Remote Prior Authorization Jobs

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WellSense Health Plan
Prior Authorization Medical Clinician
18 days ago

WellSense Health Plan - SME

Remote from
Massachusetts (USA)
Full time
InterQual Criteria
Utilization Management
Prior Authorization
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McKesson Canada
VP, Revenue Cycle Management
30+ days ago

McKesson Canada - XLarge

Remote from
United States, Austria, Texas (USA)
Full time
104 - 173K
Revenue Management
Health Reimbursement Arrangement
Regulatory Compliance
COPE Health Solutions
Utilization Manager, Registered Nurse
30+ days ago

COPE Health Solutions - SME

Remote from
United States
Full time
90 - 110K
Care Coordination
Utilization Management
Prior Authorization
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Inizio Engage
Virtual Access and Reimbursement Manager
30+ days ago

Inizio Engage - Scaleup

Remote from
District of Columbia (USA), Indiana (USA), Massachusetts (USA) +3
Full time

Mid-level (2-5 years)

Reimbursement Regulations
Prior Authorization
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MedImpact Healthcare Systems, Inc.
Formulary Admin Specialist I
4 days ago

MedImpact Healthcare Systems, Inc. - Pharmaceuticals - Large

Remote from
United States, Canada, California (USA)
Full time

Junior (1-2 years)

19 - 19K
Prior Authorization
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The Clinic by Cleveland Clinic
Oncology and Infusion Stewardship Clinical Coordinator
11 days ago

The Clinic by Cleveland Clinic

Remote from
United States
Full time

Expert & Leadership (>10 years)

Medical Devices
Oracle Billing and Revenue Management (BRM)
Clinical Pharmacy
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McKesson
VP, Revenue Cycle Management
30+ days ago

McKesson - XLarge

Remote from
United States, Austria, Texas (USA)
Full time
104 - 173K
Revenue Management
Health Reimbursement Arrangement
Compliance Management
Revolution Medicines
Regional Nurse Case Manager (East)
8 days ago

Revolution Medicines - Biotech: Biology + Technology - Scaleup

Remote from
United States
Full time

Senior (5-10 years)

189 - 189K
Case Management Systems
Medical Sales
Health Reimbursement Arrangement
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US Tech Solutions
Pharmacist – Prior Authorization
30+ days ago

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

Remote from
Rhode Island (USA)
Fixed term

Junior (1-2 years)

Medicare Part D
Prior Authorization
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LIBERTY Dental Plan
Manager UM Compliance and Audit
7 days ago

LIBERTY Dental Plan - Insurance - Large

Remote from
United States, Canada, California (USA)
Full time

Senior (5-10 years)

Utilization Management
Regulatory Compliance
Auditing
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Centene Corporation
Chief Medical Officer, Behavioral Health
30+ days ago

Centene Corporation - XLarge

Remote from
United States, Canada, California (USA) +4
Full time

Senior (5-10 years)

271 - 515K
Utilization Management
Public Health
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Revolution Medicines
Regional Nurse Case Manager (West)
8 days ago

Revolution Medicines - Biotech: Biology + Technology - Scaleup

Remote from
United States
Full time

Senior (5-10 years)

189 - 189K
Case Management Systems
Medical Sales
Prior Authorization
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Aledade, Inc.
Senior Director of Product Management (Interoperability), Remote
6 days ago

Aledade, Inc. - Health Care - Scaleup

Remote from
United States
Full time

Senior (5-10 years)

Hl7 V2
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Fuze Health
Patient Experience Coordinator - FuzeRx
15 days ago

Fuze Health

Remote from
United States
Full time

Expert & Leadership (>10 years)

Medical Billing
Adjudication
Prior Authorization
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Prime Therapeutics
Clinical Pharmacy Technician Sr - Remote
4 days ago

Prime Therapeutics - Insurance - Large

Remote from
United States
Full time

Senior (5-10 years)

