- New England Cancer Specialists (Westbrook, ME)
- Job Descriptions: New England Cancer Specialists has an opportunity for a full-time Remote Prior Authorization Specialist . This position will join a ... extraordinary professional care and customer service to our customers. The Prior Authorization Specialist will handle non-clinical administrative aspects of… more
- Select Medical (Peoria, AZ)
- …**Banner Rehabilitation Hospitals** A joint venture with Select Medical & Banner Health Peoria, AZ ** Prior Authorization Specialist ( RN or LPN ) - Part-Time ... Weekends** **This is a Remote position** **This position will work every Saturday and...ID** _330974_ **Experience (Years)** _3_ **Category** _Business Development/Marketing/Sales - Prior Authorization Specialist / Payor… more
- US Tech Solutions (RI)
- **Job Title: Prior Authorization Specialist ** **Location: Fully remote ** **Duration: 12 months contract** **Job Description:** + Prior ... and courteous phone assistance to all callers through the criteria based prior authorization process. + Maintains complete, timely and accurate documentation… more
- Cedars-Sinai (Beverly Hills, CA)
- …Arizona, Nevada, Oregon, Colorado, Texas, Minnesota, Georgia and Florida. The Clinical Prior Authorization Pharmacist Specialist at Cedars-Sinai Medical ... outpatient clinic sites of care and patients. The Clinical Prior Authorization Pharmacist Specialist will...10288 **Working Title** : Pharmacy Program Coordinator - Clinical Prior Authorization - Remote **Department**… more
- BayCare Health System (Clearwater, FL)
- …to 4:30 PM + **Days:** Monday through Friday This Central Authorization Specialist II opportunity is a full-time remote (following onsite training) position. ... team member will work the hours listed above)** **Responsibilities:** The Central Authorization Specialist II is responsible for verifying health insurance… more
- St. Luke's Health System (Boise, ID)
- …not limited to, patient registration, referral coordination, complex benefit verification, prior authorization and appeals, and responding to general inquiries ... **Overview** At St. Luke's our Infusion Authorization Specialists are responsible for securing prior...from patients, providers, and the public. **_This is a remote position that will require 6 weeks training in… more
- RTX Corporation (Cedar Rapids, IA)
- …and the export and import of products, services and technical data. As an Authorization Specialist , you will be working with Authorization Management, ... export authorization types/uses under each set of regulations + Prior experience working with US government licensing authorities + Program/product knowledge and… more
- Walgreens (Deerfield, IL)
- …which may include but not limited to rejections for plan limits, coverage termed or prior authorization . + Assists physicians in the prior authorization ... resources or over the phone. Confirms network status, reviews FDA guidelines, and prior authorization requirements to ensure payment of claims. + Resolves… more
- Prime Therapeutics (Salem, OR)
- … - Remote **Job Description** Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone and/or ... staff, medical management staff and/or pharmacists. Researches, resolves and documents prior authorization outcomes in pharmacy system. + Communicates selected… more
- UPMC (Pittsburgh, PA)
- …in the development and execution of multiple utilization management techniques such as prior authorization , step therapy, quantity level limits, and other dose ... UPMC Health Plan is hiring a full-time Clinical Pharmacy Specialist to support the Care Management team within the...through Friday 8:30am to 5:00pm EST. This is a remote position. Registration as a registered pharmacist (RPh), in… more
- Sharecare (Dallas, TX)
- …and that all releases of information are in compliance with the request, authorization , company policy and HIPAA regulations. This position is fully remote ... **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 (Dover, DE)
- …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
- KPH Healthcare Services, Inc. (Syracuse, NY)
- …+ Responsible for contacting members and prescribers on non-covered items + Facilitate prior authorization process for customers + Provide clinical services in ... wage requirements** **.** Connect With Us! (https://kphcareers-kphhealthcareservices.icims.com/jobs/13192/patient-benefit- specialist -- remote /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336031866) **Job Locations** _US-NY-Syracuse_… more
- Kestra Medical Technologies, Inc (Dallas, TX)
- …requests, including notifying applicable parties of the determination. Assist with appeals for Prior Authorization denials + Upon authorization , place orders ... or more years of experience with Insurance verifications, which include gathering prior authorization required documents and submitting/following-up prior … more
- Avera (Pierre, SD)
- …will collect patient liability prior to service and attempt to collect prior balances. The Specialist collaborates with various other departments to ensure ... be 6-8 weeks onsite. Opportunity to work 2 days remote once training is complete. **You Belong at Avera**...Responsible for ensuring insurance eligibility, benefit verification, and the authorization processes are complete in the time allowed by… more
- RTX Corporation (Phoenix, AZ)
- **Date Posted:** 2025-06-24 **Country:** United States of America **Location:** RAZ99: RTN Remote , Arizona **Position Role Type:** Remote **U.S. Citizen, US ... secure world. We have an outstanding career opportunity for a **Principal Specialist , Global Trade** who will own and support certain export/import licensing and… more
- University of Washington (Seattle, WA)
- …to facilitate referrals to the UW Medicine Health System and to process prior authorizations + Process referrals/ prior authorization in accordance with ... Team** has an outstanding opportunity for a **Patient Services Specialist 2- Referral Coordinator.** **WORK SCHEDULE** + Full-time, 100%...as they relate to referrals and medications that require prior authorization + Other Duties as Requested… more
- Air National Guard Units (Cheyenne, WY)
- …POSITION. This National Guard position is for a AIR TRAFFIC CONTROL SPECIALIST (TERMINAL), Position Description Number PDD1799000 and PDD1799000 and is part of ... investigation. Must have performed 52 weeks as a fully qualified controller prior to official employment start date. CONDITIONS OF EMPLOYMENT & NOTES: Technicians… more
- Dudek (Phoenix, AZ)
- Location(s): Remote Practice/Department: Marketing Internal Title: Proposal Specialist III Work Environment: Remote Compensation: $86,000 - $95,000* Dudek's ... focused on shaping sustainable natural and urban environments. Our ideal proposal specialist has strong proposal writing and communication skills and knowledge of… more
- Pfizer (Nashville, TN)
- …payer landscape, payer coverage and formulary change updates, payer policies (eg, prior authorization , step edits, specialty pharmacy coverage), Hub activities, ... The Rare Disease Field Access Specialist is a non-promotional, field-based commercial role that...employer. This position requires permanent work authorization in the United States. Sales Operations & Admin \#LI- Remote … more