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Explore 132 Remote Prior Authorization Jobs

MRIoA logo

Appeals Pharmacist - Remote

MRIoA

5 days ago

The Appeals Pharmacist ensures accurate review of medication prior authorization appeals while providing excellent customer service and collaborating with medical professionals.

Worldwide
Full-time
All others

C.R

Clinical Prior Authorization Technician - Remote

Capital Rx

5 days ago

The Clinical Prior Authorization Technician is responsible for processing prior authorization requests and ensuring compliance with clinical guidelines in a remote setting.

Worldwide
Full-time
Customer Service
$50,000 - $60,000 USD
OSH-RI logo

Manager of Prior Authorization - Aetna Medicaid Texas - RN - Remote

OSH-RI

6 days ago

The Manager of Prior Authorization is responsible for overseeing the operations of the prior authorization team in a fully remote setting.

USA
Full-time
Healthcare
$87,035.00 - $187,460.00/year
SmarterDx logo

Prior Authorization Specialist - Remote

SmarterDx

6 days ago

Join SmarterDx as a Prior Authorization Specialist to leverage your clinical expertise in a remote role focused on optimizing healthcare technology.

USA
Full-time
All others
$115000 - $140000/year
Humata Health logo

Intake Solutions Specialist - Remote

Humata Health

1 week ago

Join Humata Health as an Intake Solutions Specialist to process prior authorization requests and provide exceptional customer service in a remote role.

USA
Full-time
Customer Service
Humata Health logo

Provider Strategy Lead - Remote

Humata Health

1 week ago

Seeking a Provider Strategy Lead to enhance provider engagement and transform prior authorization through AI.

USA
Full-time
Sales / Business

C.

Utilization Management Administration Coordinator - Phone Intake - Remote

CDO 1

1 week ago

Join a caring community as a Utilization Management Administration Coordinator, providing essential support to healthcare providers.

USA
Full-time
Customer Service
$40,000 - $52,300/year

B.L.H

Senior Specialty Benefits Navigator - Remote

Big Leap Health

1 week ago

Join Big Leap Health as a Senior Specialty Benefits Navigator to ensure patient access to vital mental health treatments.

USA
Full-time
All others
$63,000 - $80,000/year

S.H.S

Patient Support Advocate - MA Pharmacy License - Remote

Shields Health Solutions

2 weeks ago

The Patient Support Advocate assists patients in overcoming medication access barriers and navigating pharmacy systems.

Worldwide
Full-time
Customer Service
Mercor logo

Pharmacy Technician - AI Lab - Remote

Mercor

2 weeks ago

Join an AI Lab as a Pharmacy Technician to enhance pharmacy workflows and patient outcomes through data-driven innovation.

USA
Full-time
All others
SmithRx logo

Clinical Review Quality Assurance Pharmacist - Remote

SmithRx

2 weeks ago

SmithRx is seeking a Clinical Review Quality Assurance Pharmacist to enhance the quality of prior authorization reviews and ensure compliance with regulatory standards.

Worldwide
Full-time
All others
Centene Management Company logo

Lead Intake and Insurance Verification Coordinator - Remote

Centene Management Company

2 weeks ago

The Lead Intake and Insurance Verification Coordinator is responsible for managing insurance verification and patient resources to ensure timely processing of referrals and orders.

USA
Full-time
Customer Service
19.04 - 32.35 USD/hour

Pharmacy

Remote Prior Authorization Pharmacist

Pharmacy

4 weeks ago

Join a confidential managed care organization as a Remote Prior Authorization Pharmacist, working from home to evaluate prescription requests and improve patient access to therapies.

Worldwide
Full-time
All others

Highmark

Pharmacist - Utilization Management (UM) - Remote

Highmark

5 weeks ago

The Pharmacist in Utilization Management reviews medication coverage requests and makes determinations based on clinical and policy criteria.

USA
Full-time
All others
$67,500 - $126,000/year
Humata Health logo

Utilization Management Registered Nurse - Payer Operations - Remote

Humata Health

6 weeks ago

Join Humata Health as a Clinical Nurse to enhance AI-driven healthcare solutions in a remote role.

USA
Full-time
All others