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47 fresh jobs found

Patient Access Consultant
USA - PA - Remote, United States

AmerisourceBergen

Claims assistance Health care billing Training and Support Pharmacy operations Benefit Verification Medical claims Billing and Coding Appeals Computer Sciences +37

Senior Mid Full Time

USD 50K+

Patient Access Liaison - UPLIZNA - Great Lakes (Rare Disease)
US - Michigan - Detroit-Field/Remote, United States

Financial Support Co-pay assistance Compliance Guidelines Healthcare Education Access and Reimbursement Pharmaceutical products Patient services Empower Medical Information +34

USD 170K+

Patient Access Specialist
USA - NC - Remote, United States

AmerisourceBergen

Benefits Verification Benefit Verification Billing and Coding Patient assistance Appeals Patient services Prior authorization Medical Billing Healthcare industry +29

USD 42K+

Patient Access Liaison, TEPEZZA, Toms River, NJ (Rare Disease)
US - New Jersey - Newark -Field/Remote

Financial Support Co-pay assistance Compliance Guidelines Pharmaceutical products Access and Reimbursement Patient services Empower Medical Information Prior authorization +32

USD 170K+

Patient Access Liaison - KRYSTEXXA - Minneapolis, MN (Rare Disease)
US - Minnesota - Minneapolis -Field/Remote, United States

Financial Support Co-pay assistance Compliance Guidelines Access and Reimbursement Pharmaceutical products Healthcare Access Patient services Empower Medical Information +36

USD 170K+

Clinical Reviewer - RN (Remote U.S.)
United States - Remote

URAC Strong organizational Urac standards Data Abstraction Medical record abstracting Web navigation Ncqa standards NCQA Medical Record Review +33

USD 44K+

LPN - Prior Authorization
Work At Home-Texas

Digital charting Medical Services Pharmacy benefits Pharmacist Navigating multiple systems Keyboarding Phone LVN Clinical Criteria +28

USD 44K+

Senior Analyst - Product Management - Work From Home
Work At Home-Arizona

Rally Deadline management Clinical Management Fast-paced Environment Task Management Prior authorization Utilization management Health care Business Analysis +17

Senior Full Time

USD 46K+

UM Administrative Coordinator
Remote US

ICD-10 codes ICD Home Health Electronic Medical Records Utilization Review ICD-10 NLP Prior authorization Authorization +41

Entry Mid Full Time

USD 37K+

Senior Healthcare Analyst, Actuarial
United States

Cohere Health Remote-first

Cost-Savings Analysis SDOH data Claims Data Athena Data Analysis Tools Healthcare Analytics Clinical Intelligence Model Development Prior authorization +37

Senior Full Time

USD 100K+

Patient Access Specialist
USA - NC - Remote

AmerisourceBergen

Benefits Verification Benefit Verification Billing and Coding Appeals Patient assistance Medical Billing Prior authorization Microsoft Outlook Healthcare industry +28

USD 42K+

Field Reimbursement Manager - South Central, USA (TX, OK, LA, MO, AR, MS)
Field Non-Sales (USA) (Sandoz)

Payer Appeals Healthcare provider education Patient Support Services Patient journey Commercial Excellence Specialty Pharmacy Patient services Ethics Patient Support Programs +38

USD 144K+

Patient Access Liaison - TEPEZZA - St. Louis, Missouri (Rare Disease)
US - Missouri - Kansas City -Field/Remote

Financial Support Co-pay assistance Access and Reimbursement Pharmaceutical products Compliance Guidelines Medical Information Empower Patient services Prior authorization +27

USD 170K+

Clinical Reviewer-Immediate Advocacy Discharge Assistance, RN (Remote)
United States - Remote

Medical record abstracting Action plans Internet navigation Disease Processes Medical Record Review Healthcare Delivery Discharge planning Medical Records Utilization Review +27

USD 44K+

Customer Service Representative - Linthicum, MD
Work At Home-Maryland

High-Speed Internet Prior authorization Call Center Health care Medicaid Medicare Insurance Technical Customer service +4

Entry Mid Full Time

USD 34K+

Utilization Management Nurse Consultant- Specialty Medications
Work At Home-Arizona

