Remote Prior Authorization Jobs

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476 jobs
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US Tech Solutions
Pharmacy Tech I
30+ days ago

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

Remote from
United States
Full time
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US Tech Solutions
Clinical Pharmacist Advisor
30+ days ago

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

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

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

Remote from
United States
Full time
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US Tech Solutions
Prior Authorization Licensed Practical Nurse
30+ days ago

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

Remote from
United States
Full time
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Cohere Health
Medical Director, Clinical Informatics
15 days ago

Cohere Health - SME

Remote from
United States
Full time

Expert & Leadership (>10 years)

Model Risk Management
Clinical Informatics
Clinical Terminology Servers
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Arcutis Biotherapeutics, Inc. (Nasdaq: ARQT)
Patient Access Manager - Southwest
30+ days ago

Arcutis Biotherapeutics, Inc. (Nasdaq: ARQT) - Biotech: Biology + Technology - Scaleup

Remote from
United States
Full time

Mid-level (2-5 years)

Pharmacy Benefit Management
Activities Of Daily Living (ADLs)
Prior Authorization
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Ternium Revenue Cycle Management
Client Success Manager
30+ days ago

Ternium Revenue Cycle Management

Remote from
United States
Full time

Senior (5-10 years)

85 - 100K
Stakeholder Communications
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InfuSystem
Infusion Revenue Cycle Support Analyst
30+ days ago

InfuSystem

Remote from
United States
Full time
Account Analysis
Prior Authorization
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The Cigna Group
Sr. Account Executive - Neurology and Rare - Accredo - Remote
30+ days ago

The Cigna Group - Health Care - XLarge

Remote from
United States, Austria
Full time
Outside Sales
Sales Management
Pharmacy Operations
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Cohere Health
Strategic Accounts Director
14 days ago

Cohere Health - SME

Remote from
United States
Full time

Expert & Leadership (>10 years)

Healthcare Strategy
Strategic Management
Medicaid Information Technology Architecture (MITA)
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University of Rochester
Registration&Insur Mgt Rep III
30+ days ago

University of Rochester

Remote from
New York (USA)
Full time
37 - 50K
Account Management
Payment Plan Agreements
Prior Authorization
Cohere Health
Associate Medical Director, Utilization Management Review
30+ days ago

Cohere Health - SME

Remote from
United States
Full time

Junior (1-2 years)

Clinical Data Analysis
Utilization Management
Evidence-Based Practice
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MedStar Health
Health Plan Medical Director Physician - MedStar Family Choice, Maryland - Remote Opportunity
30+ days ago

MedStar Health - XLarge

Remote from
Idaho (USA), Maryland (USA)
Full time
40 - 285K
Primary Care
Utilization Management
Public Health
PsyPhyCare
Medical Virtual Assistant (LATAM – Remote) at PsyPhyCare
30+ days ago

PsyPhyCare - Human Resources, Staffing & Recruiting - SME

Remote from
Latin America
Full time
Medical Billing
Cerner EHR
Medical Abbreviations
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KalVista Pharmaceuticals, Inc.
Regional Access Manager – East
30+ days ago

KalVista Pharmaceuticals, Inc.

Remote from
United States
Full time

Senior (5-10 years)

190 - 235K
Reimbursement Regulations
Pharmacy Operations
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UBC
Sr. Reimbursement Specialist - Patient Access Services Hub
30+ days ago

UBC - Pharmaceuticals - Large

Remote from
United States
Full time
Reimbursement Regulations
Prior Authorization
Patient Education And Counseling
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Partners Health Management
Claims Analyst I (Remote-NC)
30+ days ago

Partners Health Management - SME

Remote from
North Carolina (USA)
Full time

Mid-level (2-5 years)

ICD 503
Adjudication
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Cohere Health
Lead Healthcare Analyst
30+ days ago

Cohere Health - SME

Remote from
United States
Full time
Predictive Modeling
SQL (Programming Language)
Python (Programming Language)
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Coloplast
Career Opportunities: Insurance Verification Specialist (60813)
12 days ago

