Remote Prior Authorization Jobs
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Software Development 17838B2B Sales & Account Management 10968CRM & Direct Marketing 10917Product 9303Back-End Development 9223Management and Leadership 8423Data and Analytics 8147finance 8094IT & Engineering 6553Enterprise Sales 6500Project & Program Management 5958Customer Support & Service 5958Sustainability & CSR 5474Sales Leadership & Strategy 5011DevOps & Infrastructure 4737Growth & Performance 3338Front-End Development 2857
149 jobs
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Prior Authorization Specialist - Remote
Prior Authorization Specialist - Remote
Today
Orsini Specialty Pharmacy
- Remote: Illinois (USA)
- Full time
Pharmacy Benefit ManagementClinical DocumentationPrior AuthorizationInsurance PoliciesICD Coding (ICD-9/ICD-10)Labeling Documents (Pharmaceutical)
Prior Authorization Specialist - Remote
Prior Authorization Specialist - Remote
Today
Orsini Specialty Pharmacy
- Remote: Illinois (USA)
- Full time
ICD Coding (ICD-9/ICD-10)Pharmacy Benefit ManagementPrior AuthorizationInsurance PoliciesHealth PoliciesLabeling Documents (Pharmaceutical)
Grievance & Appeals Specialist
Grievance & Appeals Specialist
1 day ago
The CGC Group
- Remote: United States
- Fixed term
Utilization ManagementGrievance ArbitrationMedical NecessityCompliance ManagementMedical AbbreviationsMedicare
Pharmacy Patient Advocate Health Plans
Pharmacy Patient Advocate Health Plans
1 day ago
Banner Health
- Remote: Arizona (USA)
- Full time
Medication Therapy ManagementEducational OutreachMedicaidMedicareRegulatory CompliancePrior Authorization
Career Opportunities: Utilization Review Nurse (Remote- Maine RN Only) (30353)
Career Opportunities: Utilization Review Nurse (Remote- Maine RN Only) (30353)
1 day ago
Gainwell Technologies LLC
- Remote: Maine (USA)
- Full time
Utilization ManagementInterQual CriteriaMedical NecessityClinical DocumentationHospital ExperiencePrior Authorization
Clinical Pharmacist, Utilization Management
Clinical Pharmacist, Utilization Management
Today
Rightway
- Remote: United States
- Full time
Utilization ManagementPharmacy Benefit ManagementPharmacist AssistanceHealthcare StrategyHealth Policy DevelopmentPrior Authorization
Central Director, Access & Reimbursement
Central Director, Access & Reimbursement
1 day ago
Travere Therapeutics
- Remote: Louisiana (USA), Minnesota (USA), Texas (USA)
- Full time
Reimbursement RegulationsNephrologyPatient Education And CounselingReimbursement RegulationsPrior AuthorizationMedicare Advantage
Senior Pharmacy Resolution Specialist-12
Senior Pharmacy Resolution Specialist-12
1 day ago
Centene Corporation
- Remote: Arizona (USA), Florida (USA), Georgia (USA), Illinois (USA), Louisiana (USA), North Carolina (USA), Texas (USA)
- Full time
Call Center ExperiencePharmacy OperationsPrior AuthorizationAuditingClaims And Litigation Management
Lead Actuarial Analyst
Lead Actuarial Analyst
1 day ago
Cohere Health
- Remote: United States
- Full time
Prior AuthorizationFinancial ModelingHealthcare AnalyticsCost Benefit AnalysisAnalyticsSQL (Programming Language)
Utilization Review/Appeals Clinician - ABA
Utilization Review/Appeals Clinician - ABA
2 day ago
Centene Corporation
- Remote: Florida (USA)
- Full time
Utilization ManagementBehavioral HealthClinical AssessmentsApplied Behavior AnalysisAnalyticsCommunicating With Patients
Medication Access Associate I (64 hours per pay period)-Belknap Pharmacy
