• Prior Authorization Rep I

    University of Utah (Salt Lake City, UT)
    Details **Open Date** 01/08/2026 **Requisition Number** PRN43980B **Job Title** Prior Authorization Representative I **Working Title** Prior Authorization Rep I ... 01/22/2026 **Job Summary** We are looking for an experienced Prior Authorization Representative to join our team. As the... Authorization Representative to join our team. As the ** Prior Authorization Representative I** , you will be responsible… more
    University of Utah (01/09/26)
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  • Pharmacy Technician - Prior Authorization…

    CVS Health (Phoenix, AZ)
    …it all with heart, each and every day. **Position Summary** - Processes prior authorization requests received by phone, fax, or electronically and utilizes various ... criteria, and medication guidelines to perform clinical research to support prior authorization reviews. - Proactively completes prior authorization approvals… more
    CVS Health (01/01/26)
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  • Pharmacist - Prior Authorizations

    US Tech Solutions (May, OK)
    …role that conducts clinical reviews of medical data collected to perform prior authorization for commercial and specialty medications. + The clinical pharmacist will ... calls from physician or members regarding their pending, approved, or denied prior authorizations. **Responsibilities:** + Evaluate and review all prior more
    US Tech Solutions (12/20/25)
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  • Prior Authorizations Spec 1 / PAS Fin…

    Hartford HealthCare (Farmington, CT)
    …the system. *_Position Summary:_* Under the direction of the Manager, Prior Authorization Services, HHC Cancer Institute, performs all clerical duties required ... to obtain insurance prior authorizations for chemotherapy and other services in a...Responsibilities:_** **Key Areas of Responsibility** Monitors and reviews the prior authorization work queue daily to verify accuracy of… more
    Hartford HealthCare (12/09/25)
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  • Referral & Prior Auth Rep III

    University of Rochester (Rochester, NY)
    …internal equity considerations._ **Responsibilities:** Serves as the patient referral and prior authorization specialist, with oversight of data and compliance to ... enterprise standards and referral and prior authorization guidelines. Communicates regularly with patients, families, clinical and non-clinical staff, identifying… more
    University of Rochester (12/17/25)
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  • Prior Authorization Specialist - UW…

    University of Washington (Seattle, WA)
    **Job Description** **UW Medicine Primary Care - Prior Authorization Team** has an outstanding opportunity for a **Patient Services Specialist 2- Prior ... to facilitate referrals to the UW Medicine Health System and to process prior authorizations + Process referrals/ prior authorization in accordance with UW… more
    University of Washington (12/12/25)
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  • Pharmacy Technician 2 - Prior Authorization…

    University of Washington (Seattle, WA)
    …Pharmacy Department** has an outstanding opportunity for a **Pharmacy Technician 2 - Prior Authorization Center** . **WORK SCHEDULE** * Per Diem * Day Shifts ... * Perform specialized, technical pharmacy tasks related to the management of prior authorization for patients served by the UWMC ambulatory clinics * Act… more
    University of Washington (11/07/25)
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  • Senior Coordinator, Prior Authorization

    Cardinal Health (Dover, DE)
    …research and problem/dispute resolution. **_Job Summary_** The Senior Coordinator, Prior Authorization is responsible for obtaining, documenting, and tracking payer ... prescribed supply categories (eg, ostomy, urological, wound care). This role submits prior authorization requests through payer portals or via fax, and conducts… more
    Cardinal Health (01/10/26)
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  • Prior Authorization Pharmacist

    US Tech Solutions (May, OK)
    …Description:** + Responsible for reviewing and completing criteria based on prior authorization as per policy and procedure. **Responsibilities:** + This individual ... skills. + Will be responsible for: Reviewing and completing criteria based on prior authorization as per policy and procedure. **Experience:** + Prior more
    US Tech Solutions (12/24/25)
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  • Prior Authorization Specialist (Full-Time…

    Mille Lacs Health System (Onamia, MN)
    …MN, USA | Hourly | 20.61-30.92 per hour | Full Time Summary The Prior Authorization Specialist works under the direction of the Health Information Manager. This role ... end of the bullet point. + Receive and monitor prior authorization requests in accordance with MLHS standards. *...document all interactions in the EMR. * + Record prior authorization details including approval dates, billing units, procedure… more
    Mille Lacs Health System (01/07/26)
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  • Coordinator, Prior Authorization

