- Amazon (Woodward, OK)
- …As a Warehouse Associate at Amazon, you will play a crucial role in ensuring the timely and accurate processing of customer orders. You will be part of a fast-paced ... environment where efficiency and precision are paramount. Your responsibilities will include receiving, inspecting, and storing incoming products, picking and packing orders, and preparing shipments for delivery. You will utilize state-of-the-art technology,… more
- Remote Jobs (Woodward, OK)
- …This position is a work from home position. You will not need to come into the office. No Experience Needed. Benefits: Health Insurance, 401K, Vacation& PTO. Apply ... now! Work from home roles are a critical part of our mission to deliver timely, accurate and professional customer service to all customers. This vital position requires an action-oriented, flexible problem-solver who will assist customers in expediting orders… more
- US Tech Solutions (May, OK)
- …+ This individual must have excellent interpersonal skills. Will be responsible for: Reviewing and completing criteria based prior authorizations as per policy and ... procedure. + Review and process prior authorization requests in accordance with clinical guidelines, policy, and procedures. + Apply clinical judgment in reviewing complex cases requiring prior authorization. + Communicate effectively with providers,… more
- US Tech Solutions (May, OK)
- …+ This is a remote position and requires the ability to effectively support a work from home environment. Must have the ability to work in a HIPAA compliant work area ... **Duration:** 6+ months contract Training schedule is approximately 5 weeks starting 11/3/2025, Monday to Friday 8:00am - 4:30pm CST, Expected shifts to be 8 hours per day, which may also include one weekend day per week. Candidates in MT and PT time zones are… more
- US Tech Solutions (May, OK)
- …+ The clinical pharmacist is an operation-based role that conducts clinical reviews of medical data collected to perform prior authorization for specialty ... medications. + The clinical pharmacist will apply clinical knowledge to plan approved criteria for prospective and concurrent reviews of cases. + This role will work from client's supported systems and take inbound calls from physician or members regarding… more
- Paychex (May, OK)
- …+ Develop, test, deploy, maintain and improve software to meet requirements + Design and develop test automation code + Complete well-defined, complex program changes ... Imagine Your Future with Us! Since 1971, Paychex has been at the forefront of simplifying HR, payroll, and benefits for American businesses. Our digital HR technology and advisory solutions cater to the changing needs of employers and their employees. With our… more
- US Tech Solutions (May, OK)
- …+ The UM Nurse Associate I is responsible for reviewing and completing criteria-based prior authorizations in compliance with company policies and procedures. This ... role provides after-hours nurse availability for urgent prior authorization requests, supports the PA team and member services, and refers cases requiring clinical review to the Pharmacist or MD team. **Duties** + Answer inbound nurse queue calls promptly,… more
- Paychex (May, OK)
- …+ Develops, documents and implements risk mitigation strategies, comprehensive medical underwriting methodologies, processes and tools for use by H&B underwriters, to ... include automation of field submission processes, internal/external escalation processes and leveraging of internal/external resources to meet business objectives. + Establishes, manages and approves proper risk classification and banding of potential/existing… more
- US Tech Solutions (May, OK)
- …+ The Tech I Prior Auth takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous phone assistance to all callers through the ... criteria based prior authorization process. Maintains complete, timely and accurate documentation of reviews. Transfers all clinical questions, escalations and judgement calls to the pharmacist team. **Responsibilities:** + Effectively manage work volume by… more
- US Tech Solutions (May, OK)
- …+ The Pharmacist/Clinician is an operation-based role that conducts criteria based & clinical review of medical data collected to perform prior authorization as per ... policy and procedure. + The Pharmacist/Clinician will apply clinical knowledge to plan approved criteria for reviews of cases. + This role will work from supported systems and take inbound calls from physicians or members regarding their pending, approved, or… more
- US Tech Solutions (May, OK)
- …+ As a Pharmacist Advisor you will be directly supporting Medicare Part D members and providers with requests related to their pharmacy benefits. ... **Location:** Fully remote **Duration:** 06+ months contract **Note:** + Ideal candidates must have experience of Prior Authorization, Medicare Part D and Pharmacy Benefit Management experience. + **Shift Timing:** Business Hours are 7am - 8pm EST Monday -… more
- US Tech Solutions (May, OK)
- …+ The Pharmacy tech takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous phone assistance to all callers through the ... criteria based prior authorization process. + Maintains complete, timely and accurate documentation of reviews. + Transfers all clinical questions, escalations and judgement calls to the pharmacist team. + The pharmacy Tech will also assist with other duties… more
- US Tech Solutions (May, OK)
- …+ The Telehealth Nurse Practitioner or Physician Assistant (Provider) delivers patient care services through a remote technology platform. + You will work in ... collaboration with a dedicated team of professionals as you independently provide holistic, evidenced based care inclusive of accurate assessment, diagnosis, treatment, management of health problems, health counseling, and disposition planning for our patients… more
- US Tech Solutions (May, OK)
- …+ Responsible for reviewing and completing criteria based on prior authorization as per policy and procedure. **Responsibilities:** + This individual must have ... excellent interpersonal skills. + Will be responsible for: Reviewing and completing criteria based on prior authorization as per policy and procedure. **Experience:** + Prior authorization experience required. + Previous pharmacy experience in retail or… more
- US Tech Solutions (May, OK)
- …+ The clinical pharmacist is an operation based role that conducts clinical reviews of medical data collected to perform prior authorization for specialty ... medications. The clinical pharmacist will apply clinical knowledge to plan approved criteria for prospective and concurrent reviews of cases. This role will work for supported systems and take inbound calls from physicians or members regarding their pending,… more
- US Tech Solutions (May, OK)
- …This is a remote position and requires the ability to effectively support a work from home environment. Must have the ability to work in a HIPAA compliant work area ... away from distractions, and must have their own secure private internet services of at least 25mbps download/3mbps upload in order to ensure sufficient speed to adequately perform work duties. Must provide a screenshot of internet speeds with resume and… more
- US Tech Solutions (May, OK)
- …+ As an RPh Advisor you will be directly supporting Medicare Part D members and providers with requests related to their pharmacy benefits. You will be responsible ... for ensuring cases are accurately set up for our members, review clinical information for decisioning the request, performing outreach to providers for more information when needed, and ensuring accurate decisions that comply with compendia and Medicare… more
- US Tech Solutions (May, OK)
- …This is a remote position and requires the ability to effectively support a work from home environment. Must have the ability to work in a HIPAA compliant work area ... away from distractions, and must have their own secure private internet services of at least 25mbps download/3mbps upload in order to ensure sufficient speed to adequately perform work duties. Must provide a screenshot of internet speeds with resume and… more
- US Tech Solutions (May, OK)
- …Training will be provided prior to the start of the assignment. **Duties:** * Outreach to members to complete survey to address Social Determinants of Health (SDoH) ... barriers and provide helpful resources * Outreach to members and clinical providers to effectively coordinate care, obtain medical records and ensure patients receive preventive and chronic disease management services. The goal of these messages is to remind… more
- US Tech Solutions (May, OK)
- …This position is responsible for reviewing and completing criteria based on prior authorization as per policy and procedure. **Responsibilities:** + This individual ... must have excellent interpersonal skills. + Will be responsible for: Reviewing and completing criteria based on prior authorization as per policy and procedure. **Skills:** + Managed Care exp and Medicare/Medicaid knowledge Counseling + Prior Authorization +… more