Medication Access Associate I (64 hours per pay period)-Belknap Pharmacy
2 day ago
Essentia Health
- Remote: Minnesota (USA)
- Part time
Patient Education And CounselingAdjudicationPrior AuthorizationExplanation Of Benefits (EOB)Coding TheoryPharmacy Experience
UM Administration Coordinator (Kentucky Medicaid)
UM Administration Coordinator (Kentucky Medicaid)
2 day ago
Humana
- Remote: Illinois (USA), Indiana (USA), Missouri (USA), Ohio (USA), Tennessee (USA), Virginia (USA), West Virginia (USA)
- Full time
Utilization ManagementMedical AbbreviationsICD Coding (ICD-9/ICD-10)Help Desk SupportPrior AuthorizationUtilization Management
Career Opportunities: Pharmacy Benefit Specialist II (24915)
Career Opportunities: Pharmacy Benefit Specialist II (24915)
3 day ago
CareOregon
- Remote: Arizona (USA), Idaho (USA), Montana (USA), Nevada (USA), Texas (USA), Utah (USA), Washington (USA), Wisconsin (USA)
- Full time
Pharmacy Benefit ManagementPrior AuthorizationClaims And Litigation ManagementData EntryManaged CareMedical Abbreviations
Remote Triage Team - CMA
Remote Triage Team - CMA
1 day ago
Harris Computer
- Remote: United States
- Freelance
Care CoordinationTelecareElectronic Medical RecordMicrosoft 365Prior AuthorizationMicrosoft Operating Systems
Utilization Review Clinician - Behavioral Health
Utilization Review Clinician - Behavioral Health
2 day ago
Centene Corporation
- Remote: Florida (USA), Georgia (USA), North Carolina (USA)
- Full time
Clinical Data AnalysisUtilization ManagementMental Health AssessmentsSubstance Abuse AssessmentsDischarge PlanningClient Education
Pre-Reg Pre-Cert Specialist
Pre-Reg Pre-Cert Specialist
1 day ago
The University of Kansas Health System
- Remote: United States
- Full time
RegistrationCommunicating With PatientsMedicareDemographic AnalysisPrior Authorization
Pharmacy Specialist
Pharmacy Specialist
3 day ago
Premera Blue Cross
- Remote: Alaska (USA), Arizona (USA), Arkansas (USA), California (USA), Colorado (USA), Florida (USA), Georgia (USA), Idaho (USA), Iowa (USA), Kansas (USA), Kentucky (USA), Maine (USA), Michigan (USA), Minnesota (USA), Missouri (USA)
- Full time
Pharmacy ExperiencePrior AuthorizationPharmacy Benefit ManagementMedical Record ManagementDocumentation GenerationClinical Assessments
JX22004069329 - Pharmacy Technician I - Remote
JX22004069329 - Pharmacy Technician I - Remote
3 day ago
Sonya M. Recruiting
- Remote: Arizona (USA)
- Full time
Prior AuthorizationWindows SoftwareInternal DocumentationMedication AdministrationHealthcare Industry KnowledgeMedical Abbreviations
JX22004061424 - Licensed Practical Nurse - Remote
JX22004061424 - Licensed Practical Nurse - Remote
3 day ago
Sonya M. Recruiting
- Remote: Rhode Island (USA)
- Full time
Clinical NursingPrior AuthorizationCall Center ExperienceCare ManagementLine ChartManaged Care
Pennsylvania Outpatient Telepsychiatrist
Pennsylvania Outpatient Telepsychiatrist
19 day ago
Telapsychiatry
- Remote: Pennsylvania (USA)
- Freelance
PsychiatryMedical Licensing (Health Law)Medication Therapy ManagementBasic Patient CareTelepsychiatryElectronic Medical Record
Field Reimbursement Manager-Rheumatology
Field Reimbursement Manager-Rheumatology
9 day ago
Sanofi
- Remote: Arkansas (USA), Georgia (USA), Louisiana (USA), North Carolina (USA), South Carolina (USA), Tennessee (USA)
- Full time
Medical AssistanceActivities Of Daily Living (ADLs)Reimbursement RegulationsPrior AuthorizationDirect Market AccessCross-Functional Collaboration
