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Prior authorization Remote Jobs

136 fresh jobs found

Patient Access Liaison, TEPEZZA, Tallahassee, FL
US - Florida - Jacksonville - Field/Remote, United States

Co-pay assistance Financial Support Compliance Guidelines Healthcare Education Empower Pharmaceutical products Medical Information Access and Reimbursement Patient services +35

USD 170K+

Medical Value Access Liaison - Midwest Territory
US - Texas - Houston - Field/Remote, United States

Medical presentations Metabolic Clinical Policy Value evidence Pharmacoeconomics Observational Research Evidence-based medicine Healthcare Trends Therapeutic Area Expertise +45

USD 158K+

Pharmacy Technician II
Remote-TX, United States

Centene Corporation

Medication Preparation Pharmacy Technician Accreditation Medical management Health Services Prior authorization Pharmacy Supervision Inventory Management +9

USD 38K+

Field Reimbursement Specialist
USA - MA - Remote, United States

AmerisourceBergen

Specialty distribution Buy and bill Coverage management Educational presentations Pharmacy benefits Reimbursement support Patient assistance Health policy Liaison +25

USD 86K+

Patient Access Liaison - TEPEZZA - Chicago, Illinois (Rare Disease)
US - Illinois - Chicago - Field/Remote, United States

Co-pay assistance Financial Support Compliance Guidelines Empower Pharmaceutical products Medical Information Access and Reimbursement Patient services FDA +29

USD 170K+

Authorization Specialist III
Remote-NC, United States

Centene Corporation

Referral authorization Authorization process Authorization processes Healthcare eligibility Authorization requests Insurance coverage Clinical Review Medical management Referrals +16

Senior Mid Full Time

USD 68K+

Authorization Specialist II
Remote-IL, United States

Centene Corporation

Authorization processes Healthcare eligibility Authorization requests Insurance coverage Medical management Referrals Health Services Procedures Prior authorization +11

Entry Mid Full Time

USD 55K+

Authorization Specialist III
Remote-TX, United States

Centene Corporation

Authorization process Member eligibility Referral authorization Authorization processes Healthcare eligibility Authorization requests Healthcare Policies Insurance coverage Clinical Review +17

Senior Mid Full Time

USD 68K+

Cognos Framework Manager - Remote
Home, United States

Prime Therapeutics

Dimensional Modeling Teradata Cognos Report development Pharmacy benefit management Database design Dashboard Creation Technical Guidance SAS +28

USD 94K+

UM Administrative Coordinator- Medicare- WAH
Remote US, United States

Computations Rehab ICD-10 codes Clinical Leadership ICD Calendar Management Electronic Medical Records Consumer Experiences Utilization Review +51

USD 40K+

Utilization Management Nurse Consultant
Work At Home-Missouri, United States

Um certification Med Compass CM/UM certification IT platforms Med/surg Coverage determination Benefit utilization Benefit management RN licensure +23

Entry Mid Full Time

USD 52K+

Clinical Pharmacy Technician/Call Center exp required-REMOTE
Home, United States

Prime Therapeutics

Pharmacy Benefit Coverage Team training Clinical pharmacy Medication management Prior authorization Call Center Best Practices Mentoring Benefits +3

Senior Mid Full Time

USD 38K+

ABMS Board Certified Medical Director - Pharmacy
United States

Navitus Health Solutions, LLC

Health Services Outcome Research Clinical program development Grievance and appeals Clinical Strategy Medical Director Provider engagement Pharmacy benefit management Clinical Leadership Prior authorization +5

Exec Senior Full Time

USD 201K+

Utilization Management Nurse (Gulf South Region)
Work at Home - Louisiana, United States

Milliman Interpreting Criteria Health Plan Experience MCG Clinical Nursing Medical Services Acute care Consumer Experiences Discharge planning +46

USD 71K+

VP, PHCO Utilization Management Medicaid & Marketplace
Remote-MO, United States

Centene Corporation

NCQA Ncqa standards Clinical Training Financial Forecasting Provider Relations Acute care Utilization Review Medical management Training Programs +21

USD 182K+

Field Reimbursement Specialist - Detroit, MI
US - Michigan - Detroit-Field/Remote, United States

