Remote Prior Authorization Jobs

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467 jobs
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Tabula Rasa HealthCare
Certified Pharmacy Technician (Operations)
6 days ago

Tabula Rasa HealthCare - Large

Remote from
Ohio (USA)
Full time
Online Pharmacy Systems
Patient Transfer
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WellSense Health Plan
Prior Authorization Medical Clinician
30+ days ago

WellSense Health Plan - SME

Remote from
Kentucky (USA), Massachusetts (USA)
Full time
68 - 98K
Utilization Management
Prior Authorization
Medical Necessity
Conviva Care Solutions
Utilization & Disease Management Administration Coordinator - Queue Management – Remote
16 days ago

Conviva Care Solutions - Large

Remote from
Texas (USA)
Full time

Expert & Leadership (>10 years)

Utilization Management
Prior Authorization
Electronic Medical Record
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GoLean Health
Bilingual Medical VA
30+ days ago

GoLean Health

Remote from
Virginia (USA)
Part time
Medical Billing
Claims And Litigation Management
Cerner EHR
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Axsome Therapeutics, Inc.
Digital Specialty Account Manager, Auvelity (Rocky Mountain Region)
30+ days ago

Axsome Therapeutics, Inc.

Remote from
Colorado (USA), Indiana (USA)
Full time

Mid-level (2-5 years)

100 - 150K
Virtual Sales
Sales Management
Neuroscience Nursing
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Tidelands Health
Pre-Services Representative
16 days ago

Tidelands Health - Large

Remote from
South Carolina (USA)
Full time

Mid-level (2-5 years)

Prior Authorization
Epic EMR
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Whitman-Walker
DENTAL SERVICES SUPERVISOR
30+ days ago

Whitman-Walker

Remote from
Washington (USA)
Full time

Mid-level (2-5 years)

Dentistry
Prior Authorization
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AnewHealth
Certified Pharmacy Technician (Operations)
7 days ago

AnewHealth

Remote from
Ohio (USA)
Full time
Online Pharmacy Systems
Pharmacy Experience
Electronic Prescription (eRx)
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University of Miami
Case Manager RN - Utilization Review
30+ days ago

University of Miami - XLarge

Remote from
Florida (USA)
Full time

Mid-level (2-5 years)

Utilization Management
Medical Necessity
Care Management
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Hansa Biopharma
Value and Access Liaison: Southeast (FL, GA)
8 days ago

Hansa Biopharma - Biotech: Biology + Technology - SME

Remote from
Florida (USA), Georgia (USA)
Full time

Senior (5-10 years)

Economics
Health Economics And Outcomes Research (HEOR)
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Soleo Health
Supervisor, Patient Access
30+ days ago

Soleo Health - XLarge

Remote from
Texas (USA)
Full time

Mid-level (2-5 years)

64 - 75K
Hospital Pharmacy
Managed Care
Pharmaceuticals
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PRIA Healthcare
Patient Access Specialist
10 days ago

PRIA Healthcare

Remote from
Nevada (USA)
Full time

Mid-level (2-5 years)

Medical Necessity
Benefits Administration
Prior Authorization
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THOMPSON Child & Family Focus
Foster Care Coordinator, Asheville-Hickory Region
7 days ago

THOMPSON Child & Family Focus

Remote from
North Carolina (USA)
Full time

Expert & Leadership (>10 years)

Case Management Systems
Trauma Informed Approaches
Crisis Management
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Harbor Health
Utilization Management LVN (Remote, Texas-based)
14 days ago

Harbor Health - Medical Device - Startup

Remote from
Texas (USA)
Full time

Mid-level (2-5 years)

Utilization Management
Prior Authorization
Medical Necessity
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Humana
Preauthorization Registered Nurse
4 days ago

Humana - Health, Sport, Wellness & Fitness - XLarge

Remote from
Alabama (USA), Arizona (USA), Arkansas (USA) +12
Part time

Mid-level (2-5 years)

Clinical Assessments
Medical Guideline
Prior Authorization
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Axsome Therapeutics
Digital Specialty Account Manager, Auvelity (Pacific Northwest Region)
30+ days ago

Axsome Therapeutics - Biotech: Biology + Technology - SME

Remote from
Washington (USA)
Full time

Mid-level (2-5 years)

100 - 150K
Account Management
Sales Management
Digital Customer Strategy
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Horizon Blue Cross Blue Shield of New Jersey
Housing Specialist
10 days ago