Clinical documentation systems Clinical Judgement Clinical call center Benefit utilization Phone Benefit management Clinical Criteria Clinical Documentation Prior authorization +17

Senior Mid Full Time

USD 52K+

Utilization Review Nurse - Remote (Select States)
Sentara Health Plans Community Care

Retrospective review Inpatient review Concurrent review Milliman NCQA InterQual Accreditation RN licensure Acute care +20

USD 77K+

Field Reimbursement Manager - Nashville, TN
USA - TN - Remote

Provider networks Specialty drug reimbursement Co-pay assistance Government payment systems Outcomes Access and Reimbursement Business Communication Relationship Specialty Pharmacy +19

Senior Full Time

USD 131K+

Field Reimbursement Specialist
USA - TX - Remote

AmerisourceBergen

Coverage management Reimbursement activities Financial assistance Buy and bill Reimbursement support Payer policies Pharmacy processes Pharmacy benefits Billing and Coding +48

USD 86K+

Clinical Pharmacist - Medicaid Prior Authorization (NC or MA Licensed)
Work At Home-Massachusetts

Pharmacy experience Clinical pharmacy Phone Clinical Guidelines Clinical resources Clinical Criteria Specialty Pharmacy Insurance Verification Call Center Experience +23

USD 68K+

Patient Services Representative
USA - NC - Remote

AmerisourceBergen

Benefits Verification Billing and Coding Patient assistance Strong interpersonal Patient services Prior authorization Medical Billing Microsoft Outlook Healthcare industry +27

USD 37K+

Senior Manager, Reimbursement Operations
Remote (WFH)

Adaptive Biotechnologies

Reimbursement operations Workflow enhancement Client billing Account outreach Post-claim follow-up Insurance eligibility Clinical services Medical Billing ICD-10 +19

Senior Full Time

USD 127K+

Clinical Reviewer-Immediate Advocacy (RN/LCSW)-Remote
United States - Remote

Medical record organization Web navigation Healthcare Technologies Disease Processes Rehabilitation Discharge planning Utilization Review Medical Records Clinical assessment +24

USD 44K+

Benefits Verification Specialist
USA - NC - Remote

AmerisourceBergen

Insurance benefits Benefits Verification Pharmacy benefits Benefit Verification Billing and Coding Appeals Strong interpersonal Medical Billing Prior authorization +30

Entry Mid Full Time

USD 32K+

Patient Access Specialist
USA - SC - Remote

AmerisourceBergen

Benefits Verification Benefit Verification Billing and Coding Patient assistance Appeals Medical Billing Prior authorization Patient Access Microsoft Outlook +29

USD 42K+

Manager, Pharmacy Policy
Remote

Pharmacy Policy Quality care Clinical Policy Clinical evidence MCG Medical Writing Technology Platform Prior authorization Quality improvement +23

USD 131K+

Field Reimbursement Specialist- Multiple roles and locations!
USA - PA - Remote

AmerisourceBergen

Coverage management Specialty drugs Field engagement Buy and bill Reimbursement support Pharmacy benefits Patient assistance Health policy Appeals +26

USD 86K+

Utilization Management Nurse Consultant
Work At Home-Nevada

Concurrent review Clinical Judgement Clinical call center Benefit utilization Benefit management Long Term Care Clinical Criteria Home Health Acute care +20

USD 58K+

UM Nurse Consultant - Prior Authorization
Work At Home-Ohio

Benefit utilization Coverage determination Benefit management Navigating multiple systems Medical necessity Clinical Criteria Keyboarding RN licensure Discharge planning +27

USD 52K+

Care Manager – Patient Access Support Call Center - Remote
Durham, North Carolina, United States of America

Telephony platform Benefit Investigation Insurance Verification Patient services Telephony Medical Billing Analytic Prior authorization Quality improvement +27

USD 44K+

Care Manager – Patient Access Support Call Center - - -Remote
Northborough, Massachusetts, United States of America

Telephony platform Benefit Investigation Insurance Verification Patient services Telephony Medical Billing Analytic Prior authorization Quality improvement +27