Pharmacy Technician II
Pharmacy Technician II
Today
CareSource
- Remote: Tennessee (USA)
- Full time
Pharmacy Benefit ManagementPrior AuthorizationMedical AbbreviationsData EntryMicrosoft Operating SystemsTeleconferencing
Utilization Review Nurse
Utilization Review Nurse
28 day ago
Sidecar Health
- Remote: Florida (USA), Georgia (USA), Kentucky (USA), Ohio (USA)
- Full time
Utilization ManagementMedical GuidelineNursingMedical NecessityOnline CommunicationPrior Authorization
Clinical Pharmacist Advisor
Clinical Pharmacist Advisor
30+ days ago
US Tech Solutions
- Remote: Rhode Island (USA)
- Junior (1-2 years)
Medicare Part DPrior Authorization
Financial Counselor I
Financial Counselor I
8 day ago
United Digestive
- Remote: Georgia (USA)
- Full time
Prior AuthorizationGastroenterologyFinancial Advising
Prior Authorization Specialist - Sleep Therapy
Prior Authorization Specialist - Sleep Therapy
11 day ago
Aeroflow Health
- Remote: North Carolina (USA)
- Full time
Medical BillingPrior AuthorizationMedical AbbreviationsCerner EHRAnalyticsBilling
Field Reimbursement Manager (FRM) - Northwest Region
Field Reimbursement Manager (FRM) - Northwest Region
30+ days ago
Argenx
- Remote: Oregon (USA), Washington (USA)
- Full time
BillingReimbursement RegulationsPrior AuthorizationDisability ClaimsMedicareCommercial Insurances
Infusion Intake Coordinator - Clearance Specialist
Infusion Intake Coordinator - Clearance Specialist
30+ days ago
Soleo Health
- Remote: Azerbaijan
- Mid-level (2-5 years)
- 40 - 48K
InfusionsPrior AuthorizationHealth Reimbursement ArrangementElectronic ReferralsMedicareMedicaid
Pharmacy Technician
Pharmacy Technician
30+ days ago
US Tech Solutions
- Remote: Rhode Island (USA)
- Mid-level (2-5 years)
Prior AuthorizationTelecare
Director, Market Access- Strategic Accounts West
Director, Market Access- Strategic Accounts West
14 day ago
Lantheus
- Remote: California (USA), Colorado (USA), Texas (USA)
- Full time
Direct Market AccessReimbursement RegulationsCustomer Relationship BuildingCustomer AnalysisBusiness NegotiationPatient Education And Counseling
Field Reimbursement Manager
Field Reimbursement Manager
30+ days ago
McKesson Canada
- Remote: Iowa (USA)
- Full time
Reimbursement RegulationsPresentation TrainingProject ManagementMedical NecessityCommercial InsurancesBilling
Quality Management Nurse Consultant
Quality Management Nurse Consultant
30+ days ago
US Tech Solutions
- Remote: Rhode Island (USA)
- Mid-level (2-5 years)
Assurance ServicesPrior AuthorizationMediTouchManaged CareClinical Assessments
Field Reimbursement Manager-Rheumatology
Field Reimbursement Manager-Rheumatology
9 day ago
Sanofi
- Remote: Arkansas (USA), Georgia (USA), Louisiana (USA), North Carolina (USA), South Carolina (USA), Tennessee (USA)
- Full time
Medical AssistanceActivities Of Daily Living (ADLs)Reimbursement RegulationsPrior AuthorizationDirect Market AccessCross-Functional Collaboration
Prior Authorization Licensed Practical Nurse
Prior Authorization Licensed Practical Nurse
30+ days ago
US Tech Solutions
- Remote: Rhode Island (USA)
Public Health NursingOnline CommunicationPrior Authorization
Clinical Pharmacy Technician II
Clinical Pharmacy Technician II
2 day ago
Prime Therapeutics
- Remote: United States
- Full time
Medication Therapy ManagementClinical InformaticsPrior AuthorizationOnline Pharmacy SystemsReimbursement RegulationsMedical Abbreviations