Horizon Blue Cross Blue Shield of New Jersey - Insurance - XLarge

Remote from
New Jersey (USA)
Full time
Residential Development
Income Support
Prior Authorization
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Lash Group
Gestionnaire de cas Principal/ Bilingual Senior Caseworker
30+ days ago

Lash Group - Pharmaceuticals - Large

Remote from
Canada
Full time
15 - 38K
Care Management
Activities Of Daily Living (ADLs)
Reimbursement Regulations
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Regence BlueCross BlueShield of Oregon
Pharmacy Operations Coordinator
15 days ago

Regence BlueCross BlueShield of Oregon

Remote from
Idaho (USA), Oregon (USA), Utah (USA) +1
Full time

Expert & Leadership (>10 years)

Medication Administration
Prior Authorization
U.S. Regulatory Compliance
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AnewHealth
MD Call Specialist
23 days ago

AnewHealth

Remote from
Maryland (USA), Ohio (USA)
Full time
Pharmacy Law
Prior Authorization
Electronic Prescription (eRx)
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Gainwell Technologies LLC
Career Opportunities: Call Center Pharmacy Technician - Remote MS (34824)
17 days ago

Gainwell Technologies LLC - Information Technology & Services - Large

Remote from
Norway, Mississippi (USA)
Full time
Call Center Experience
Prior Authorization
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Brigham and Women's Hospital
Utilization Review Nurse
21 days ago

Brigham and Women's Hospital

Remote from
Massachusetts (USA)
Full time

Mid-level (2-5 years)

Utilization Management
Prior Authorization
Medical Necessity
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Ami Polymer Pvt. Ltd.
EXIM Manager
30+ days ago

Ami Polymer Pvt. Ltd.

Remote from
India
Full time
Customs Law
Shipment Coordination
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Meijer
Clinical Care Coordinator
13 days ago

Meijer - Retail (Super / Hypermarket) - XLarge

Remote from
Michigan (USA)
Full time

Expert & Leadership (>10 years)

Insurance Reviews
Prior Authorization
Medication Dispensation
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Gainwell Technologies LLC
Career Opportunities: Module Delivery Lead (Remote in USA) (34826)
15 days ago

Gainwell Technologies LLC - Information Technology & Services - Large

Remote from
Indiana (USA)
Full time

Senior (5-10 years)

Technical Delivery Management
Construction
Pharmaceutical Product Management
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OperationsArmy
Healthcare Insurance Coordinator (Mexico | Remote)
30+ days ago

OperationsArmy

Remote from
Mexico
Full time
Revenue Management
Prior Authorization
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MedSpecialized, Inc.
Virtual Medical Assistant (RN) - Remote
20 days ago

MedSpecialized, Inc. - SME

Remote from
India, Philippines
Full time
Electronic Medical Record
Patient Education And Counseling
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Hansa Biopharma
Value and Access Liaison: Northeast (NY, NJ, PA, IL, MA, VT)
6 days ago

Hansa Biopharma - Biotech: Biology + Technology - SME

Remote from
Illinois (USA), Massachusetts (USA), New Jersey (USA) +3
Full time

Senior (5-10 years)

Performance Analytics
Health Economics And Outcomes Research (HEOR)
Stakeholder Engagement
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RAZOR
Integration Engineer with API experience
6 days ago

RAZOR

Remote from
Canada
Full time

Mid-level (2-5 years)

Application Programming Interface (API)
Application Programming Interface (API)
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Soleo Health
Prior Authorization Coordinator
30+ days ago

Soleo Health - XLarge

Remote from
Texas (USA)
Full time
38 - 44K
Prior Authorization
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Maryland Physicians Care
Medical Director
30+ days ago

Maryland Physicians Care

Remote from
Maryland (USA)
Full time
Utilization Management
Total Quality Management
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CareSource
Remote - Registered Nurse (RN) Clinical Care Reviewer - Massachusetts only
20 days ago

CareSource - Insurance - Large

Remote from
Massachusetts (USA)
Full time

Mid-level (2-5 years)

Care Coordination
Nurse Licensure Compact
Drug Utilization Review
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Soleo Health
Clearance Specialist - Intake Coordinator
7 days ago

Soleo Health - XLarge

Remote from
Texas (USA)
Full time

Expert & Leadership (>10 years)

Reimbursement Regulations
Intraosseous Infusion
Prior Authorization
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DentaQuest
Appeals Specialist II, DentaQuest (IOWA)
7 days ago

