- Cepheid (Miami, FL)
- …Adobe Suite.It would be a plus if you also possess previous experience in: Prior experience in a regulated industry such as medical devicesCepheid, a Danaher ... operating company, offers a broad array of comprehensive, competitive benefit programs that add value to our lives. Whether it's a health care program or paid time off, our programs contribute to life beyond the job. Check out our benefits at… more
- Cepheid (Miami, FL)
- …deliverables with feedback from cross-functional teams.Ensure required documentation is completed prior to the new product launch, and coach product development ... teams to successful completion where necessary.Provide guidance and technical oversight of product shelf-life/stability program. Design and execute product stability studies, using proper statistical tools to perform data analysis, generate technical reports… more
- Cepheid (Miami, FL)
- …XD).It would be a plus if you also possess previous experience in: Prior experience in software development in regulated industry such as medical devicesCepheid, ... a Danaher operating company, offers a broad array of comprehensive, competitive benefit programs that add value to our lives. Whether it's a health care program or paid time off, our programs contribute to life beyond the job. Check out our benefits at… more
- St. Luke's University Health Network (Allentown, PA)
- …health care. Responsible for accurate and timely pre-registration, submission of prior authorizations for SLPG Primary Care and Specialty practices, submission of ... medical necessity of genetic testing/infusion services in addition to prior authorization to ensure revenue for services. + Monitors...ial cl ea rance is obtain ed + Submit prior authorizations for all STAT imaging orders for PCP… more
- Texas A&M University System (College Station, TX)
- Job Title Registered Nurse II - Prior Authorization & Referral Agency Texas A&M University Health Science Center Department University Health Services Proposed ... team-based health care delivery. What we want The Registered Nurse II- Prior Authorization and Referral, under general supervision, manages administrative functions… more
- CVS Health (Austin, TX)
- …with CVS Health. This position is for a Clinical Pharmacist working in the Prior Authorization team. - Collaborates with the technicians and prior authorization ... within the designated service level agreements. - Evaluate and review all prior authorization requests and render coverage determinations based on clinical criteria… more
- Adecco US, Inc. (Phoenix, AZ)
- A Prior Authorization Pharmacist position is now available through Adecco Healthcare and Life Science. The essential functions of a Pharmacists in Prior ... criteria and plan design in a fast paced and dynamic environment. Prior Authorization staff pharmacists review all adverse coverage determinations before final… more
- Cedars-Sinai (Beverly Hills, CA)
- …Nevada, Oregon, Colorado, Texas, Minnesota, Georgia and Florida. The Clinical Prior Authorization Pharmacist Specialist at Cedars-Sinai Medical Center will work in ... collaboration with the Prior Authorization Pharmacy Technician, Drug Use Policy, as well...effective, and reasonable use of high cost-drug therapies. Clinical Prior Authorization Pharmacists support timely patient treatment and optimize… more
- CVS Health (Tallahassee, FL)
- …**Position Summary** This position is for a Clinical Pharmacist working in the Prior Authorization team. Candidate must hold active pharmacist licensure in the State ... of North Carolina. This Pharmacist will: * Evaluate and review all prior authorization requests and render coverage determinations based on clinical criteria and… more
- University of Washington (Seattle, WA)
- …PHARMACY DEPARTMENT** has an outstanding opportunity for a **PHARMACY TECHNICIAN 2 - PRIOR AUTHORIZATION CENTER** . **WORK SCHEDULE** * Part-Time / 20 hours per week ... * Perform specialized, technical pharmacy tasks related to the management of prior authorization for patients served by the UWMC ambulatory clinics * Act… more
- 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
- 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
- Saratoga Hospital (Saratoga Springs, NY)
- Referral & Prior Authorization Specialist Salary Range: $18.22-$28.27/hr, based on experience and qualifications About Saratoga Hospital At Saratoga Hospital, we've ... with exceptional people. About the Role We're looking for a dedicated Referral & Prior Authorization Specialist to join our team and help us continue delivering the… more
- 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, STE ... Make an extraordinary impact.** The **Utilization Management Representative II - Prior Authorization** is responsible for managing incoming calls, including triage,… more
- General Physicians PC (Buffalo, NY)
- #25-0627 Buffalo, NY, USA Job Description Prior Authorization Specialist Join General Physician, PC - Your Gateway to a Fulfilling Healthcare Career! Are you a ... Prior Authorization Specialist looking to take your career to...The primary purpose of this position is to: Obtain prior authorization for medications, imaging, and surgeries. Verify insurance… more
- University of Rochester (Rochester, NY)
- …Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 910335 Ortho Prior Authorization Work Shift: UR - Day (United States of America) Range: UR ... data and ensures compliance to enterprise standards and referral and prior authorization guidelines. Communicates regularly with patients, families, clinical and… more
- 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
- Fairview Health Services (Minneapolis, MN)
- **Job Overview** The Prior Authorization Specialist is responsible for verifying health insurance, obtaining benefits and meeting payer requirements to secure ... prior authorizations for medications. Verifies insurance coverage, resolves any...with authorization and escalates complicated issues to appropriate manager. Prior Authorization Specialist acts as a liaison between patients,… more
- TEKsystems (Des Moines, IA)
- Description This team is 100% remote and looking for candidates with prior authorization experience, experience working major insurance and web portals, and ... provider locations in the state of Iowa with their prior authorization work. Candidates can sit anywhere but must...and testing performed in the department are reviewed and prior auth or predetermination is obtained Responsible for satisfying… more
- LifePoint Health (Wilson, NC)
- …* * *Department/Unit Summary The LPN Testing, Scheduler, and Prior Authorization Coordinator is responsible for coordinating patient testing, scheduling ... appointments, and managing prior authorizations for treatments, medications, and procedures. This role ensures efficient workflow in the pulmonary clinic, enhances… more
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