USD 46K+

UM Administration Coordinator (Kentucky Medicaid)
Work at Home - Kentucky

ICD-10 codes ICD Electronic Medical Records Utilization Review ICD-10 Prior authorization Authorization Utilization management Travel +41

USD 37K+

UM Administration Coordinator
Remote US

ICD-10 codes ICD Electronic Medical Records Utilization Review ICD-10 Prior authorization Authorization Utilization management Clinical support +41

Entry Mid Full Time

USD 37K+

Senior Data Scientist
Remote

Cohere Health Remote-first

EMR data SDOH data Optimization methods Clinical programs Amazon AWS Spark SQL Cloud platform Clinical Intelligence Kibana +28

Senior Full Time

USD 120K+

Field Reimbursement Manager, Allergy-ENT - San Francisco
Remote, US

Financial assistance Appeals Prior authorization Issue Resolution Biologics Customer focus Patient Support Patient Access Rare diseases +16

USD 122K+

Patient Access Consultant
USA - PA - Remote

AmerisourceBergen

Reimbursement activities Copay assistance Claim Submission Training and Support Benefit Verification Patient assistance Pharmacy operations Billing and Coding Computer Sciences +37

Senior Mid Full Time

USD 50K+

Patient Access Specialist (remote)
USA - PA - Remote

AmerisourceBergen

Benefits Verification Benefit Verification Patient assistance Billing and Coding Appeals Medical Billing Prior authorization Patient Access Healthcare industry +27

USD 42K+

Clinical Training and Quality Specialist
United States

Cohere Health Remote-first

Adult Learning Theory Clinical Intelligence RN licensure Clinical Training Performance Reporting Prior authorization Utilization management Quality improvement RN +10

Senior Mid Full Time

USD 70K+

Director, Data Product Development
Remote

Cohere Health Remote-first

Data marts SNOMED Clinical Intelligence Data Lakes Dashboarding AI solutions CPT Prior authorization Healthcare Data +33

Exec Senior Full Time

USD 170K+

UM Nurse Consultant-Reconsideration
Work At Home-Arizona

Clinical call center Clinical Judgement Benefit utilization Benefit management Long Term Care Clinical Criteria Home Health Acute care Call Center Experience +19

USD 52K+

Business Development Representative
United States

Cohere Health Remote-first

Sales Engagement Social Media Outreach Clinical Intelligence Email Campaigns Prior authorization Utilization management Healthcare Technology Clinical expertise Cold Calling +16

Entry Mid Full Time

USD 75K+

Sr/Care Manager, Patient Support Services – Remote
Northborough, Massachusetts, United States of America

Soft phone systems Shoretel Mitel Benefit Investigation Patient Support Services WebEx Insurance Verification Medical Billing Analytic +29

Entry Mid Full Time

USD 44K+

Utilization Management Nurse Consultant
Work At Home-Arizona

Evidence-based clinical criteria Clinical documentation systems Clinical call center Clinical Practice Guidelines Clinical Judgement Phone Long Term Care Navigating multiple systems Clinical Criteria +22

USD 52K+

Surgery Authorization Specialist (Full Remote Eligible if Reside in Denver-metro area)
US Lone Tree

Surgical authorization Insurance eligibility Benefit Verification CPT-4 Healthcare Billing ICD-10 Prior authorization Health Insurance Healthcare +2

USD 53K+

Clinical Case Manager Behavioral Health DSNP
Work At Home - Utah

Behavioral health consultation Provider coordination Clinical Case Management Community Resource Coordination Appeals Care Planning Clinical Practice Utilization Review Crisis Intervention +23

USD 54K+

Patient Access Specialist
USA - NC - Remote

AmerisourceBergen

Benefits Verification Benefit Verification Patient assistance Billing and Coding Appeals Medical Billing Prior authorization Patient Access Healthcare industry +26

USD 42K+

Care Manager - (Home-Based)
Northborough, Massachusetts, United States of America

Shoretel Soft phone systems Mitel Benefit Investigation Patient Support Services WebEx Insurance Verification Medical Billing Analytic +25

Entry Mid Full Time

USD 44K+

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