- US Tech Solutions (RI)
- **Job Title: Prior Authorization Specialist ** **Location: Fully remote** **Duration: 12 months contract** **Job Description:** + Prior Authorization ... and courteous phone assistance to all callers through the criteria based prior authorization process. + Maintains complete, timely and accurate documentation… more
- Prime Therapeutics (Providence, RI)
- …Specialist - Remote **Job Description** Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone ... staff, medical management staff and/or pharmacists. Researches, resolves and documents prior authorization outcomes in pharmacy system. + Communicates selected… more
- Lumen (Providence, RI)
- …position is fully remote / work from home in the continental US. **Work Authorization ** : US Work Authorization required for this role. Program eligibility is ... Computer Science or related field **Proficiency and understanding of:** + Prior working or project experience testing, operating or automating platforms and… more
- Sharecare (Providence, RI)
- …that all releases of information are in compliance with the request, authorization , company policy and HIPAA regulations. **Essential Job Functions:** + Completes ... **Qualifications:** + High School Diploma (GED) required + A minimum of 2 years prior experience in a medical records department or like setting preferred + Must… more
- Sharecare (Providence, RI)
- …all releases of information are in compliance with the request, authorization , company policy and HIPAA regulations. **Essential Functions:** + Completes release ... **Qualifications:** + High School Diploma (GED) required + A minimum of 2 years prior experience in a medical records department or like setting preferred + Must… more
- CenterWell (Providence, RI)
- …Product Owner to lead strategy and execution for our referral management and specialist network solutions, including prior authorization and related ... or operational workflows. + Strong knowledge of primary care, specialist networks, and prior authorization processes. + Experience working with AthenaOne… more