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Shift: Training Shift: Monday - Friday 8AM - 430PM (4 weeks) CT,
Regular Shift: Monday-Friday 9:30AM -6PM local time zone
* Responsible for reviewing and completing criteria based on prior authorization as per policy and procedure.
Responsibilities:
* This individual must have excellent interpersonal skills.
* Will be responsible for: Reviewing and completing criteria b...

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important...

ABOUT THE CRANE CENTER
The Crane Center is a world-renowned Transgender surgical practice, with locations in Greenbrae, California, Boulder, Colorado, and Austin, Texas. We have eight highly specialized surgeons and a multidisciplinary clinical team which allows us to offer all aspects of gender-affirming surgery. We are dedicated to providing exceptional healthcare services to our community. ...

Job Title: Prior Authorization Specialist
Location: Fully remote
Duration: 12 months contract
Job Description:
* Prior Authorization Specialist takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous phone assistance to all callers through the criteria based prior authorization process.
* Maintains complete, timely and accurate documenta...

Job Description:
* Prior Authorization Specialist takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous phone assistance to all callers through the criteria based prior authorization process.
* Maintains complete, timely and accurate documentation of reviews.
* Transfers all clinical questions, escalations and judgement calls to the phar...

Job Description:
The Rep I, Clinical Services takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of reviews. Transfers all clinical questions, escalations and judgement calls to the pharmacist team.
The Re...

Overview
The Clinical Formulary Pharmacist is responsible for providing operational support for the evaluation, creation, maintenance, and implementation of standard and custom Medicare Part D Formularies. In addition, this role will work on utilization management, drug lists, and preparation of CMS formulary files. This role will work with the team to ensure all Formulary Management and Dru...

Location:
Avera Health
Worker Type:
Regular
Work Shift:
Day Shift (United States of America)
Pay Range:
The pay range for this position is listed below. Actual pay rate dependent upon experience.
$18.25 - $23.75
Position Highlights
You Belong at Avera
Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where yo...

Building Location:
Essentia Health Superior Belknap Pharmacy
Department:
48850 Prior Authorization
Job Description:
The Essentia Health Pharmacist-Medication Access Services will practice in an integrated, team-based care model providing clinical support of Medication Access Services team members in a remote setting. Primary responsibilities include but are not limited to benefits inv...

Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years, we have been New Jersey's health solutions leader driving innovations that improve health care quality, affordability, and member experience. Our members are our neighbors, our friends, and our families. It is this understanding that drives us to better serve and care for the 3.5 m...

Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years, we have been New Jersey’s health solutions leader driving innovations that improve health care quality, affordability, and member experience. Our members are our neighbors, our friends, and our families. It is this understanding that drives us to better serve and care for the 3....

601 Hawaii St, El Segundo, California, 90245-4814, United States of America
The Clinical Pharmacy Management team is growing and looking to hire a Part Time Authorization Coordinator I role. This role will work remote and must in the PST or MST timezone. Will work Monday-Wednesday schedule (24 hours a week)
The Authorization Coordinator I reviews and processes formulary exception requests thr...

Location:
Avera Health
Worker Type:
PRN
Work Shift:
Day Shift (United States of America)
Pay Range:
The pay range for this position is listed below. Actual pay rate dependent upon experience.
$18.25 - $23.75
Position Highlights
You Belong at Avera
Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter.
A Br...

The Kestra team has over 400 years of experience in the external and internal cardiac medical device markets. The company was founded in 2014 by industry leaders inspired by the opportunity to unite modern wearable technologies with proven device therapies. Kestra's solutions combine high quality and technical performance with a wearable design that provides the greatest regard for patient comf...

Location:
Avera Health
Worker Type:
PRN
Work Shift:
Day Shift (United States of America)
Pay Range:
The pay range for this position is listed below. Actual pay rate dependent upon experience.
$18.25 - $23.75
Position Highlights
You Belong at Avera
Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you ma...

City/State
Virginia Beach, VA
Overview
Work Shift
First (Days) (United States of America)
Sentara Health Plans is hiring for a Manager, Clinical Pharmacy (Prior Authorization)- Remote!
Status: Full-time, permanent position (40 hours)
Work hours: 8am to 5pm EST, M-F
Location: This position is fully remote for candidates that live in the following states: VA, NC, AL, DE, FL, GA, ID, I...

City/State
Virginia Beach, VA
Overview
Work Shift
First (Days) (United States of America)
Sentara Health Plans is hiring for a Manager, Clinical Pharmacy (Prior Authorization)- Remote!
Status: Full-time, permanent position (40 hours)
Work hours: 8am to 5pm EST, M-F
Location: This position is fully remote for candidates that live in the following states: VA, NC, AL, DE, FL, GA, ID, I...

Compensation: $27 per hour. You are eligible for a Short-Term Incentive with the target at 3% of your annual earnings; terms and conditions apply.
Patient Financial Services II, Front End - Remote, USA
Monday - Friday 7:00am - 3:30pm PT
The Patient Financial Services (PFS) Specialist II is responsible for the timely completion of the insurance verifications and/or authorizations in a high p...

Become a part of our caring community and help us put health first
Humana is seeking a Utilization Management (UM) Coordinator to join the Wisconsin Medicaid Market (iCare) team. The UM Coordinator provides non-clinical support for the policies and procedures ensuring best and most appropriate treatment, care or services for members. Join this dedicated team and lead change in how health car...

Extraordinary Care. Extraordinary Careers.
With the nation's largest home infusion provider, there is no limit to the growth of your career.
Option Care Health, Inc. is the largest independent home and alternate site infusion services provider in the United States. With over 6,000 team members including 2,900 clinicians, we work compassionately to elevate standards of care for patients with acu...