Collaborative territory strategic plan Insurance forms Formulary coverage Financial assistance programs Patient health information Benefits investigation Payer prior authorization Reimbursement process Reimbursement issue resolution +48

USD 155K+

Field Reimbursement Specialist - Houston, TX
US - Texas - Houston - Field/Remote, United States

Collaborative territory strategic plan Insurance forms Formulary coverage Financial assistance programs Benefits investigation Reimbursement process Patient health information Payer prior authorization Reimbursement issue resolution +51

USD 155K+

Business Intelligence Developer - Remote
Home, United States

Prime Therapeutics

Dimensional Modeling Report development Metadata Management Pharmacy benefit management Dashboard Creation Database design Process design Prior authorization SAS +23

USD 74K+

Field Reimbursement Specialist - Chicago, IL
US - Illinois - Chicago - Field/Remote, United States

Insurance forms Financial assistance programs Collaborative territory strategic plan Formulary coverage Reimbursement process Payer prior authorization Patient health information Benefits investigation Reimbursement issue resolution +50

USD 155K+

UM Administration Coordinator (Gulf South Region)
Remote US, United States

Computations ICD-10 codes ICD Electronic Medical Records Consumer Experiences Utilization Review ICD-10 Authorization Prior authorization +45

Entry Mid Full Time

USD 40K+

Field Reimbursement Specialist - Boston, MA
US - Massachusetts - Boston -Field/Remote, United States

Collaborative territory strategic plan Insurance forms Formulary coverage Financial assistance programs Patient health information Benefits investigation Payer prior authorization Reimbursement process Reimbursement issue resolution +48

USD 155K+

Field Reimbursement Specialist - Birmingham, AL
US - Alabama - Montgomery - Field/Remote, United States

Reimbursement process Financial assistance programs Payer prior authorization Formulary coverage Benefits investigation Patient health information Reimbursement issue resolution Patient Support Programs Claims resolution +45

USD 155K+

Field Reimbursement Specialist - Richmond, VA
US - Virginia - Virginia Beach - Field/Remote, United States

Reimbursement process Financial assistance programs Payer prior authorization Formulary coverage Benefits investigation Patient health information Reimbursement issue resolution Patient Support Programs Claims resolution +45

USD 155K+

UM Nurse Consultant
Work At Home-Ohio, United States

Um certification Cm certification CM/UM certification Benefit utilization Coverage determination RN licensure Benefit management Clinical Criteria Clinical Judgment +16

USD 52K+

Pharmacy Technician
Remote-CA, United States

Centene Corporation

Pharmacy audit Formulary management Medicare part d Pharmacy operations Prior authorizations Pharmacy Technician Appeals Medical management Prior authorization +12

Entry Mid Full Time

USD 64K+

Clinical Pharmacist
Remote-WA, United States

Centene Corporation

Formularies Pharmacy policies Authorization requests Clinical programs Clinical pharmacy Clinical Criteria Medical management Performance Improvement Prior authorization +13

Entry Mid Full Time

USD 105K+

Field Reimbursement Specialist - Washington, DC
US - Washington D.C. - Field/Remote, United States

Financial assistance programs Formulary coverage Reimbursement process Payer prior authorization Patient health information Benefits investigation Reimbursement issue resolution Patient Support Programs Claims resolution +46

USD 155K+

VP, PHCO Utilization Management - Medicare & Duals
Remote-FL, United States

Centene Corporation

NCQA Ncqa standards Clinical Training Financial Forecasting Provider Relations Acute care Utilization Review Medical management Training Programs +21

Exec Senior Full Time

USD 182K+

Field Reimbursement Specialist - Phoenix, AZ
US - Arizona - Phoenix - Field/Remote, United States

Patient health information Payer prior authorization Financial assistance programs Reimbursement process Formulary coverage Benefits investigation Reimbursement issue resolution Phoenix Claims resolution +46

USD 155K+

Field Reimbursement Specialist - Minneapolis, MN
US - Minnesota - Minneapolis -Field/Remote, United States

Formulary coverage Payer prior authorization Financial assistance programs Benefits investigation Patient health information Reimbursement process Reimbursement issue resolution Claims resolution Denials +44

USD 155K+

Field Reimbursement Specialist - San Francisco, CA
US - California - Thousand Oaks - Field/Remote, United States