Prior Authorization
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Logan Health
Utilization Management Specialist
12 days ago

Logan Health - Large

Remote from
United States
Full time

Senior (5-10 years)

Utilization Management
Inpatient Care
Medical Necessity
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Cohere Health
Account Manager, Delivery Solutions
7 days ago

Cohere Health - SME

Remote from
United States
Full time

Mid-level (2-5 years)

Provider Model
Account Management
Prior Authorization
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US Tech Solutions
Pharmacy Technician
30+ days ago

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

Remote from
Rhode Island (USA)
Full time
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UST HealthProof
Healthcare Business Systems Analyst
28 days ago

UST HealthProof - SME

Remote from
United States
Full time

Expert & Leadership (>10 years)

80 - 100K
Health Reimbursement Arrangement
Business Analysis
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Guidehouse
Healthcare Technology Consulting - Senior Consultant - Epic Revenue Cycle
14 days ago

Guidehouse - Professional Services - Large

Remote from
United States
Freelance

Senior (5-10 years)

Medical Billing
Epic ADT
Epic ADT
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US Tech Solutions
Call center Pharmacist
30+ days ago

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

Remote from
Rhode Island (USA)
Fixed term
Prior Authorization
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Duke University
Career Opportunities: Certified Medical Assistant - Adult Hematology (266563)
21 days ago

Duke University - Education - XLarge

Remote from
North Carolina (USA)
Full time

Junior (1-2 years)

Life Support
Prior Authorization
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Midi Health
Practice Assistant
17 days ago

Midi Health - Healthtech: Health + Technology - Startup

Remote from
United States
Full time
Electronic Referrals
Telehealth
Medical Record Management
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Telapsychiatry
Texas Online Psychiatrist
30+ days ago

Telapsychiatry

Remote from
Texas (USA)
Full time
Psychiatry
Basic Patient Care
Telepsychiatry
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Weil Foot & Ankle
Revenue Cycle Manager - Podiatry
30+ days ago

Weil Foot & Ankle

Remote from
Texas (USA)
Full time

Senior (5-10 years)

Medical Billing
Coding Theory
Revenue Management
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US Tech Solutions
Pharmacist - Prior Authorizations
30+ days ago

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

Remote from
North Carolina (USA)
Fixed term
Managed Care
Pharmacy Benefit Management
Medicare
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US Tech Solutions
Licensed Vocational Nurse
30+ days ago

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

Remote from
Georgia (USA)
Fixed term

Mid-level (2-5 years)

Utilization Management
Prior Authorization
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The CGC Group
Grievance & Appeals Specialist
30+ days ago

The CGC Group

Remote from
United States
Fixed term
Utilization Management
Grievance Arbitration
Medical Necessity
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Cala Health
Insurance Verification and Appeals Specialist
6 days ago

Cala Health

Remote from
United States
Full time

Mid-level (2-5 years)

Medicare
Medicare Advantage
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Acentra Health
Clinical Reviewer - (SCA - Remote)
19 days ago

Acentra Health - Large

Remote from
United States
Full time

Mid-level (2-5 years)

54 - 67K
Nurse Licensure Compact
Medical Record Management
Prior Authorization
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Cohere Health
RN Reviewer
30+ days ago

Cohere Health - SME

Remote from
United States
Full time

Mid-level (2-5 years)

Clinical Assessments
Utilization Management
Nurse Licensure Compact
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NES Associates, LLC
Healthcare Claims Examiner (RN Required)
22 days ago

NES Associates, LLC

Remote from
United States
Full time

Mid-level (2-5 years)

Medical Record Management
Evaluation Of Care
Prior Authorization
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Natera
Senior Billing Strategy Analyst
4 days ago

Natera - Biotech: Biology + Technology - Large

Remote from
United States
Full time

Senior (5-10 years)

139 - 139K
Medical Billing
SQL (Programming Language)
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US Tech Solutions
Licensed Practical Nurse – Prior Authorization
30+ days ago

