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  •  ...Care / Health Plan Administrative & Clinical Oversight Remote during locums' phase Hybrid model if converted to perm...  ...permanent placement . Key Responsibilities Review prior authorization & appeals requests Conduct peer-to-peer consultations... 
    Remote work
    Permanent employment
    Locum
    Monday to Friday
    Weekend work

    Lancesoft INC

    Dallas, TX
    18 hours ago
  •  ...Monday to Friday working with insurance companies to receive prior authorization for surgeries and procedures. Medical office, health...  ...authorization experience required. Possibility of position being remote after training completed. Excellent benefit package with 4... 
    Remote work
    Full time
    Temporary work
    Work at office
    Monday to Friday

    Wichita Surgical Specialists

    Wichita, KS
    3 days ago
  • $52 - $58 per hour

     ...facilities along with necessary documentation. * combination of remote work with field visits in the Bronx, Brooklyn, or Manhattan,...  ..., Mail Order Medications, Insurance Verification, Pharmacy, Prior Authorization, Patient Counselor, Healthcare, Inbound Calls, Outbound... 
    Remote work
    Hourly pay
    Temporary work
    Immediate start
    Monday to Friday
    Flexible hours
    Shift work
    Day shift

    A-Line Staffing Solutions

    New York, NY
    3 days ago
  • $15.87 - $27.25 per hour

     ...healthcare organization is seeking a qualified individual for the remote role focused on insurance verification. The candidate will...  ...and verify complete insurance information and ensure the prior authorization process is efficiently managed. Responsibilities include... 
    Remote job
    Hourly pay

    AcariaHealth

    Florida, NY
    15 hours ago
  •  ...3 Duration: 12 Months Job Type: Contract Work Type: Remote Dept: 149900 Commercial Inpatient Pr Job Description:...  ...processes, including claims management, benefits coordination, and prior authorization procedures Customer service experience is required... 
    Remote work
    Contract work

    Tekwissen

    Youngstown, OH
    2 days ago
  • $150k - $170k

    Location: Remote (EST preferred) Department: ESG Risk Solutions Reports to: ESG Risk Solutions...  ...position with significant underwriting authority and portfolio ownership, responsible for...  ...Agencies: All resumes submitted without prior HR authorization will be considered... 
    Remote work
    Temporary work
    For contractors
    Work at office
    Local area
    Flexible hours

    Hannover Digital Investments

    Chicago, IL
    1 day ago
  •  ...Manager to oversee the execution of strategic programs like Gold Carding and Provider Incentive Programs. This remote position requires managing the Prior Authorization list to ensure compliance and efficiency. The ideal candidate will have significant program management... 
    Remote job

    Oscar Health

    Atlanta, GA
    4 days ago
  •  ...accurately on patient's behalf. Obtains authorizations & overrides as needed in coordination...  ...Strong understanding of benefit verification/prior authorization process. Experience...  ...of the job. Benefits: Hybrid, remote and flexible on-site work schedules are... 
    Remote work
    Full time
    Temporary work
    Part time
    Work at office
    Local area
    Flexible hours

    Pantherx Specialty Llc

    Pittsburgh, PA
    2 days ago
  •  ...Project Manager-Pharma Location: Remote - Dayton Remote 6 Months Contract Salary: DOE $/hr. on W2 Only US Citizen and Green...  ...background. Need to be able to produce really good schedules. Clinical skills: Claims Processing Utilization Management Prior Authorizations...... 
    Remote work
    Contract work

    Staffing the Universe

    Dayton, OH
    4 days ago
  • $20 - $22 per hour

     ...Title: Customer Service Rep II Job ID: 24186 Location: Remote Duration: 24 Months Pay Rate: $20 - 22.00/hr ALTERNATE...  ...Access Representative JOB DESCRIPTION The Prior Authorization Representative is responsible for verifying prior... 
    Remote work

    Artech

    United States
    1 day ago
  •  ...leading nonprofit healthcare organization in St. Louis is seeking an individual for a critical role in managing medication prior authorizations. This position requires attention to detail, effective communication, and the ability to work collaboratively with healthcare... 
    Remote job

    BJC HealthCare

    Saint Louis, MO
    4 days ago
  •  ...benefits, eligibility and expected length of stay for requested treatments and/or procedures. • Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. • Processes requests within required timelines. • Refers... 
    Remote work
    Contract work
    Work at office

    Molina Healthcare

    United States
    15 hours ago
  • A confidential managed care organization is seeking a Remote Prior Authorization Pharmacist to work from home evaluating prescription requests and ensuring medical necessity. This role offers flexibility with competitive compensation, benefits, and opportunities for growth... 
    Remote job
    Work from home

    Pharmacy Careers

    Miami, FL
    4 days ago
  • $50k - $60k

    A prominent healthcare provider is seeking a Prior Authorization Specialist to manage the prior authorization process for pain management procedures. This remote position requires strong insurance knowledge, prior authorization experience, and familiarity with Medicare... 
    Remote job

    Workstream

    Columbus, OH
    4 days ago
  • A leading sports management company in New York is seeking a Prior Authorization Coordinator to facilitate insurance authorization processes for clients. This role includes verifying coverage, submitting requests, and educating clients about the process. Strong communication... 
    Remote job
    Flexible hours

