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- ...Prior Authorization Pharmacist Location: Remote The main focus of this position is to ensure that all prior authorizations are processed efficiently and accurately. This role requires a deep understanding of insurance policies and the ability to navigate complex...Remote work
US Tech Solutions
Florida3 days ago - ...population. This 13-week locum assignment begins 100% remote , with the intention to transition into a permanent hybrid... ...improvement Key Responsibilities Review and determine prior authorizations, appeals, and medical necessity Conduct peer-to-peer...Remote workWeekly payPermanent employmentTemporary workLocumInterim roleLocal areaImmediate start
Locum Jobs Online
San Antonio, TX2 days ago $37 per hour
...Job Title: Care Review Clinician Location: 100% Remote Duration: 3 Months+ (Possible Extension) Pay Rate: $37/hr (W2)... ...inpatient medical necessity reviews, concurrent reviews, and prior authorization activities. The role ensures members receive the right care...Remote workWork at officeIntegrated Resources
United States1 day ago- ...responsibilities include managing financial counseling, insurance prior-authorizations, and payment plans. Additionally, this position coordinates... ...Schedule: Shift: Monday-Friday, 8:00 AM - 4:30 PM. Remote Work: Eligibility for a hybrid schedule (2 days remote per...Remote workFull timeMonday to FridayShift work2 days per week
Saint Luke's
Kansas City, MO2 days 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, CA3 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, ME3 days ago- ...Pharmacist II to join their Clinical Pharmacy Services team. This remote position focuses on administering drug utilization review... ...calls to assess drug therapy appropriateness, and making prior authorization decisions. Candidates should have a Bachelor of Science in Pharmacy...Remote workWork experience placement
UMass Med School
Westborough, MA1 day 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, MO4 days ago$55 per hour
...Utilization Management requests, including formulary exceptions, prior authorization, step therapy, and quantity limit exceptions. This role... ...35 words per minute. Work Environment This is a fully remote position, available to candidates residing in the United States...Remote workContract workTemporary workMonday to FridayRotating shiftActalent
Saint Paul, MN2 days ago- ...Pharmacies to obtain patient benefits. Understands and completes Prior Authorization calls within the In Process queue Completes call sheets... ...plan with company matching. Flexible schedules with both remote and hybrid work options. Professional development and...Remote workContract workWork at officeMonday to FridayFlexible hours
eBlu Solutions, Inc.
Louisville, KY27 days ago - ...Accountability Act of 1996 (HIPAA) requires that all insurance payers exchange transactions such as claims, eligibility checks, prior authorizations, and remittances using a standardized EDI format called X12 HIPAA. A small group of legacy clearinghouses process the...Remote work
STEDI LLC
United States1 day ago $145 per hour
...care. With a flexible part-time schedule, the option to work remotely, and a meaningful patient population, this role is ideal for... ..., treatment planning, and clinical documentation • Manage prior authorizations and medication-related approvals • Treat a community...Remote workPart timeFlexible hoursDay shiftSmith Arnold Partners
New York, NY2 days ago- ...conditions appropriate for outpatient psychiatry. You will have full time assistance to handle administrative and clinical tasks (prior authorizations, scheduling, obtaining outside records, etc.) Should enjoy practicing independently Candidate should be computer/EMR/e-...Remote workFull timeMonday to FridayFlexible hours
Boston Neurobehavioral Associates
United States1 day ago - ...healthcare needs. Key Responsibilities: Manage prior authorizations and navigate the appeal processes. Collaborate effectively... ...Make a direct impact on patients' lives. Enjoy hybrid or remote work options. Be part of a fast-growing, access-focused...Remote work
Pharmacy Careers
Huntington Beach, CA1 day ago - ...patient care, ensuring accurate verification of insurance, prior authorizations, and understanding of patient financial responsibility. The... ...catalyst for change, and promotes creative solutions by serving as a role model. **The position offers a remote work option....Remote work
HMH HOSPITALS CORPORATION
Edison, NJ7 hours 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, MA2 days ago - ...for a Revenue Cycle Specialist to join their team! This is a remote work position that requires residency in KY or IN... ...as well as pre and postbilling. Obtains pre-determinations, prior authorizations, and retro authorizations when required bypayor. Responds to...Remote workWork experience placementShift workDay shift