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

Remote from
Rhode Island (USA)
Fixed term
Prior Authorization
View Similar Jobs →
LIBERTY Dental Plan
Manager UM Compliance and Audit
7 days ago

LIBERTY Dental Plan

Remote from
United States, Canada, California (USA)
Full time

Senior (5-10 years)

Utilization Management
Auditing
View Similar Jobs →
Glaukos Corporation
Reimbursement Liaison
30+ days ago

Glaukos Corporation - Medical Device - SME

Remote from
United States
Full time
Billing
Health Education
Activities Of Daily Living (ADLs)
View Similar Jobs →
Acentra Health
Clinical Reviewer - SCA (Remote - RN/LPN)
15 days ago

Acentra Health - Large

Remote from
United States
Full time

Mid-level (2-5 years)

54 - 63K
Clinical Informatics
Medical Record Management
Prior Authorization
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Cohere Health
Lead Solutions Architect
27 days ago

Cohere Health - SME

Remote from
United States
Full time
Solution Architecture
Prior Authorization
Fast Healthcare Interoperability Resources (FHIR)
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DrFirst, Inc.
Senior Integration Engineer
30+ days ago

DrFirst, Inc.

Remote from
United States
Full time
130 - 150K
Hl7 V2
Prior Authorization
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Cohere Health
Clinical Training & Quality Specialist
11 days ago

Cohere Health - SME

Remote from
United States
Full time
Nurse Licensure Compact
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Ardelyx, Inc.
Director, Field Access and Reimbursement - West
19 days ago

Ardelyx, Inc. - Biotech: Biology + Technology - SME

Remote from
United States
Full time

Expert & Leadership (>10 years)

Direct Market Access
Reimbursement Regulations
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Assist World
Medical Billing & Revenue Cycle Specialist (Mental Health Clinic)
14 days ago

Assist World - Information Technology & Services

Remote from
Africa, Philippines
Full time

Mid-level (2-5 years)

Medical Billing
Revenue Management
Claims And Litigation Management
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US Tech Solutions
Client Services Specialist II
30+ days ago

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

Remote from
Florida (USA), Texas (USA)
Fixed term

Mid-level (2-5 years)

Clinical Medicine
Prior Authorization
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CareMetx, LLC
Reimbursement Case Manager
Today

CareMetx, LLC - Hrtech: Human Resources + Technology - SME

New
Remote from
Anywhere
Full time

Mid-level (2-5 years)

19 - 19K
Care Management
Patient Registration
Prior Authorization
View Similar Jobs →
US Tech Solutions
Pharmacist - Clinical Pharmacist Advisor Medicare
30+ days ago

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

Remote from
Rhode Island (USA)
Fixed term

Mid-level (2-5 years)

Pharmacy Benefit Management
Medicare Part D
Managed Care
View Similar Jobs →
Boston Medical Center (BMC)
Pre-Service Center Verification Specialist
19 days ago

Boston Medical Center (BMC) - Health Care - Large

Remote from
United States
Full time

Mid-level (2-5 years)

Patient Registration
Prior Authorization
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Xponentiate
RCM Specialist - Prior Authorization (Behavioral Health/Psychiatry)
30+ days ago

Xponentiate

Remote from
United States
Full time
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US Tech Solutions
Registered Nurse
30+ days ago

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

Remote from
Kansas (USA)
Fixed term

Mid-level (2-5 years)

Utilization Management
Managed Care
Prior Authorization
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Twin Health
Telehealth Physician
17 days ago

Twin Health - Scaleup

Remote from
United States
Full time

Mid-level (2-5 years)

Medication Therapy Management
Family Medicine
Telehealth
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Midi Health
Senior Director, Asynchronous Care
8 days ago

Midi Health - Healthtech: Health + Technology - Startup

Remote from
United States
Full time

Senior (5-10 years)

Organizational Leadership
Capacity Planning
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