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Location: Remote
Duration: 6+ months contract
Shift: Monday-Friday 9:30am-6pm local time zone
Job Description:
* The Pharmacist/Clinician is an operation-based role that conducts criteria based & clinical rev...

Building Location:
Essentia Health Superior Belknap Pharmacy
Department:
1008850 PRIOR AUTHORIZATION - EH SS
Job Description:
Medication Access Associates work cross-functionally to ensure that patients are receiving the medication therapy they need to achieve optimal care. Primary responsibility will be to facilitate authorization of patient prescription refill requests, facilitate m...

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...

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...

Pay range: $21.86 - $29.52 hourly, varies on experience
Pulmonary Clinic - Remote, Oregon
ST. CHARLES HEALTH SYSTEM
JOB DESCRIPTION
TITLE: Prior Authorizations and Referral Management Representative
REPORTS TO POSITION: Applicable Ambulatory Access or Outpatient Clinic Leader
DEPARTMENT: Patient Access Services / St. C...

Pay range: $21.86 - $29.52 hourly, varies on experience
Heart & Lung Specialist - Remote, Oregon
15% - Relief differential
ST. CHARLES HEALTH SYSTEM
JOB DESCRIPTION
TITLE: Prior Authorizations and Referral Management Representative
REPORTS TO POSITION: Applicable Ambulatory Access or Outpatient Clinic Leader
DEPARTMENT: ...

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...

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 documentation of reviews.
* Transfers all clinic...

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...

Job Title: Benefits Verification and Authorization Specialist
Company Overview:
Prompt is revolutionizing healthcare by delivering highly automated and modern software to rehab therapy businesses, their teams, and the patients they serve. As the fastest-growing company in the therapy EMR space, Prompt is setting a new standard in healthcare technology. We're tackling some of the healthcare ind...

While this position is remote, at this time we are only considering local candidates because the initial three weeks of training must be conducted on site in Quincy MA.
POSITION SUMMARY:
The Pre Service Center (PSC) Verification Specialist role belongs to the Revenue Cycle Patient Access team and is responsible for coordinating all financial clearance activities by navigating all pre-registr...

Exemption Status:
United States of America (Non-Exempt)
$52.17 - $73.30 - $94.43
"Pay scale information is not necessarily reflective of actual compensation that may be earned, nor a promise of any specific pay for any selected candidate or employee, which is always dependent on actual experience, education, qualifications, and other factors. A full review of our comprehensive pay and benefits ...

Looking to be part of a team that provides extraordinary healthcare from the heart? You Belong Here.
POSITION SPECIFICS
Title: Pre-Encounter Specialist
FTE: 1.0
Schedule: Monday to Friday, 8am to 4:30pm; Onsite Mon/Wed/Fri and Remote Tue/Thur (flexibility needed)
Holiday Rotation: None
Weekend Rotation: None
On Call Requirements: None
POSITION SUMMARY
This position will focus primarily on the...

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....

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...

About Anthropic
Anthropic's mission is to create reliable, interpretable, and steerable AI systems. We want AI to be safe and beneficial for our users and for society as a whole. Our team is a quickly growing group of committed researchers, engineers, policy experts, and business leaders working together to build beneficial AI systems.
About the Team
As part of the Anthropic security department...

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
*Applicants for the job have the flexibility to work remote from home anywhere in the United States. Candidates must ...

Overview
Hello humankindness
Dignity Health Medical Group is the employed physician group of Dignity Health Arizona. Dignity Health Medical Group (DHMG) employs approximately 200 providers and 500 support staff that cover a wide variety of specialties. The medical group has had tremendous success over the past few years and now provides more than 73 sub-specialty services. The physicians provid...

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...