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Company Description
Guardant Health is a leading precision oncology company focused on guarding wellness and giving every person more time free from cancer. Founded in 2012, Guardant is transforming patient care and accelerating new cancer therapies by providing critical insights into what drives disease through its advanced blood and tissue tests, real-world data and AI analytics. Guardant tes...

Company Description
Guardant Health is a leading precision oncology company focused on guarding wellness and giving every person more time free from cancer. Founded in 2012, Guardant is transforming patient care and accelerating new cancer therapies by providing critical insights into what drives disease through its advanced blood and tissue tests, real-world data and AI analytics. Guardant te...

Employment Type:
Full timeShift:
Day Shift
Description:
Authorization Specialist II - FULL TIME REMOTE
7:00-3:30pm M-F Days
Summary
This position is responsible for ensuring appropriate prior authorization for designated specialty. The scope of prior authorizations may include (but is not limited to) consults, diagnostic testing in office procedures and pharmaceuticals including off label ...

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...

Explore opportunities with Optum, in strategic partnership with ProHealth Care. ProHealth Care is proud to be a leader in health care services, serving Waukesha County and the surrounding areas for more than a century. Explore opportunities across the full spectrum of care as you help us improve the well-being of the community with your skills, compassion and innovation. Be part of a collaborat...

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...

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...

AHCCCS
Arizona Health Care Cost Containment System
Accountability, Community, Innovation, Leadership, Passion, Quality, Respect, Courage, Teamwork
The Arizona Health Care Cost Containment System (AHCCCS), Arizona’s Medicaid agency, is driven by its mission to deliver comprehensive, cost-effective health care to Arizonans in need. AHCCCS is a nationally acclaimed model among Medicaid prog...

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...

Company Description
VIVIO: Mission and Impact
VIVIO Health, a Public Benefit Corporation, is revolutionizing pharmacy benefits management through data and technology. Our foundational principle - "The Right Drug for the Right Person at the Right Price" - drives everything we do. Since 2016, our evidence-based approach has delivered superior health outcomes while reducing costs for self-insured...

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...

Non-CA Pay Range (Annual):
-
At Infinera, your base pay is one part of your total compensation package. Your actual base pay will depend on your skills, qualifications, experience, and location. This role may be eligible for equity grants, discretionary bonuses, or commission payments. The amount of these incentives is based on the terms of the Company’s incentive plans, the Company’s fin...

EXCITED TO GROW YOUR CAREER? WE’RE GLAD YOU’RE HERE!
Acts as team lead managing all aspects of event housing with Concessions Coordinator, Group Coordinator and Audit Coordinator. Consults with clients to create business rules and best practices that work best for that group and builds a website based on those rules. Works with hotels to quality check and manage contracted, reserved, and occ...

EXCITED TO GROW YOUR CAREER? WE'RE GLAD YOU'RE HERE!
Acts as team lead managing all aspects of event housing with Concessions Coordinator, Group Coordinator and Audit Coordinator. Consults with clients to create business rules and best practices that work best for that group and builds a website based on those rules. Works with hotels to quality check and manage contracted, reserved, and occup...

Posting Date
04/23/2025
2000 16th St, Denver, Colorado, 80202-5117, United States of America
The Clinical Pharmacy Management team is growing and looking to hire an Authorization Coordinator I role. This role will work remote and will work a 7:30-4pm PST schedule.
The Authorization Coordinator I reviews and processes formulary exception requests through the determination process based on ...

Posting Date
04/23/2025
2000 16th St, Denver, Colorado, 80202-5117, United States of America
The Clinical Pharmacy Management team is growing and looking to hire an Authorization Coordinator I role. This role will work remote and will work a 7:30-4pm PST schedule.
The Authorization Coordinator I reviews and processes formulary exception requests through the determination process based on cli...

Meet Benevity
Benevity is the way the world does good, providing companies (and their employees) with technology to take social action on the issues they care about. Through giving, volunteering, grantmaking, employee resource groups and micro-actions, we help most of the Fortune 100 brands build better cultures and use their power for good. We’re also one of the first B Corporations in Canad...

This position is available fully remote in Washington State.
Job Summary
Responsible for administrative functions in processing Utilization Management (UM) organization determinations for services requiring authorization and hospital notification. Utilizes knowledge of Medicare and Medicaid guidelines in order to facilitate and comply with the UM processes in data entry of authorization requ...