Remote Prior Authorization Jobs
Remote from:
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
145 jobs
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Clinical Pharmacy Technician II
Clinical Pharmacy Technician II
3 day ago
Prime Therapeutics
- Remote: United States
- Full time
Medication Therapy ManagementClinical InformaticsPrior AuthorizationOnline Pharmacy SystemsReimbursement RegulationsMedical Abbreviations
Claim Review Specialist at Carda Health
Claim Review Specialist at Carda Health
22 day ago
Carda Health
- Remote: Philippines
- Full time
ICD Coding (ICD-9/ICD-10)CPT CodingClaims And Litigation ManagementMedical BillingPrior AuthorizationMedical Billing
Clinical Review Coordinator
Clinical Review Coordinator
30+ days ago
Soleo Health
- Remote: California (USA)
- Full time
Clinical Data AnalysisInfusionsPrior AuthorizationMedical NecessityNurse Licensure Compact
Clearance Specialist
Clearance Specialist
30+ days ago
Soleo Health
- Remote: Arizona (USA)
- Full time
Medical DevicesMedicarePrior AuthorizationHealth Reimbursement ArrangementElectronic ReferralsHealth Care Finance Administration (HCFA) Regulations
Manager, Rare Disease Operations
Manager, Rare Disease Operations
8 day ago
McKesson
- Remote: United States
- Full time
Operational ExcellenceCall Center ExperienceCustomer EngagementReimbursement RegulationsPrior AuthorizationProject Management
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 Tech I
Pharmacy Tech I
30+ days ago
US Tech Solutions
- Remote: Rhode Island (USA)
- Mid-level (2-5 years)
Prior AuthorizationCall Center Experience
Certified Medical Assistant
Certified Medical Assistant
21 day ago
Unified Women's Healthcare
- Remote: Florida (USA)
- Full time
Medical AssistanceElectronic Health Record ApplicationsCommunicating With PatientsClinical NursingMedical Record ManagementPrior Authorization
Associate Director, Market Access & Reimbursement
Associate Director, Market Access & Reimbursement
30+ days ago
Sarepta Therapeutics
- Remote: United States
- Full time
- Senior (5-10 years)
- 156 - 195K
Direct Market AccessAccount ManagementReimbursement RegulationsHealth PoliciesOperational EfficiencyPrior Authorization
Virtual Texas Registered Nurse (RN)
Virtual Texas Registered Nurse (RN)
11 day ago
BizForce
- Remote: Philippines
- Full time
Nurse Licensure CompactCerner EHRPrior AuthorizationCommunicating With PatientsMedical AbbreviationsInsurance Reviews
Associate Director, Market Access & Reimbursement
Associate Director, Market Access & Reimbursement
30+ days ago
Sarepta Therapeutics
- Remote: United States
- Full time
- Senior (5-10 years)
- 156 - 195K
Direct Market AccessAccount ManagementReimbursement RegulationsHealth PoliciesSite AssessmentOperational Efficiency
VP, PHCO Utilization Management - Medicare & Duals
VP, PHCO Utilization Management - Medicare & Duals
30+ days ago
Centene Corporation
- Remote: United States
- Full time
- Expert & Leadership (>10 years)
- 182 - 345K
Utilization ManagementCompliance ManagementNursingPrior AuthorizationCorporate ForecastingRisk Management
RCM Team Lead
RCM Team Lead
30+ days ago
Assembly Health
- Remote: United States
- Senior (5-10 years)
- 19 - 19K
OphthalmologyMedical BillingAccounts ReceivablePrior AuthorizationMedical BillingElectronic Referrals
Field Reimbursement Manager, Pulmonology and Gastroenterology - Denver, CO
Field Reimbursement Manager, Pulmonology and Gastroenterology - Denver, CO
30+ days ago
Sanofi
- Remote: United States, New Mexico (USA)
- Full time
- 122 - 175K
Medical AssistanceActivities Of Daily Living (ADLs)Reimbursement RegulationsPrior AuthorizationDirect Market AccessBiopharmaceuticals
Nurse Reviewer - REMOTE
Nurse Reviewer - REMOTE
30+ days ago
UMass Chan Medical School
- Remote: Massachusetts (USA)
- Full time
Clinical Data AnalysisCare ManagementPrior AuthorizationMedical NecessityNurse Licensure CompactHome Health Care
Pharmacy Benefits Specialist - 100% Remote
Pharmacy Benefits Specialist - 100% Remote
30+ days ago
TEKsystems
- Remote: United States, Gabon, Georgia (USA)
- Full time
- Junior (1-2 years)
- 40 - 40K
Medical Insurance ClaimsHealthcare Industry KnowledgePharmacy Benefit ManagementMedicaidMedical Practice ExperienceMedicare
Medical Coder & Billing Specialist
Medical Coder & Billing Specialist
9 day ago
Nest Health
- Remote: United States
- Full time
ICD 503CppunitMedical CodingAthenaClinicals EHRMedical CodingClaims And Litigation Management
RN Reviewer 
RN Reviewer
30+ days ago
Cohere Health
- Remote: United States
- Mid-level (2-5 years)
- 28 - 28K
Utilization ManagementNursingInpatient CareQualification Protocols (IQ/OQ/PQ)Prior AuthorizationWeb Standards
Clinical Pharmacy Technician SR
Clinical Pharmacy Technician SR
16 day ago
Prime Therapeutics
- Remote: United States
- Full time
Pharmacy ExperiencePharmacy Dispensing SystemsPrior AuthorizationClinical AssessmentsDiagnosis CodesReimbursement Regulations
Reimbursement Liaison
Reimbursement Liaison
16 day ago
Glaukos Corporation
- Remote: United States
- Full time
BillingHealth EducationActivities Of Daily Living (ADLs)Reimbursement RegulationsMedicaidMedicare
Prior Authorization Specialist (US Healthcare) | Permanent WFH
Prior Authorization Specialist (US Healthcare) | Permanent WFH
30+ days ago
BizForce
- Remote: Philippines
- Full time
- Mid-level (2-5 years)
Medflow EMRPrior AuthorizationCommunicating With PatientsMedical Billing
Supervisor PA & UM Programs
Supervisor PA & UM Programs
24 day ago
MedImpact Healthcare Systems, Inc.