Field Reimbursement Manager
Field Reimbursement Manager
30+ days ago
CoverMyMeds
- Remote: Iowa (USA)
- Full time
Reimbursement RegulationsPresentation TrainingProject ManagementMedical NecessityCommercial InsurancesBilling
Prior Auth Pharmacy Tech I
Prior Auth Pharmacy Tech I
30+ days ago
US Tech Solutions
- Remote: Rhode Island (USA)
- Mid-level (2-5 years)
Healthcare Industry KnowledgeCall Center ExperiencePrior Authorization
Prior Authorization Specialist
Prior Authorization Specialist
30+ days ago
US Tech Solutions
- Remote: Rhode Island (USA)
- Full time
MedicarePrior AuthorizationCall Center Experience
Engagement Manager - Provider Network Management - Texas
Engagement Manager - Provider Network Management - Texas
30+ days ago
WellSky
- Remote: Texas (USA)
- Full time
Utilization ManagementClient EducationAnalyticsStrategy ExecutionMedical Record ManagementEvidence-Based Practice
Financial Counselor Remote
Financial Counselor Remote
30+ days ago
US Fertility
- Remote: Ireland, Panama
- Full time
- Entry-level / graduate
Communicating With PatientsMedical BillingFinancial Aid CounselingInsurance LawElectronic Remittance AdvicePrior Authorization
Prior Authorization Specialist – MED D
Prior Authorization Specialist – MED D
30+ days ago
US Tech Solutions
- Remote: Italy
Internal DocumentationPharmaceutical MarketingMedicarePrior AuthorizationProblem ManagementCall Center Experience
Associate Director Pharmacy Utilization Management
Associate Director Pharmacy Utilization Management
8 day ago
Banner Health
- Remote: Arizona (USA)
- Full time
Clinical InformaticsPublic HealthPrior AuthorizationPharmacy OperationsData ManagementRegulatory Compliance
Patient Access Intake Specialist II
Patient Access Intake Specialist II
18 day ago
Boston Scientific
- Remote: California (USA)
- Full time
Health PoliciesMedical Record ManagementSoftware SystemsPrior AuthorizationInternal DocumentationSpinal Fusion
Prior Authorization Specialist
Prior Authorization Specialist
30+ days ago
US Tech Solutions
- Remote: Italy
MedicareCall Center ExperiencePharmacy ExperienceMedical DirectionPrior AuthorizationProblem Management
Referral Coordinator | Oncology Administration | Day
Referral Coordinator | Oncology Administration | Day
9 day ago
UF Health
- Remote: Florida (USA)
- Full time
Patient RegistrationPrior AuthorizationInsurance PoliciesICD Coding (ICD-9/ICD-10)CPT CodingMedical Abbreviations
Sr. Reimbursement Specialist
Sr. Reimbursement Specialist
9 day ago
UBC
- Remote: Florida (USA)
- Full time
Reimbursement RegulationsPrior AuthorizationMedical Insurance ClaimsMedical AbbreviationsDatabase ManagementBilling
Prior Authorization Coordinator I
Prior Authorization Coordinator I
8 day ago
MedImpact Healthcare Systems, Inc.
- Remote: Arizona (USA)
- Full time
Clinical Trial PlanningHospital ExperiencePrior AuthorizationDatabase SoftwareClinical InformaticsPharmacy Benefit Management
Pharmacist
Pharmacist
30+ days ago
US Tech Solutions
- Remote: Texas (USA)
Pharmacy Benefit ManagementPrior Authorization
PBM Pharmacist
PBM Pharmacist
30+ days ago
US Tech Solutions
- Remote: Rhode Island (USA)
Prior Authorization
Insurance Verification Call Center
Insurance Verification Call Center
30+ days ago
TEKsystems
- Remote: Canada
- Full time
- Entry-level / graduate
Patient RegistrationInbound CallsMedical Insurance ClaimsAcquisition ProcessesCall Center ExperienceMedical Practice Experience
