Coordinate with...Remote workLocal areaWeekend workDay shift
Acadia Healthcare
Palm Coast, FL2 days ago - ...is recruiting for CLINICAL REVIEW NURSE REMOTE (GEORGIA RESIDENTS ONLY) ARC Group has... ...Georgia and have permanent U.S. work authorization . We do not consider candidates from outside... ...and appropriateness of care, including prior authorization, complex pre-payment, and...Remote jobPermanent employmentFull timeWork at officeLocal area
ARC Group
Jacksonville, GA29 days ago $58.8k - $105k
...generalist background. You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges... ...Provide process and status on previously submitted prior authorizations or pre-determination requests Effectively refers and enrolls...Remote workMinimum wageFull timeWork experience placementLocal areaMonday to FridayArizona Staffing
Phoenix, AZ19 hours ago$18 - $24 per hour
...Assistant - Outpatient Services This is an on-site (non-remote) position Pay: $18.00-$24.00/hour Schedule/Location: Per... ...May provide admin support to our prescribers Prior authorization Verifying insurances Duties as needed to help facilitate...Remote workDaily paidWork at officeLocal areaUniversal Health Services
Franklin, MA1 day ago- ...and MTF monitors). Verifies appropriate paperwork is on file prior to authorization. Initiate, receive, and coordinate, (telephone/computer/... ..., visit cherokee-federal.com. #CherokeeFederal #LI #LI-REMOTE Cherokee Federal is a military friendly employer. Veterans...Remote workFull timeContract workLocal area
Cherokee Federal
Grand Forks, ND19 hours ago
