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At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choo...

About DrFirst
This is a great opportunity to be a part of a successful Healthcare IT company experiencing significant growth. We have proven products that address the leading causes of gaps in patient care, brand-name customers, significant growth opportunities and are backed by leading investors. Here you'll get to work with some of the smartest and most interesting people around; solving uniq...

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...

POSITION SUMMARY:
Responsible for screening prior-authorization and coordination of specialized services requests in the medical care management program, including a broad range of requests for inpatient, outpatient and ancillary services. Adheres to policies and procedures in order to comply with performance and compliance standards and to ensure cost effective and appropriate healthcare deliv...

Duration: 12+ Months Contract with possible extension
Type: Part Time Role
Required Skills & Experience:
* Physician with board certification of psychiatrist and unrestricted license to practice as MD or DO in the US.
* Must be physically located within the US.
* Part time position- Estimated 10-15 hours per week with increases when covering for leave of other physicians.
Ro...

Top Healthcare Provider Network
The 61st Street Service Corporation, provides administrative and clinical support staff for ColumbiaDoctors. This position will support ColumbiaDoctors, one of the largest multi-specialty practices in the Northeast. ColumbiaDoctors' practices comprise an experienced group of more than 2,800 physicians, surgeons, dentists, and nurses, offering more than 240 specia...

Pharmacy Prior Authorization Senior Representative - Remote AZ – Remote IL – Remote MA
The job profile for this position is Pharmacy Prior Authorization Senior Representative, which is a Band 2 Professional Career Track Role.
Excited to grow your career?
We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talen...

Location:
Work from home (Pennsylvania)
Shift:
Days (United States of America)
Scheduled Weekly Hours:
40
Worker Type:
Regular
Exemption Status:
No
Job Summary:
Accountable to obtain prior authorization for medications. Complete benefit investigation to determine coverage for prescribed treatment and act as a liaison for all medication prior authorization matters to insurance companies, de...

It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you've honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you'll have the opportunity to work more flexible hours. And working at Gainwell carri...

Now Hiring: Referral Authorization Specialist
3 Days Remote
Looking for a role that offers both structure and flexibility? Join Cottage Hospital as a Referral Authorization Specialist and help make sure patients get the care they need-on time and with fewer hurdles.
This position works remotely three days a week handling authorizations for a variety of services across the hospital.
You'll be ...

ABOUT NATERA:
Natera is a global leader in cell-free DNA (cfDNA) testing, dedicated to helping families and healthcare providers make more informed decisions. Through cutting-edge technology and a commitment to innovation, Natera offers genetic testing solutions that span reproductive health, oncology, and organ health. We are passionate about delivering accurate, actionable insights that impro...

Company Overview
Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.
Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership ...

Job Details
Job Location: Polaris Pharmacy Services of Ft Lauderdale - Ft. Lauderdale, FL Position Type: Full Time Salary Range: Undisclosed Job Category: Pharmaceutical
Description
PRIOR AUTHORIZATION SPECIALIST (REMOTE)
WHO WE ARE
Polaris Pharmacy Services is an industry leader in both the Long-Term Care and Post-Acute Care settings. Founded in 2015, we are locally and i...

City/State
Virginia Beach, VA
Work Shift
First (Days)
Overview:
Sentara Health Plans is hiring for a Manager, Clinical Pharmacy for 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, IN, KS, LA, ME, MD, MN, NE...

City/State
Virginia Beach, VA
Work Shift
First (Days)
Overview:
Sentara Health Plans is hiring for a Manager, Clinical Pharmacy for 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, IN, KS, LA, ME, MD, MN, NE...

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....

Primary City/State:
Phoenix, Arizona
Department Name:
PBD-Admin-Arcadia
Work Shift:
Day
Job Category:
Administrative Services
A rewarding career that fits your life. Those who have joined the Banner mission come from all walks of life, united by the common goal: Make health care easier, so life can be better. If changing health care for the better sounds like something you want to be part...

Compensation:
$20.00 - $24.00 per hour. You are eligible to a Short-Term Incentive Plan with the target at 3% of your annual earnings, terms and conditions apply.
Job Overview:
The Patient Financial Services (PFS) Specialist is responsible for the timely completion of the insurance verifications and/or authorizations in a high production environment. In this role the PFS Specialist must verify ...

Compensation:
$20.00 - $24.00 per hour. You are eligible to a Short-Term Incentive Plan with the target at 3% of your annual earnings, terms and conditions apply.
Job Overview:
The Patient Financial Services (PFS) Specialist is responsible for the timely completion of the insurance verifications and/or authorizations in a high production environment. In this role the PFS Specialist must veri...