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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...

About FamilyWell Health
FamilyWell Health is on a mission to transform women's mental health across the reproductive life-span (fertility → perinatal → menopause) by embedding evidence-based, insurance-covered care into OB/GYN practices and health systems. FamilyWell Health. As part of the RCM/Operations team, the Prior Authorization Specialist will play a key role in ensuring that care is auth...

Job Profile Summary
Position Purpose:
Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance with national standards, contractual requirements, and a member's benefit coverage. Provides recommendations to the appropriate medical team to promote quality and cost effectiveness of medical care.
Education/Experience:
Req...

Job Type
Full-time
Description
Location: Remote
Compensation: $17.13 per hour
Schedule: Friday-Monday Monday - Friday, 8:00am-5:00pm PST, 40 hours a week
Ideal Option has been working on the front lines of the opioid epidemic since our first clinic opened in 2012. With more than 80 clinics across 9 states, we continuously strive to be the nation's leading provider of low-barrier evidence-based...

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...

This position is responsible for obtaining prior authorizations for all procedural orders by successfully completing the prior authorization process per department procedure and protocol.
Our Mission: Quality, compassionate care for all.
Our Vision: Reimagine health care through connection, service and innovation.
Our Core Values: Be Kind | Trust and Be Trusted | Work Together | Strive for Ex...

Description
Location: Remote
Compensation: $17.13 per hour
Schedule: Friday-Monday Monday - Friday, 8:00am-5:00pm PST, 40 hours a week
Ideal Option has been working on the front lines of the opioid epidemic since our first clinic opened in 2012. With more than 80 clinics across 9 states, we continuously strive to be the nation’s leading provider of low-barrier evidence-based treatment for o...

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...

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...

Job Description
UW Medicine Primary Care - Prior Authorization Team has an outstanding opportunity for a Patient Services Specialist 2- Prior Authorization Specialist.
WORK SCHEDULE
* Full-time, 100% FTE (40 hours per week)
* Monday - Friday; 8am-5pm
* Day Shift
DEPARTMENT DESCRIPTION
Conveniently located along I-5 near the Northgate Transit Center, UW Medicine Primary Care at North...

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.
Candidates for this position must be able to work 9am - 5:30pm EST.
Position Purpose: The Pharmacy Resolution Special...

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...

POSITION SUMMARY:
Gather information for patient registration for various ambulatory department patients. Schedule appointments, verify demographic, insurance, and financial information for patients. Coordinate and arrange for primary care provider approvals for services provided to managed care patients in various Boston Medical Center specialty clinic areas (Pulmonary/Asthma, Infectious Disea...

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.
$19.50 - $25.50
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...

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.
$19.50 - $25.50
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.
...

POSITION SUMMARY:
Gather information for patient registration for various ambulatory department patients. Schedule appointments, verify demographic, insurance, and financial information for patients. Coordinate and arrange for primary care provider approvals for services provided to managed care patients in various Boston Medical Center specialty clinic areas (Pulmonary/Asthma, Infectious Dise...

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...