    Evolution Sports Group

    New York, NY
    15 hours ago
  • A confidential managed care organization is seeking a Remote Prior Authorization Pharmacist to evaluate prescription requests while working from home. The ideal candidate will hold a PharmD or Bachelor of Pharmacy, possess an active U.S. pharmacist license, and have experience... 
    Remote job
    Work from home
    Flexible hours

    Pharmacy Careers

    Atlanta, GA
    4 days ago
  •  ...as a hybrid model. This means a rotating schedule of working remotely and from the office. JOB SUMMARY: We are seeking a...  ...Participates in performance improvement projects. Obtain prior authorizations for medications and durable medical equipment as indicated.... 
    Remote work
    Part time
    Work at office
    Monday to Friday

    Dukehealth.org

    Durham, NC
    11 days ago
  • A confidential managed care organization is seeking a Remote Prior Authorization Pharmacist to evaluate prescription requests and ensure medical necessity. This work-from-home position is perfect for pharmacists transitioning from retail or hospital environments while... 
    Remote job
    Work from home

    Pharmacy Careers

    Bothell, WA
    4 days ago
  • $62k - $85.1k

     ...Coordinator to work from home in Oregon, Washington, Idaho, or Utah. The role involves coordinating operational initiatives, enhancing prior authorization processes, and ensuring regulatory compliance. Ideal candidates will have a bachelor's degree and a minimum of 3 years in the... 
    Remote job
    Work from home

    Cambia Health Solutions

    Renton, WA
    4 days ago
  • $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 nurses,... 
    Remote work
    Permanent employment
    Live in

    Integrity Healthcare

    Northridge, CA
    3 days ago
  •  ...global medical device firm is seeking a Pre-Authorization Specialist II to facilitate insurance...  ...verifying medical benefits, submitting prior authorization requests, and providing outstanding...  ...Office. This position follows a remote work model and requires minimal travel.... 
    Remote job
    Work at office

    Boston Scientific Gruppe

    Marlborough, MA
    1 day ago
  •  ...Utilization Management Tech (3) Location: Remote (UCLA will provide necessary equipment) Shift: M-F 8-5 PST DO NOT...  ...will receive urgent, routine, pre-service, and retro authorization requests, as well as process prior authorization requests with accuracy and timeliness.... 
    Remote work
    Shift work

    Pinnacle Technology

    Los Angeles, CA
    1 day ago
  •  ...the life span, 2. Care coordination for patients, including prior authorization; identifying and seeking solutions for barriers to care 3....  ...Family Healthcare is currently registered to employ remote workers in the following states: Arizona, Delaware, Maryland... 
    Remote work
    Full time
    Work experience placement
    Relocation package

    Westside Family Healthcare

    United States
    15 hours ago
  • $67k - $68k

     ...opportunity with long-term potential and is located in Missouri (Remote). Please review the job description below and contact me...  ...and make on-line payment determinations for claims and prior authorizations that require medical determination. Review exception requests... 
    Remote work
    Full time
    Work at office
    Local area
    Immediate start

    Pyramid Consulting

    United States
    3 days ago
  •  ...barriers in their healthcare. This role is crucial for managing prior authorizations and collaborating with insurance and healthcare providers....  ...advocacy in a supportive team environment. Hybrid or remote work options enhance flexibility and work-life balance. #J-1... 
    Remote job

    Pharmacy Careers

    Tallahassee, FL
    4 days ago
  •  ...Job Description: This is a remote position and requires the ability to effectively support a work from home environment. Must...  ...number. Responsibilities: Review criteria-based prior authorizations following policy and procedure. Provide on-call after hours... 
    Remote work
    Work experience placement
    Work from home
    Shift work

    Varite

    United States
    3 days ago
  • $18 - $23 per hour

     ...medical insurance benefit verification, pre-authorization for durable medical equipment (DME), and...  ...DME products and services. Obtain prior authorizations and address denials and appeals...  ..., WI, with potential for a hybrid/remote schedule thereafter. Preferred Qualifications... 
    Remote work
    Full time
    Part time
    Work at office
    Weekday work

    Joints In Motion Medical Llc

    Pewaukee, WI
    4 days ago
  • Remote Prior Authorization Pharmacist - Work From Home in Managed Care A confidential managed care organization is seeking a motivated Remote Prior Authorization Pharmacist to evaluate prescription requests, ensure medical necessity, and improve patient access to safe... 
    Remote job
    Work from home
    Flexible hours

    Pharmacy Careers

    Bothell, WA
    1 day 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 work
    Daily paid
    Full time
    Part time
    Work at office
    Relocation package
    Flexible hours

    Maine Medical Center

    Portland, ME
    3 days ago
  • $39 - $50 per hour

     ...and ensure a holistic and patient-centric approach to care Prior Authorization & Insurance Coordination: Verify insurance coverage and...  ...case management Where You'll Work This is a fully remote role. It can be performed effectively from the Dallas, TX area... 
    Remote work
    Hourly pay
    Work experience placement
    Local area
    Flexible hours

    Insmed Incorporated

    United States
    2 days ago