    University of Utah (Salt Lake City, UT)
    …PRN43444B **Job Title** PS Coordinator, Scheduling **Working Title** Coordinator, Prior Authorization **Career Progression Track** C **Track Level** **FLSA Code** ... Utah School of Medicine has an immediate opening for a Scheduling and Prior Authorization Coordinator. This position works with a team of professionals responsible… more
    University of Utah (01/07/26)
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  • Prior Authorization Coordinator

    SUNY Upstate Medical University (Syracuse, NY)
    …medical necessity of medication use based on established criteria. Obtain prior authorization from intermediaries and payers, including managed care companies, ... activities that maximize revenue capture for high-cost medications. Conduct prospective prior authorization services to expedite clinic workflow and enhance patient… more
    SUNY Upstate Medical University (01/06/26)
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  • Prior Authorization Specialist

    US Tech Solutions (RI)
    **Job Title: Prior Authorization Specialist** **Location: Fully remote** **Duration: 12 months contract** **Job Description:** + Prior Authorization Specialist ... phone assistance to all callers through the criteria based prior authorization process. + Maintains complete, timely and accurate...but not limited to: outbound calls, reviewing and processing Prior Auth's received via fax and ePA, monitoring and… more
    US Tech Solutions (11/07/25)
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  • Referral & Prior Auth Rep III

    University of Rochester (Rochester, NY)
    …data and ensures compliance to enterprise standards and referral and prior authorization guidelines. Communicates regularly with patients, families, clinical and ... follow up. Adheres to approved protocols for working referrals and prior authorizations. **ESSENTIAL FUNCTIONS** + Responsible for managing department referrals.… more
    University of Rochester (01/09/26)
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  • Prior Authorization Supervisor

    Polaris Pharmacy Services, LLC (Covina, CA)
    …need it most, we invite you to grow with us. JOB SUMMARY: The Prior Authorization Supervisor is responsible for managing and identifying a portfolio of rejected ... billing to eliminate financial risks to Polaris and their customers. The Prior Authorization Supervisor must be responsive and courteous when addressing our… more
    Polaris Pharmacy Services, LLC (12/23/25)
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  • Pharmacist - Prior Authorization

    US Tech Solutions (May, OK)
    …role that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply clinical ... from physicians or members regarding their pending, approved, or denied prior authorizations. **Responsibilities:** + Ensure accuracy of case setup and clinical… more
    US Tech Solutions (11/14/25)
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  • Prior Authorization Specialist

    Actalent (Wharton, NJ)
    Job Title: Prior Authorization Specialist Job Description We are seeking a dedicated Medical Office Specialist to manage patient prior authorizations and ensure ... and maintaining accurate patient records. Responsibilities + Handle a high volume of prior authorizations for patients. + Utilize ModMed as the EMR for patient… more
    Actalent (01/07/26)
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  • Prior Authorization Technician - Remote

    Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
    Position Type Full Time Category Pharmaceutical Description PRIOR AUTHORIZATION SPECIALIST (REMOTE) WHO WE ARE At Polaris Pharmacy Services, we're more than a ... who need it most, we invite you to grow with us. OVERVIEW The Prior Authorization Specialist is responsible for managing and identifying a portfolio of rejected… more
    Polaris Pharmacy Services, LLC (01/07/26)
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  • Prior Authorization Assistant | Pierre…

    Avera (Pierre, SD)
    …Work where you matter.** **A Brief Overview** Responsible for obtaining prior authorization from insurers for medical tests, procedures, surgeries and specialty ... by the provider. Has understanding of tests, procedures and preparation required prior to testing. Sees that all necessary paperwork and documentation is complete… more
    Avera (12/31/25)
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  • Referrals and Prior Authorization…

    LaSante Health Center (Brooklyn, NY)
    LaSante Health Center is seeking a Referrals and Prior Authorization Specialist to join our team. The ideal candidate will help ensure patients have seamless access ... to medications, diagnostic imaging, and specialty care by managing prior authorization requests for insurance and guiding patients through the referral process. This… more
    LaSante Health Center (12/19/25)
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