Coloplast - XLarge

Remote from
United States
Full time
Medical Insurance Claims
Benefits Administration
Prior Authorization
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AQuity Solutions
Product SME – Referral Management and Patient Access
30+ days ago

AQuity Solutions - XLarge

Remote from
United States
Full time
90 - 125K
Electronic Referrals
Patient Education And Counseling
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Cohere Health
Senior Software Engineer
30+ days ago

Cohere Health - SME

Remote from
United States
Full time
Java (Programming Language)
TypeScript
Python (Programming Language)
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Tivity Health, Inc.
Utilization Management (UM) Coordinator - remote opportunity
12 days ago

Tivity Health, Inc. - Health, Sport, Wellness & Fitness - XLarge

Remote from
United States
Full time

Expert & Leadership (>10 years)

Utilization Management
Insurance Reviews
Grievance Arbitration
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Tivity Health, Inc.
Utilization Management (UM) Coordinator - part-time (M-F 1p-5p ET) - remove opportunity
12 days ago

Tivity Health, Inc. - Health, Sport, Wellness & Fitness - XLarge

Remote from
United States
Part time

Expert & Leadership (>10 years)

Utilization Management
Insurance Reviews
Grievance Arbitration
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Vaya Health
IDD UM Clinician (Remote NC)
30+ days ago

Vaya Health - SME

Remote from
North Carolina (USA)
Full time

Mid-level (2-5 years)

19 - 19K
Evaluation Of Care
Utilization Management
Prior Authorization
EPIC Insurance Brokers & Consultants
Pharmacy Benefit Consultant
30+ days ago

EPIC Insurance Brokers & Consultants - Insurance - Large

Remote from
United States
Freelance
110 - 140K
Financial Analysis
Pharmacy Benefit Management
Vendor Contracts
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North American Partners in Anesthesia
Accounts Receivable Representative III (Remote)
30+ days ago

North American Partners in Anesthesia - XLarge

Remote from
United States
Full time
Health Reimbursement Arrangement
CPT Coding
Claims And Litigation Management
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Children's Mercy
Staff Nurse - Developmental and Behavioral Medicine Clinic
30+ days ago

Children's Mercy

Remote from
Kansas (USA), Missouri (USA)
Full time

Senior (5-10 years)

59 - 59K
Telecare
Clinical Documentation
Clinical Assessments
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IQVIA
Bi-lingual Care Manager – Patient Support Call Center -Remote
14 days ago

IQVIA - Health Care - Large

Remote from
United States, Canada, Arizona (USA) +3
Full time
Medical Billing
Prior Authorization
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Hippocratic AI
Customer Success Executive - Payors
18 days ago

Hippocratic AI - Startup

Remote from
United States
Full time

Senior (5-10 years)

Customer Success Management
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Sonya M. Recruiting
JX22004069329 - Pharmacy Technician I - Remote
30+ days ago

Sonya M. Recruiting - Human Resources, Staffing & Recruiting - TPE

Remote from
United States, Arizona (USA)
Freelance

Junior (1-2 years)

42 - 42K
Prior Authorization
Internal Documentation
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Sonya M. Recruiting
JX22004061424 - Licensed Practical Nurse - Remote
30+ days ago

Sonya M. Recruiting - Human Resources, Staffing & Recruiting - TPE

Remote from
United States, Rhode Island (USA)
Freelance

Mid-level (2-5 years)

51 - 51K
Clinical Nursing
Prior Authorization
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Baptist Health System KY & IN
Healthcare Call Center Representative Scheduler
30+ days ago

Baptist Health System KY & IN - XLarge

Remote from
United States, Kentucky (USA)
Full time
Electronic Health Record Applications
Telephony
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UBC
Director, Payer Analyst - Patient Access
30+ days ago

UBC - Pharmaceuticals - Large

Remote from
United States
Full time
Direct Market Access
Health Policy Development
Health Reimbursement Arrangement
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The Cigna Group
Sr. Account Executive, Neurology and Rare - Accredo - Remote
30+ days ago

