• Prior Authorization Manager

    Caris Life Sciences (Irving, TX)
    …bigger than yourself, Caris is where your impact begins.** **Position Summary** The Prior Authorization Manager is a strategic and detail-oriented role ... PA lifecycle across commercial, Medicare Advantage, and Medicaid payors. The Prior Authorization Manager oversees a team of specialists, streamlines… more
    Caris Life Sciences (07/09/25)
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  • Associate Manager - Duals Prior

    CVS Health (Lansing, MI)
    …it all with heart, each and every day. **Position Summary** The Associate Manager is responsible for oversight of Utilization Management staff. This position is ... Works closely with functional area leadership team (department Associate Managers, Manager , and other key stakeholders such as program design/product, Medical… more
    CVS Health (06/28/25)
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  • Clinical Authorization Specialist

    Dana-Farber Cancer Institute (Brookline, MA)
    …coverage denials cannot be overturned. + Appropriately escalates complex cases to Drug Authorization Supervisor or Manager of Prior Authorizations. + ... Clinical Authorization Specialist will bring clinical expertise to the prior authorization and appeals processes and serve as a liaison and patient advocate… more
    Dana-Farber Cancer Institute (07/01/25)
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  • Utilization Management Representative II…

    Elevance Health (San Antonio, TX)
    …the consumer's treatment journey. **Title:** Utilization Management Representative II - Prior Authorization **Location:** TX-SAN ANTONIO, 4751 HAMILTON WOLF RD, ... Make an extraordinary impact.** The **Utilization Management Representative II - Prior Authorization ** is responsible for managing incoming calls, including… more
    Elevance Health (07/03/25)
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  • Security Officer III A

    Bassett Healthcare (Cooperstown, NY)
    …or manager Maintains 100% attendance to all divisional or staff meetings unless prior authorization of the Manager or Director What we need from ... possible. What you'll do Under the direction of the Manager of Security Operations and the Network Director of...Refuses to admit persons who cannot show either proper authorization or cause for being admitted. Provides information and… more
    Bassett Healthcare (07/10/25)
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  • Security Officer I

    Bassett Healthcare (Delhi, NY)
    …or manager Maintains 100% attendance to all divisional or staff meetings unless prior authorization of the Manager or Director What we need from ... possible. What you'll do Under the direction of the Manager , Security Operations, the Security Officer I performs a...Refuses to admit persons who cannot show either proper authorization or cause for being admitted. Provides information and… more
    Bassett Healthcare (07/02/25)
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  • Security Officer II

    Bassett Healthcare (Cooperstown, NY)
    …or manager Maintains 100% attendance to all divisional or staff meetings unless prior authorization of the Manager or Director What we need from ... the direction of the Network Director of Security and Transportation or the Manager of Security Operations, the Security Officer II performs a variety of security… more
    Bassett Healthcare (07/02/25)
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  • Security Officer III Armed

    Bassett Healthcare (Cooperstown, NY)
    …or manager . Maintains 100% attendance to all divisional or staff meetings unless prior authorization of the Manager or Director What we need from ... possible. What you'll do Under the direction of the Manager of Security Operations and the Network Director of...Refuses to admit persons who cannot show either proper authorization or cause for being admitted. Provides information and… more
    Bassett Healthcare (07/02/25)
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  • Insurance Authorization Specialist - Full…

    Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
    …Department by accurately verifying insurance information, reviewing patient accounts for prior authorization needs, obtaining needed prior authorizations, ... systems, phone communication, and other resources to determine insurance eligibility and prior authorization needs for a scheduled patient event. + Verifies… more
    Jennie Stuart Medical Center, Inc. (06/28/25)
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  • Authorization Specialist (Remote…

    Marshfield Clinic (Minocqua, WI)
    …records to determine if a prescribed treatment, procedure, or medication requires prior authorization from the insurance company, ensuring that the requested ... knowledge: Familiarity with different insurance plans, benefit structures, and prior authorization guidelines. + Excellent communication skills: Ability… more
    Marshfield Clinic (07/09/25)
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  • Medical Authorization Splst