- Remote: California (USA)
- Full time
Clinical InvestigationsPrior AuthorizationPharmacy OperationsQuality AssessmentUtilization ManagementCompliance Management
Virtual Clinical Educator
Virtual Clinical Educator
9 day ago
Inizio
- Remote: United States
- Full time
PsychologyNurse Licensure CompactClinical Social WorkHealth Reimbursement ArrangementCall Center ExperiencePrior Authorization
Health Industry - Health Management Consultant/Analyst
Health Industry - Health Management Consultant/Analyst
30 day ago
Accenture Argentina
- Remote: Argentina
- Full time
Data MiningHealthcare StrategyBusiness AnalysisProject ManagementGraphical ToolsEnrollment Management
UM Administration Coordinator
UM Administration Coordinator
30+ days ago
Conviva Care Solutions
- Remote: United States, Florida (USA)
- Full time
- Junior (1-2 years)
- 40 - 52K
Utilization ManagementPrior AuthorizationClient ServicesSoftware DocumentationICD Coding (ICD-9/ICD-10)Transitional Bilingual Education
Authorization Coordinator I, Clinical Pharmacy Management
Authorization Coordinator I, Clinical Pharmacy Management
4 day ago
DaVita Kidney Care
- Remote: United States
- Full time
Pharmacy ExperienceClinical AssessmentsHospital ExperiencePrior Authorization
Prior Authorization Specialist
Prior Authorization Specialist
16 day ago
DrFirst, Inc.
- Remote: United States
- Full time
Regulatory CompliancePrior Authorization
Provider Relations Rep
Provider Relations Rep
14 day ago
CommonSpirit Health
- Remote: United States
- Full time
Project ManagementMedicarePrior AuthorizationProvider Network ManagementClaims And Litigation ManagementAccount Management
Clinical Pharmacist Advisor Medicare
Clinical Pharmacist Advisor Medicare
30+ days ago
ICONMA
- Remote: United States
- Junior (1-2 years)
Clinical InformaticsPharmacy Benefit ManagementPrior AuthorizationClinical AssessmentsOpen AccessData Entry
Billing Strategy Lead, Prior Authorizations
Billing Strategy Lead, Prior Authorizations
8 day ago
Natera
- Remote: United States
- Full time
AnalyticsPrior AuthorizationPower BIStatistical PackagesAnalytics
Pre-Services Representative (Remote)
Pre-Services Representative (Remote)
30+ days ago
Tidelands Health
- Remote: United States
- Full time
- Junior (1-2 years)
- 28 - 28K
Prior AuthorizationICD Coding (ICD-9/ICD-10)CPT CodingMedicare
Reimbursement Specialist
Reimbursement Specialist
30+ days ago
CareMetx, LLC
- Remote: United States
- Junior (1-2 years)
- 19 - 38K
Reimbursement RegulationsPrior AuthorizationInsurance LawPharmacy Benefit ManagementPayer MarketingOrganizational Structure
Case Manager
Case Manager
12 day ago
Cardinal Health
- Remote: United States
- Full time
Patient Education And CounselingPrior AuthorizationGene TherapyOncologyICD Coding (ICD-9/ICD-10)Medicare
Pre-Authorization Registered Nurse
Pre-Authorization Registered Nurse
30+ days ago
Conviva Care Solutions
- Remote: United States, Laos, Louisiana (USA)
- Full time
- Mid-level (2-5 years)
- 37 - 87K
Medical NecessityUtilization ManagementNursingHospital ExperienceRehabilitationNursing Care
Customer Operations Associate I
Customer Operations Associate I
3 day ago
SamaCare
- Remote: United States
- Full time
Data EntryCustomer DevelopmentDigital File ManagementBillingPrior AuthorizationInsurance Policies
Revenue Cycle Quality Auditor II
Revenue Cycle Quality Auditor II
10 day ago
Hanger, Inc.