The Cigna Group - Health Care - XLarge

Remote from
United States, Austria
Full time
Interventional Neurology
Sales Management
Pharmacy Operations
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Brown & Brown Insurance
Care Coordinator
30+ days ago

Brown & Brown Insurance - Insurance - XLarge

Remote from
United States
Full time
Insurance Reviews
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Argenx
Field Reimbursement Manager - South Atlantic East
30+ days ago

Argenx - Biotech: Biology + Technology - Scaleup

Remote from
United States
Full time

Senior (5-10 years)

Pharmacy Benefit Management
Reimbursement Regulations
Prior Authorization
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Avidity Biosciences, Inc.
Associate Director, Hub Services
30+ days ago

Avidity Biosciences, Inc.

Remote from
United States
Full time
Clinical Governance
Care Management
Project Management
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CorroHealth
Coordinator, Utilization Management
23 days ago

CorroHealth - Scaleup

Remote from
United States
Full time

Expert & Leadership (>10 years)

Medical Billing
Utilization Management
Prior Authorization
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BlueSprig
Director of Operational Support
30+ days ago

BlueSprig - Large

Remote from
Florida (USA)
Full time

Senior (5-10 years)

Credential Manager
Prior Authorization
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Shields Health Solutions
Centralized Liaison
1 day ago

Shields Health Solutions - SME

Remote from
Anywhere
Full time

Mid-level (2-5 years)

Medication Therapy Management
Prior Authorization
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Saviance Technologies Pvt. Ltd.
Healthcare - Care Review Processor I
3 days ago

Saviance Technologies Pvt. Ltd. - SME

Remote from
Anywhere
Full time

Junior (1-2 years)

Utilization Management
Managed Care
Prior Authorization
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Winning Assistants LLC
Medical Virtual Assistant
4 days ago

Winning Assistants LLC

Remote from
Anywhere
Full time

Entry-level / graduate

eClinicalWorks (ECW)
Prior Authorization
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Veracyte, Inc.
Sr. Manager, Reimbursement Operations & Optimization
4 days ago

Veracyte, Inc.

Remote from
Anywhere
Full time

Senior (5-10 years)

145 - 145K
Revenue Management
Health Reimbursement Arrangement
Adjudication
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Blackbird Health
Registered Nurse
17 days ago

Blackbird Health

Remote from
Anywhere
Full time

Mid-level (2-5 years)

70 - 70K
Medication Therapy Management
Nurse Registry
Crisis Management
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Veracyte, Inc.
Reimbursement Specialist (PST Time Zone)
12 days ago

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

Remote from
Anywhere
Full time

Mid-level (2-5 years)

57 - 57K
Medical Billing
Revenue Management
Claims And Litigation Management
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Heartbeat Health
Bilingual (Spanish) Clinical Services Coordinator (PST)
6 days ago

Heartbeat Health - Healthtech: Health + Technology - Startup

Remote from
Anywhere
Full time

Expert & Leadership (>10 years)

Communicating With Patients
Patient Education And Counseling
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Winning Assistants LLC
Medical Virtual Assistant / Front Desk Receptionist (Counseling Center)
7 days ago

Winning Assistants LLC

Remote from
Anywhere
Full time

Entry-level / graduate

MEDITECH EHR
Outbound Calls
AthenaClinicals EHR
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Synapticure
Certified Medical Assistant
30+ days ago

Synapticure - Startup

Remote from
Kansas (USA)
Full time
96 - 96K
Medical Record Management
Prior Authorization
Electronic Health Record Applications
Infinx
Prior Authorization Specialist
14 days ago

Infinx

Remote from
Anywhere
Full time

Senior (5-10 years)

Cerner EHR
Prior Authorization
Medical Abbreviations
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Saviance Technologies Pvt. Ltd.
Care Review Clinician I
17 days ago

Saviance Technologies Pvt. Ltd. - SME

Remote from
Anywhere
Full time

Junior (1-2 years)

InterQual Criteria
Utilization Management
Prior Authorization
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