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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CRT Claims Examiner
CRT Claims Examiner
30+ days ago
Integra Partners
- Remote: United States, Michigan (USA)
- Full time
- Senior (5-10 years)
- 70 - 70K
Claims And Litigation ManagementRevenue ManagementMedical NecessityBillingBillingPrior Authorization
Financial Clearance Specialist 1
Financial Clearance Specialist 1
30+ days ago
Savista
- Remote: United States
- Full time
Prior AuthorizationMedical AbbreviationsPatient Registration
Reimbursement Specialist
Reimbursement Specialist
30+ days ago
Lifelancer
- Remote: United States
- Full time
- Junior (1-2 years)
- 19 - 19K
Reimbursement RegulationsPrior AuthorizationPharmacy Benefit ManagementInsurance LawPayer MarketingBenefits Administration
Pharmacy Tech I
Pharmacy Tech I
30+ days ago
US Tech Solutions
- Remote: United States
- Fixed term
- Junior (1-2 years)
Pharmacy ExperiencePrior AuthorizationCall Center Experience
Manager, Rare Disease Operations
Manager, Rare Disease Operations
8 day ago
McKesson Canada
- Remote: United States
- Full time
Operational ExcellenceCall Center ExperienceCustomer EngagementPharmacy OperationsAnalyticsReimbursement Regulations
Associate Director, Hub Services
Associate Director, Hub Services
4 day ago
Avidity Biosciences, Inc.
- Remote: United States
- Full time
Clinical GovernanceCare ManagementProject ManagementMicrosoft Dynamics CRMRegulatory CompliancePrior Authorization
Reimbursement Liaison, Glaucoma
Reimbursement Liaison, Glaucoma
30+ days ago
Glaukos Corporation
- Remote: United States, New Jersey (USA)
- Senior (5-10 years)
Maintaining CodePatient Education And CounselingReimbursement RegulationsProject CollaborationBenefits AdministrationMedical Office Procedures
Client Services Specialist II
Client Services Specialist II
30+ days ago
US Tech Solutions
- Remote: United States, Texas (USA)
- Full time
- Mid-level (2-5 years)
Clinical MedicinePrior AuthorizationCall Center ExperienceHealth Care Industry
Sr Coordinator, Individualized Care (Case Manager)
Sr Coordinator, Individualized Care (Case Manager)
10 day ago
Cardinal Health
- Remote: United States
- Full time
Medical BillingMedical Insurance ClaimsReimbursement RegulationsPrior AuthorizationMedicaidMedicare
Reimbursement Liaison, Glaucoma
Reimbursement Liaison, Glaucoma
30+ days ago
Glaukos Corporation
- Remote: United States
- Full time
Maintaining CodeActivities Of Daily Living (ADLs)Reimbursement RegulationsHealth PoliciesPatient Education And CounselingBenefits Administration
Pharmacy Coordinator
Pharmacy Coordinator
16 day ago
Centene Corporation
- Remote: United States
- Full time
Pharmacy ExperiencePrior AuthorizationUtilization ManagementClient EducationPharmacy ExperienceProcess Improvement
Clinical Pharmacist - Prior Authorization (Arizona Licensed)
Clinical Pharmacist - Prior Authorization (Arizona Licensed)
30+ days ago
Lifelancer
- Remote: United States, Arizona (USA)
- Full time
- Junior (1-2 years)
- 72 - 207K
Pharmacy Benefit ManagementClinical PharmacyPrior AuthorizationPharmacist AssistanceClinical DocumentationMedical Record Management
Veteran Access Coordinator
Veteran Access Coordinator
7 day ago
Hanger, Inc.
