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  •  ...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 time
    Remote work
    Full time
    Temporary work
    Work at office
    Local area

    Brown & Brown Insurance Services

    Tallahassee, FL
    1 day ago
  •  ...access to appropriate services. Support members in navigating prior authorizations, appeals, and billing concerns. Clinical Insight and...  ..., Suite 300, Charlotte, NC 28204 (Hybrid Work Options) ~ Remote work opportunities available for qualified candidates residing... 
    Remote work
    Full time
    Work at office
    Monday to Friday

    Main Street Insurance Group

    Charlotte, NC
    21 hours ago
  •  ...Actalent is hiring 100% remote pharmacy technicians to review prior authorizations for a department within a large healthcare insurance company. The role involves approving or denying authorizations and routing to pharmacists for final review, handling all health plans... 
    Remote work
    Contract work
    Home office

    Actalent

    United States
    1 day ago
  •  ...operate within its assigned intermediate level of Underwriting Authority to evaluate, qualify and rate individual insurance applications...  ...Recruiting Vendors must have a valid written agreement and received prior written authorization from an authorized Brown & Brown... 
    Remote work

    Brown & Brown

    United States
    2 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 work
    Hourly pay
    Full time
    Work from home

    CVS Health

    United States
    1 day 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 work
    Full time
    Relocation package

    Onco360

    United States
    2 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 work
    Full time
    Shift work

    Virtual Vocations Inc

    United States
    1 day 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 work
    Work from home

    Hong Kong Study Skills Research Institute

    Juneau, AK
    3 days ago
  • $60 - $66 per hour

     ...Job Description Remote, Clinical Pharmacist - Pennsylvania Looking for a pharmacy career with purpose? Join one of the nation...  ..., and promote adherence and compliance \n Support prior authorizations, financial assistance programs, documentation, and pharmacy... 
    Remote job
    Hourly pay
    Local area
    Immediate start
    Rotating shift

    HealthCare Support

    Pittsburgh, PA
    2 days 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 States
    3 days 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 work
    Full time

    Virtual Vocations Inc

    United States
    3 days ago
  •  ...Actalent is seeking a dedicated Pharmacy Technician for a remote role operating in the EST timezone. The position focuses on reviewing Prior Authorizations for coverage determinations within a Pharmacy Services department for a major health insurer, with approvals or denials... 
    Remote work

    Actalent

    United States
    3 days ago
  •  ...healthcare staffing firm is seeking a Pharmacy Technician to support retail pharmacy operations remotely. This role involves processing prescriptions, performing prior authorization reviews, and coordinating care for patients. Candidates should have at least 2 years in... 
    Remote work

    The Judge Group, LLC

    New York, NY
    21 hours ago
  • $53 per hour

     ...Job Description Remote Prior Authorization Pharmacist (Pharmacist - Prior Auth) Location: Remote (continental U.S.; not available in New Mexico or Colorado ) Schedule: Full-time | Sun-Thurs or Tues-Sat (CST shifts) Shift Options (CST): 10:30am... 
    Remote work
    Full time
    Local area
    Work from home
    Home office
    Shift work

    A-Line Staffing Solutions

    United States
    2 days ago
  •  ...A healthcare services provider is seeking a remote Pharmacy Technician to contribute to pharmacy utilization management. Responsibilities include screening prior authorization requests, collaborating with healthcare professionals, and ensuring compliance with regulatory... 
    Remote work

    The Elitejob

    United States
    3 days ago
  • $65k - $78k

     ...requirements. What We're Looking For ~ Active RN license. ~3+ years of inpatient clinical experience. ~1+ year in prior authorization reviews using InterQual or MCG. ~ Strong written communication skills in a fast-paced setting. ~ Proficient in Microsoft... 
    Remote work
    Full time
    Work at office
    Work from home
    Flexible hours

    Gainwell Technologies LLC

    United States
    1 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 States
    3 days 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, NY
    21 hours ago
  • $20 - $22 per hour

     ...Job Title: Pharmacy Technician/ Prior Authorization Representative Location: Elk Grove Village, IL 60007 Compensation: $20-22/HR Benefits...  ...(8-hours). ~ HYBRID ROLE- 2 days onsite per week, 3 days remote About Our Client Addison Group is partnering with... 
    Remote work
    Contract work
    Work at office
    Local area
    Monday to Friday
    Shift work
    2 days per week

    Addison Group

    Elk Grove Village, IL
    2 days ago
  • $16 - $27.69 per hour

     ...A healthcare organization is seeking a Pharmacy Technician for a remote position in Worcester, MA. The role involves processing prescriptions, interacting with patients and medical professionals, and maintaining accurate records. Candidates must hold a High School Diploma... 
    Remote work
    Hourly pay

    Optum

    United States
    1 day ago
  •  ...of clinically appropriate medication therapy while working remotely on a contract basis for 6 months. Key responsibilities: Verify...  ...claims processing Triaging clinical review processes for prior authorization requests according to established protocols Organize and prioritize... 
    Remote work
    Contract work
    Work experience placement
    Seasonal work

    Virtual Vocations Inc

    United States
    21 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 States
    3 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 work
    Contract work

    The Judge Group, LLC

    New York, NY
    1 day 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 work
    Monday to Friday
    Shift work

    Careers Integrated Resources Inc

    Philadelphia, PA
    4 days ago
  • $110k - $115k

     ...and objectives. Location: 962 Dorset Rd, Troy, OH 45373. Remote after training with occasional onsite work required. Must live...  ...Review approve clinical documentation associated with prior authorization submissions Provides CSC Technicians instructions regarding... 
    Remote work
    Full time
    Casual work
    Work at office
    Monday to Friday
    Weekend work

    Clarest Health

    Troy, OH
    4 days ago
  •  ...clinical service requests, verify member benefits, and process prior authorizations. Candidates must have an Illinois state RN license and 1-3...  ...in hospital or medical clinic settings. This is a fully remote position, offering work within a collaborative multidisciplinary... 
    Remote work

    Integrated Resources

    United States
    1 day ago
  •  ...Vendors must have a valid written agreement and received prior written authorization from an authorized Brown & Brown representative before submitting...  ...(DIB) motto, “The Power to Be Yourself”. SummaryLocation: Remote - Texas; Remote - Arizona; Remote - Iowa; Remote -... 
    Remote work
    Full time
    Local area

    Brown & Brown Insurance Services

    Austin, TX
    4 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 work
    Full time
    Casual work
    Work at office
    Local area
    Work from home
    Monday to Friday
    Shift work

    A-Line Staffing Solutions

    Woonsocket, RI
    2 days ago
  •  ...Working remotely on a full-time basis, the Financial Clearance Specialist will manage insurance verification, obtain prior authorizations, and maintain communication with patients and payers to ensure reimbursement for scheduled services related to transplant, surgical... 
    Remote work
    Full time

    Virtual Vocations Inc

    United States
    3 days ago
  • $18 - $21 per hour

     ...Meduit is seeking an Insurance Specialist - Prior Authorization for a remote role in the United States. You will focus on resolving insurance processing errors and denials, utilizing Medicare/Medicaid and commercial payor guidelines to secure accurate and timely payments... 
    Remote work
    Hourly pay

    Meduit

    United States
    1 day ago