    Methodist Health System (Dallas, TX)
    …professional responsible for verification of medical coverage, along with notification, prior authorization , and/or pre-determination of healthcare benefits for ... authorization and resolve issues that arise during the prior authorizations process. Supports and promotes the vision, mission,...that require clinical judgment to the Provider, and/or Billing Manager , when necessary. * Advises Manager of… more
    Methodist Health System (06/21/25)
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  • Coordinator- Authorization

    Baptist Memorial (Memphis, TN)
    …strategy. Specifically the managed care techniques the Coordinator uses focuses on prior authorization for services using evidence based criteria. Areas of ... Overview Coordinator- Authorization Job Code: 22772 FLSA Status Job Family:...hire, terminate, discipline, promote or effectively recommend such to manager . Reporting Relationships No Work Environment Functional Demands Label… more
    Baptist Memorial (07/09/25)
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  • Authorization Coordinator

    Illumination Foundation (Riverside, CA)
    …Orange County, Los Angeles County and the Inland Empire. Job Description The Authorization Coordinator will be responsible for tracking and keeping up to date on ... exit. This role will need to communicate with Site Medical Staff, Site Manager , and Case Management, Director of Operations and Associate Director of Medical… more
    Illumination Foundation (07/05/25)
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  • Senior Manager , Product

    CVS Health (Providence, RI)
    …and every day. **Position Summary** We are seeking a highly skilled and motivated Senior Manager to lead Prior Authorization (PA) Product within the Clinical ... duties will include: + Responsible for strategic technology initiatives focused on Prior Authorization and clinical innovation, ensuring alignment with company… more
    CVS Health (07/10/25)
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  • Regulatory Specialist I

    MyFlorida (Fort Myers, FL)
    …and/or discrepancies. The incumbent initiates office supply orders using Agency systems and obtains prior authorization from Field Office Manager prior ... to completing purchases. Compiles ongoing budget information, The incumbent oversees general office operations related to maintenance of telephone and office equipment. Obtains bids and initiates lease or purchase agreements; coordinates all issues related to… more
    MyFlorida (07/07/25)
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  • Prior Authorizations Spec 1 - Transplant…

    Hartford HealthCare (Hartford, CT)
    …not limited to chemotherapy, imaging, surgical, etc. in a timely manner. The Prior Authorization Specialist I is responsible for maintaining and managing ... consistent documentation in EPIC to support the obtained insurance authorization . The Prior Authorization Specialist...manager of changes. * Maintains log of missed prior authorizations and assists manager with monthly… more
    Hartford HealthCare (07/03/25)
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  • Referral & Prior Auth Rep III

    University of Rochester (Rochester, NY)
    …Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 910335 Ortho Prior Authorization Work Shift: UR - Day (United States of America) ... data and ensures compliance to enterprise standards and referral and prior authorization guidelines. Communicates regularly with patients, families, clinical… more
    University of Rochester (05/10/25)
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  • Med Refill Prior Auth Spec I

    Northern Light Health (Brewer, ME)
    …to 4:30 PM Summary: This is an entry level position. The Medication Refill and Prior Authorization Specialist is an essential member of the Northern Light Health ... assists with all aspects of the medication refill and prior authorization process including, utilizing the electronic...work from home policy. Understands that work from home authorization may be revoked by the Manager more
    Northern Light Health (07/11/25)
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  • RN Supervisor UM Prior Auth

    Dignity Health (Rancho Cordova, CA)
    …and the appropriate application of policies and guidelines to Managed Care prior authorization referral requests. Under general supervision this position is ... **Position Summary:** Under the guidance and supervision of the department Manager /Director the Supervisor of Utilization Management is responsible and accountable… more
    Dignity Health (06/20/25)
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  • Information Systems Security Manager (ISSM)…

    General Dynamics Information Technology (Ogden, UT)
    …experience **US Citizenship Required:** Yes **Job Description:** Information Systems Security Manager (ISSM) II The ISSM's primary function serves as a principal ... on Joint. + Special Access Program Implementation Guide (JSIG) authorization process. + Advise customer on Risk Management Framework...and/or available. Experience: + 7+ years related experience. + Prior performance in roles such as ISSO or ISSM.… more
    General Dynamics Information Technology (05/20/25)
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