- Remote: United States
- Full time
Medflow EMRICD 503Medical AbbreviationsBillingWorkers' CompensationPrior Authorization
Reimbursement Specialist - Prior Authorization
Reimbursement Specialist - Prior Authorization
30+ days ago
Guardant Health
- Remote: United States, California (USA)
- Full time
- Mid-level (2-5 years)
- 45 - 81K
Health Reimbursement ArrangementInsurance LawMedicaid Management Information Systems (MMIS)Merchant ServicesPrior AuthorizationMedicare
Senior Healthcare Analyst, Actuarial 
Senior Healthcare Analyst, Actuarial
24 day ago
Cohere Health
- Remote: United States
- Full time
AnalyticsCost ManagementCustomer EngagementActuarial SciencePython (Programming Language)SQL (Programming Language)
Clinical Pharmacist - Medicaid Prior Authorization (NC or MA Licensed)
Clinical Pharmacist - Medicaid Prior Authorization (NC or MA Licensed)
30+ days ago
Lifelancer
- Remote: United States, Massachusetts (USA), North Carolina (USA)
- Full time
- 66 - 175K
Pharmacist AssistancePrior AuthorizationPharmacy ExperienceCall Center ExperienceLexiconsClinical Informatics
Referral and Pre-Certification Specialist- Multispecialty, Staten Island, New York, Full Time, Days, Offsite
Referral and Pre-Certification Specialist- Multispecialty, Staten Island, New York, Full Time, Days, Offsite
30+ days ago
Mount Sinai Morningside
- Remote: United States, New York (USA), Virginia (USA)
- Full time
- Mid-level (2-5 years)
- 1 - 38K
Electronic ReferralsInsurance PoliciesPrior Authorization
Analyst - Clinical Services - Work From Home
Analyst - Clinical Services - Work From Home
30+ days ago
Lifelancer
- Remote: United States, Texas (USA)
- Full time
- Mid-level (2-5 years)
- 43 - 85K
System ConfigurationData ManipulationDev TestingRoot Cause AnalysisPrior Authorization
RCM Prior Authorization Specialist
RCM Prior Authorization Specialist
30+ days ago
Osmind
- Remote: United States
- Full time
Medical Insurance ClaimsPrior AuthorizationCPT CodingHealth Care Finance Administration (HCFA) RegulationsHealth Reimbursement ArrangementMedicare
Clinical Operations Specialist, LPN
Clinical Operations Specialist, LPN
9 day ago
K Health
- Remote: United States
- Full time
General SurgeryNurse Licensure CompactTelehealthCerner EHRSalesforceClinical Monitoring
Call center Pharmacist
Call center Pharmacist
30+ days ago
US Tech Solutions
- Remote: United States
Prior Authorization
Utilization Review Nurse
Utilization Review Nurse
30+ days ago
US Tech Solutions
- Remote: United States, Illinois (USA)
- Mid-level (2-5 years)
Assurance ServicesMedicaid Management Information Systems (MMIS)Prior AuthorizationUtilization ManagementMediTouchManaged Care
Prior Authorization/Insurance Verification Specialist
Prior Authorization/Insurance Verification Specialist
30+ days ago
ICONMA
- Remote: United States, New Jersey (USA)
- Junior (1-2 years)
Prior AuthorizationCall Center ExperienceInternal Documentation
Prior Authorization/Insurance Verification Specialist
Prior Authorization/Insurance Verification Specialist
30+ days ago
ICONMA
- Remote: United States
- Full time
Internal DocumentationPrior AuthorizationCall Center Experience
Pharmacist
Pharmacist
30+ days ago
US Tech Solutions
- Remote: United States, New York (USA)
- Full time
- Mid-level (2-5 years)
Hospital PharmacyPrior AuthorizationClinical Data Analysis
Remote Clinical UM Pharmacist
Remote Clinical UM Pharmacist
30+ days ago
Lifelancer
- Remote: United States, New York (USA)
- Full time
- 86 - 145K
Pharmacy ExperienceClinical PharmacyClinical MedicinePrior AuthorizationDrug DevelopmentOnline Communication
Field Reimbursement Manager
Field Reimbursement Manager
30+ days ago
Lifelancer
- Remote: United States
- Full time
- Mid-level (2-5 years)
Cost Benefit AnalysisReimbursement RegulationsPrior AuthorizationPharmacy Benefit ManagementMedical GuidelineDrug Protocols
Registered Nurse
Registered Nurse
30+ days ago
US Tech Solutions
- Remote: United States, Kansas (USA)
- Fixed term
- Mid-level (2-5 years)
Managed CareUtilization ManagementPrior AuthorizationInpatient CareMedicareMedicaid
Medical Review Nurse (RN)
Medical Review Nurse (RN)
22 day ago
ICONMA
- Remote: United States
- Full time
InterQual CriteriaClinical AssessmentsPrior AuthorizationMedical AbbreviationsCall Center ExperienceMedicare
Clinical Pharmacist.
Clinical Pharmacist.