- Remote: United States
- Full time
AnalyticsRevenue ManagementAuditingBenefits AdministrationPayment ProcessingBilling
Supervisor, Access and Patient Support
Supervisor, Access and Patient Support
24 day ago
Cardinal Health
- Remote: United States
- Full time
Activities Of Daily Living (ADLs)Process ImprovementPerformance AnalyticsAnalyticsEnrollment ManagementPrior Authorization
Insurance Verification Specialist
Insurance Verification Specialist
30+ days ago
TEKsystems
- Remote: United States, Vatican City, Virginia (USA)
- Full time
- Entry-level / graduate
Patient RegistrationInbound CallsMedical Insurance ClaimsHealthcare Industry KnowledgeCall Center ExperienceMedical Practice Experience
Supervisor, Access and Patient Support
Supervisor, Access and Patient Support
30+ days ago
Cardinal Health
- Remote: United States
- Full time
KPI ReportingPerformance AnalyticsReimbursement RegulationsEnrollment ManagementPrior AuthorizationCompliance Management
Pharmacy Program Specialist (Remote)
Pharmacy Program Specialist (Remote)
30+ days ago
TEKsystems
- Remote: United States, Illinois (USA)
- Fixed term
- Mid-level (2-5 years)
Prior AuthorizationPatient RegistrationDocumentation GenerationPatient Education And Counseling
Reimbursement Coordinator
Reimbursement Coordinator
12 day ago
Cardinal Health
- Remote: United States
- Full time
Medical BillingActivities Of Daily Living (ADLs)Cost Benefit AnalysisMedicarePrior AuthorizationAppeals
Patient Access Case Manager
Patient Access Case Manager
23 day ago
Boston Scientific
- Remote: United States
- Full time
AppealsPrior AuthorizationMedical NecessityPain ManagementMedical Record ManagementSoftware Systems
Sr. Reimbursement Specialist - Patient Access Services Hub
Sr. Reimbursement Specialist - Patient Access Services Hub
12 day ago
UBC
- Remote: United States
- Full time
Data ManagementPrior AuthorizationMedical Insurance ClaimsMedical AbbreviationsReimbursement RegulationsBilling
Field Reimbursement Manager - Immunology - Newark, NJ
Field Reimbursement Manager - Immunology - Newark, NJ
12 day ago
Regeneron
- Remote: United States
- Full time
Reimbursement RegulationsMarket Access StrategyBiomedical SciencesPrior AuthorizationPharmaceuticalsUtilization Management
Case Manager, Patient Services (West Coast Based Candidates)
Case Manager, Patient Services (West Coast Based Candidates)
5 day ago
PTC Therapeutics, Inc.
- Remote: United States
- Full time
Care ManagementCommunicating With PatientsMicrosoft Dynamics CRMUnderwritingPharmacy OperationsPeer Review
Pharmacist
Pharmacist
30+ days ago
US Tech Solutions
- Remote: United States
- Fixed term
- Mid-level (2-5 years)
Hospital ExperienceInternal DocumentationPharmacist AssistanceMedicarePrior AuthorizationClinical Assessments
Field Care Coordinator RN, Franklin County, OH and Surrounding Areas - Remote
Field Care Coordinator RN, Franklin County, OH and Surrounding Areas - Remote
30+ days ago
UnitedHealthcare
- Remote: United States, Ireland, Texas (USA)
- Mid-level (2-5 years)
- 54 - 107K
Care ManagementNursingClinical AssessmentsCommunity DesignCare CoordinationCase Management Systems
Prior Authorization Technician - Pharmacy Technician 
Prior Authorization Technician - Pharmacy Technician
8 day ago
Shields Health Solutions
- Remote: United States
- Full time
Pharmacy AutomationBasic Patient CarePrior AuthorizationClaims And Litigation Management
Associate Director, Access Reimbursement Management- WI/MN/Northern OH
Associate Director, Access Reimbursement Management- WI/MN/Northern OH
11 day ago
Sage Therapeutics
- Remote: United States
- Full time
Health AdministrationActivities Of Daily Living (ADLs)Reimbursement RegulationsPayer MarketingBillingReimbursement Regulations
Pharmacist - Remote
Pharmacist - Remote
30+ days ago
US Tech Solutions
- Remote: United States
- Fixed term
- Mid-level (2-5 years)
Prior AuthorizationManaged CarePharmacy Benefit ManagementPharmacy ExperienceMedicaid Management Information Systems (MMIS)Medicare
