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Authorization requests Remote Jobs

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11 fresh jobs found
Authorization Specialist II
Remote-MO, United States Centene Corporation logo Centene Corporation
Healthcare eligibility Authorization processes Guidelines Authorization requests Insurance coverage Researching Adjudication Insurance Knowledge Utilization +19
Entry Mid Full Time
USD 55K+
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Authorization Specialist II
Remote-FL, United States Centene Corporation logo Centene Corporation
Healthcare eligibility Authorization processes Authorization requests Insurance coverage Researching Utilization Insurance Knowledge Adjudication Tracking +18
Entry Mid Full Time
USD 55K+
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Senior Clinical Review RN - Prior Authorization
Remote-CA, United States Centene Corporation logo Centene Corporation
Medicare regulations Service authorization Authorization requests Medical appropriateness Health management systems Clinical reviews Health management Medicaid regulations Clinical Information +24
Senior Mid Full Time
USD 108K+
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Senior Pharmacy Resolution Specialist
Remote-FL, United States Centene Corporation logo Centene Corporation
Pharmacy retail Audit Preparation Authorization requests Pharmacy operations Pharmacy Technician Data gathering Prior authorization Quality Standards Medical management +18
Senior Mid Full Time
USD 64K+
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Pharmacy Resolution Specialist
Remote-TX, United States Centene Corporation logo Centene Corporation
Pharmacy Management Coverage determination Formularies Authorization requests Pharmacy benefits Call center Operations Prior authorization Quality Standards Medical management +18
Entry Full Time
USD 53K+
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Utilization Management Coordinator I
Remote-NJ, United States Centene Corporation logo Centene Corporation
Fraud reporting Performance goals ICD-9 codes Automated Systems Medical Necessity Review Authorization requests Prior authorizations CPT codes ICD-9 +31
Entry Full Time
USD 64K+
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Clinical Review Nurse - Prior Authorization
Remote-NM, United States Centene Corporation logo Centene Corporation
Medicare regulations Service authorization Authorization requests Health management systems Health management Medical appropriateness Medicaid regulations Clinical reviews Utilization +24
Mid Full Time
USD 95K+
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Authorization Specialist II
Remote-CA, United States Centene Corporation logo Centene Corporation
Authorization processes Healthcare eligibility Authorization requests Utilization Insurance coverage Adjudication Prior authorization Medical management Referrals +15
Entry Mid Full Time
USD 55K+
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Authorization Specialist I
Remote-NY, United States Centene Corporation logo Centene Corporation
Authorization processes Healthcare eligibility Utilization Authorization requests Prior authorization Referrals Medical management Health Services Utilization management +13
Entry Full Time
USD 45K+
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Clinical Review Nurse - Prior Authorization
Remote-FL, United States Centene Corporation logo Centene Corporation
Utilization Medicare regulations Cost-effective care Service authorization Health management systems Medicaid regulations Health management Authorization requests Medical appropriateness +26
Mid Full Time
USD 52K+
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Medical Director, Behavioral Health Services - Washington
Remote-WA, United States Centene Corporation logo Centene Corporation
Medical care standards Behavioral health management Authorization evaluation Grievance resolution Behavioral health services Authorization requests Claims review Grievances Evidence-based practice +29
Exec Senior Full Time
USD 210K+
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