30+ days ago
Lifelancer
- Remote: United States, Hawaii (USA)
- Full time
- Mid-level (2-5 years)
- 103 - 191K
Pharmacist AssistanceMedication Therapy ManagementPharmacotherapyPrior AuthorizationPharmacy Benefit ManagementMedication Inventory
Connecticut Clinical Pharmacist
Connecticut Clinical Pharmacist
30+ days ago
Lifelancer
- Remote: United States, Connecticut (USA)
- Full time
- Senior (5-10 years)
Clinical PharmacyDrug Utilization ReviewEmployee ConsultationPrior AuthorizationManaged CareClinical Pharmacy
Supervisor, Access Patient and Support
Supervisor, Access Patient and Support
12 day ago
Cardinal Health
- Remote: United States
- Full time
Reimbursement RegulationsEnrollment ManagementSoftware MetricsPrior AuthorizationStandard Operating ProcedureComputer Science
Authorization Specialist
Authorization Specialist
14 day ago
PT Solutions Physical Therapy
- Remote: United States
- Full time
ICD 503Prior AuthorizationCPT CodingReimbursement RegulationsData EntryInternal Documentation
Market Access Field Reimbursement Manager
Market Access Field Reimbursement Manager
30+ days ago
ADMA Biologics, Inc.
- Remote: United States, Florida (USA)
- Full time
- Expert & Leadership (>10 years)
Pharmacy Benefit ManagementDirect Market AccessReimbursement RegulationsReimbursement RegulationsPrior AuthorizationCross-Functional Collaboration
Medical Director
Medical Director
30+ days ago
WellSense Health Plan
- Remote: United States, Massachusetts (USA)
- Expert & Leadership (>10 years)
Medical ManagementUtilization ManagementInterQual CriteriaMedical Record ManagementMedicarePrior Authorization
Solutions Engineer
Solutions Engineer
30+ days ago
Infinx
- Remote: United States
- Full time
Information Technology & Computing ServicesSales ManagementDemonstration SkillsCerner EHRIntelligent AutomationPrior Authorization
QMPE Claims Reviewer
QMPE Claims Reviewer
16 day ago
Planned Systems International
- Remote: United States
- Full time
Health AdministrationClaims And Litigation ManagementBillingMedical CodingICD Coding (ICD-9/ICD-10)Prior Authorization
Pharmacy Tech I
Pharmacy Tech I
30+ days ago
US Tech Solutions
- Remote: United States
- Full time
- Junior (1-2 years)
Prior Authorization
Spanish Bilingual Virtual Assistant
Spanish Bilingual Virtual Assistant
30+ days ago
My Mountain Mover
- Remote: United States
- Full time
Speech FluencyPrior AuthorizationMedical Direction
Field Reimbursement Manager
Field Reimbursement Manager
30+ days ago
ZOLL Medical Corporation
- Remote: United States, Illinois (USA), Minnesota (USA), New Jersey (USA)
- Full time
- Senior (5-10 years)
Direct Market AccessMedical BillingReimbursement RegulationsHospital Information SystemsAdjudicationAppeals
Engagement Manager - Provider Network Management
Engagement Manager - Provider Network Management
30+ days ago
WellSky
- Remote: United States
- Full time
Utilization ManagementClient EducationAnalyticsDevelop NetworksMedical Record ManagementEvidence-Based Practice
Representative I
Representative I
30+ days ago
US Tech Solutions
- Remote: United States
- Full time
Medicaid Management Information Systems (MMIS)Prior AuthorizationProblem ManagementCall Center ExperienceMedicare
Reimbursement Specialist - Ambulatory - Days
Reimbursement Specialist - Ambulatory - Days
30+ days ago
VCU Health
- Remote: United States, Virginia (USA)
- Full time
- Mid-level (2-5 years)
Prior AuthorizationCase Management SystemsPharmacy ExperienceCost Benefit AnalysisMedication DispensationBilling
VP, PHCO Utilization Management Medicaid & Marketplace
VP, PHCO Utilization Management Medicaid & Marketplace
30+ days ago
Centene Corporation
- Remote: United States
- Full time
Strategic LeadershipUtilization ManagementRegulatory ComplianceAuditingProvider ModelPrior Authorization
Executive Case Manager (Remote)
Executive Case Manager (Remote)
30+ days ago
PharmaCord
- Remote: United States, Indiana (USA)
- Senior (5-10 years)
Coding Classification SystemsMedical BillingReimbursement RegulationsPrior AuthorizationTransitional Bilingual EducationCare Management