Baptist Health
Louisville, KY2 days ago - ...Primary) Education Professional Travel Job Description AFMC is looking to contract with physicians to complete prior authorizations and retrospective reviews. Compensation is paid by review completed. Specialists Needed: Hematologist/...Remote workFull timeContract workLocal areaWork from home
Arkansas Foundation for Medical Care
United States7 hours ago $22 - $26 per hour
...as needed. Coordinate care : Manage patient medication prior authorizations, and assist with outgoing referrals and scheduling.... ...patient care needs as part of our hybrid care model, including remote check-in and clinician support when needed. Grow with us...Remote workLocal areaMonday to Fridayknownwell
Atlanta, GA1 day ago- ...patients. Support recruitment for HF clinical trials. During Remote Monitoring: Download interrogation from device website,... ...Manage prescription refills as directed by provider. Complete prior authorizations, patient/insurance requested forms, assist with provider...Remote workRelocation packageMonday to FridayDay shift
Duke Clinical Research Institute
Raleigh, NC3 days ago - ...Required: -CA RN License -prior UM experience for insurance companies is a MUST!! -EPIC & InterQual exp *position is remote* Conducts preauthorization, concurrent, and retrospective... ...referral review - manages prior authorizations and retrospective referrals as documented...Remote workContract work
Zenex Partners
Sacramento, CA3 days ago $28.94 - $51.63 per hour
...and you will have the flexibility to work remotely as you take on some tough challenges. * Primary Responsibilities: Authorization review and entry for HCBS authorizations using... ...experience Utilization management, prior authorization, and case management experience...Remote workHourly payMinimum wageFull timeWork experience placementLocal areaUnitedHealth Group
Arlington, VA7 hours ago$67.5k
...Job Opportunity At Highmark Inc. Job Summary: This position reviews requests for medication coverage determination for prior authorization review and appeals. Through the Utilization Review system, the incumbent evaluates clinical information provided by the physician...Remote workWork at officeLocal areaColumbus Staffing
Columbus, OH1 day ago- ...weekends, no major holidays. This position will be primarily remote with occasional on site requirements. Training will take... ...Youll Do Reviews and submits requests for medication prior authorization. Retrieves prescription information from the electronic medical...Remote workFull timeTemporary workPart timeWork at officeLocal areaMonday to FridayShift work
Elliot Health System
Manchester, NH1 day ago - ...Location: Remote Status: Contract / Independent Consultant About the Role: We are seeking board-certified physicians... ...: Experience with Medicaid, utilization review, prior authorization, peer review, or external medical review. Familiarity with...Remote workContract workFlexible hours
QSource
United States1 day ago - ...routine diagnostic test as directed Coordinates referrals and prior authorizations for patient care Accurately documents patient information... ...various sources including phone calls, patient messaging, remote patient monitoring technologies Reviews appointment...Remote workFull timeWork experience placement
US Heart and Vascular
Houston, TX1 day ago - ...Role Description This is a remote contract role for a Meditech Analyst at ClinDCast. The Meditech Analyst will be responsible... ...to make healthcare more affordable, streamlined prior authorizations for medications, the availability of therapeutic alternatives...Remote workContract workShift work
ClinDCast
Addison, TX7 hours ago - ...accurate EHR documentation, e-prescribe, handle refills and prior authorizations, and collaborate closely with rheumatologists, infusion nurses... ..., well-regarded schools, reliable broadband for remote work, and access to high-quality healthcare through a respected...Remote workLocal area
Clinical Management Consultants
Nashua, NH4 days ago $6,000 per month
...Responsibilities: Review approximately 20 prior authorization (auth) requests daily , Monday-Friday. Complete all reviews and submit... ...auth for your review Additional Notes: This is a remote, part-time contract role Reviewers are expected to...Remote workContract workPart timeMonday to FridayHeritage Sierra Medical Group
United States7 hours ago- ...environment. This role begins as a 13-week locum assignment (fully remote) with a strong opportunity to transition into a permanent,... ...at scale Key Responsibilities Review prior authorizations and appeals for medical necessity Conduct peer-to-peer...Remote workWeekly payPermanent employmentFull timePart timeLocumImmediate start
Locum Jobs Online
Plano, TX2 days ago