DentaQuest - Large

Remote from
Iowa (USA)
Full time

Mid-level (2-5 years)

Medicare
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Good Samaritan Society
Supervisor, Utilization Management - Prior Authorization
15 days ago

Good Samaritan Society - XLarge

Remote from
Minnesota (USA), North Dakota (USA), South Dakota (USA)
Full time
Utilization Management
Inpatient Care
Prior Authorization
View Similar Jobs →
Tabula Rasa HealthCare
MD Call Specialist
24 days ago

Tabula Rasa HealthCare - Large

Remote from
Maryland (USA), Ohio (USA)
Full time
Prior Authorization
Medication Dispensation
Drug Education
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VCU Health
Reimbursement Specialist - Ambulatory - Days - Remote
27 days ago

VCU Health - XLarge

Remote from
Virginia (USA)
Full time

Mid-level (2-5 years)

Electronic Prescription (eRx)
Prior Authorization
Cost Benefit Analysis
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AnewHealth
Certified Pharmacy Technician (Operations)
13 days ago

AnewHealth

Remote from
Ohio (USA)
Full time
Pharmacy Experience
View Similar Jobs →
Commonwealth Care Alliance
REMOTE - Registered Nurse (RN) Utilization Reviewer - Massachusetts ONLY - R11560
9 days ago

Commonwealth Care Alliance - Health Care - Large

Remote from
Massachusetts (USA)
Full time

Mid-level (2-5 years)

Care Coordination
Utilization Management
Medical Necessity
View Similar Jobs →
Alta Technology Group
Integration Engineer with API experience
6 days ago

Alta Technology Group - Scaleup

Remote from
Canada
Full time

Mid-level (2-5 years)

Application Programming Interface (API)
Application Programming Interface (API)
Application Programming Interface (API)
View Similar Jobs →
US Tech Solutions
Prior Authorization Coordinator
30+ days ago

US Tech Solutions - Human Resources, Staffing & Recruiting - Large

Remote from
Rhode Island (USA)
Fixed term
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Xponentiate
RCM Specialist - Prior Authorization (Behavioral Health/Psychiatry)
30+ days ago

Xponentiate

Remote from
India
Full time
View Similar Jobs →
The CKHobbie Group
Remote/Hybrid Registered Nurse (RN) – Advocacy & Program Integrity (Hospice Expert)
30+ days ago

The CKHobbie Group

Remote from
Pennsylvania (USA)
Full time
Utilization Management
Nurse Licensure Compact
Hospice Nursing
View Similar Jobs →
WellSense Health Plan
Medical Director
20 days ago

WellSense Health Plan - SME

Remote from
Massachusetts (USA)
Freelance

Expert & Leadership (>10 years)

Utilization Management
Health Policy Development
InterQual Criteria
View Similar Jobs →
US Tech Solutions
Registered Nurse
30+ days ago

US Tech Solutions - Human Resources, Staffing & Recruiting - Large

Remote from
Louisiana (USA)
Fixed term

Mid-level (2-5 years)

Nurse Licensure Compact
View Similar Jobs →
PERSOLKELLY
Administrative Assistant / Entry Level (Remote)
30+ days ago

PERSOLKELLY

Remote from
Oregon (USA)
Part time

Mid-level (2-5 years)

Electronic Referrals
Data Entry
Prior Authorization
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Colorado Urology
Nurse Point of Contact
16 days ago

Colorado Urology

Remote from
Maryland (USA)
Full time

Mid-level (2-5 years)

38 - 38K
Nurse Licensure Compact
Triage
Clinical Assessments
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Healthfirst
Clinical Specialist
7 days ago

Healthfirst - Large

Remote from
Alabama (USA), Arizona (USA), Colorado (USA) +12
Full time
Grievance Arbitration
Drug Utilization Review
Case Management Systems
View Similar Jobs →
Nice Healthcare
RN Care Coordinator - PST Time Zone, Remote
30+ days ago

Nice Healthcare

Remote from
California (USA), Texas (USA)
Full time
80 - 90K
Care Coordination
Case Management Systems
Telehealth
Harmony Biosciences
Field Reimbursement Manager - South Central
30+ days ago

Harmony Biosciences

Remote from
Texas (USA)
Full time

Senior (5-10 years)

38 - 38K
Medical Office Procedures
Reimbursement Regulations
Prior Authorization
View Similar Jobs →
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