Collaborative territory strategic plan Insurance forms Formulary coverage Financial assistance programs Benefits investigation Reimbursement process Patient health information Payer prior authorization Reimbursement issue resolution +51

USD 155K+

Field Reimbursement Specialist - Columbia, SC
US - South Carolina - Columbia - Field/Remote, United States

Reimbursement process Financial assistance programs Payer prior authorization Formulary coverage Benefits investigation Patient health information Reimbursement issue resolution Patient Support Programs Claims resolution +45

USD 155K+

Field Reimbursement Specialist - White Plains, NY
US - New York - New York - Field/Remote, United States

Reimbursement process Financial assistance programs Payer prior authorization Formulary coverage Benefits investigation Patient health information Reimbursement issue resolution Patient Support Programs Claims resolution +45

USD 155K+

Field Reimbursement Specialist - Pittsburg, PA
US - Pennsylvania - Philadelphia - Field/Remote, United States

Insurance forms Financial assistance programs Collaborative territory strategic plan Formulary coverage Reimbursement process Payer prior authorization Patient health information Benefits investigation Reimbursement issue resolution +50

USD 155K+

Field Reimbursement Specialist - Kansas City, MO
US - Missouri - Kansas City -Field/Remote, United States

Patient health information Formulary coverage Payer prior authorization Financial assistance programs Reimbursement process Benefits investigation Reimbursement issue resolution Patient Support Programs Claims resolution +48

USD 155K+

Field Reimbursement Specialist - Dallas South, TX
US - Texas - Houston - Field/Remote, United States

Patient health information Reimbursement process Formulary coverage Financial assistance programs Benefits investigation Payer prior authorization Reimbursement issue resolution Patient Support Programs Healthcare provider education +50

USD 155K+

Field Reimbursement Specialist - Indianapolis, IN
US - Indiana - Indianapolis - Field/Remote, United States

Reimbursement process Financial assistance programs Payer prior authorization Formulary coverage Benefits investigation Patient health information Reimbursement issue resolution Patient Support Programs Claims resolution +45

USD 155K+

Field Reimbursement Specialist - Austin, TX
US - Texas - Houston - Field/Remote, United States

Patient health information Formulary coverage Payer prior authorization Financial assistance programs Reimbursement process Benefits investigation Reimbursement issue resolution Patient Support Programs Claims resolution +48

USD 155K+

Patient Access Liaison - TEPEZZA - Indianapolis, Indiana (Rare Disease)
US - Indiana - Indianapolis - Field/Remote, United States

Financial Support Co-pay assistance Access and Reimbursement Compliance Guidelines Pharmaceutical products Empower Medical Information Patient services Rare Disease +29

USD 170K+

Field Reimbursement Specialist - Seattle, WA
US - Washington - Seattle - Field/Remote, United States

Patient health information Formulary coverage Payer prior authorization Financial assistance programs Reimbursement process Benefits investigation Reimbursement issue resolution Patient Support Programs Claims resolution +48

USD 155K+

Field Reimbursement Specialist - Florida South
US - Florida - Jacksonville - Field/Remote, United States

Patient health information Financial assistance programs Benefits investigation Formulary coverage Payer prior authorization Reimbursement process Reimbursement issue resolution Patient Support Programs Claims resolution +47

USD 155K+

Field Reimbursement Specialist - Trenton, NJ
US - New Jersey - Newark -Field/Remote, United States

Patient health information Financial assistance programs Benefits investigation Formulary coverage Payer prior authorization Reimbursement process Reimbursement issue resolution Patient Support Programs Claims resolution +46

USD 155K+

Field Reimbursement Specialist - Newark, NJ
US - New Jersey - Newark -Field/Remote, United States

Patient health information Financial assistance programs Benefits investigation Formulary coverage Payer prior authorization Reimbursement process Reimbursement issue resolution Patient Support Programs Claims resolution +46

USD 155K+

Field Reimbursement Specialist - Dallas North, TX
US - Texas - Houston - Field/Remote, United States

Collaborative territory strategic plan Insurance forms Benefits investigation Formulary coverage Payer prior authorization Financial assistance programs Reimbursement process Patient health information Reimbursement issue resolution +53

USD 155K+

Field Reimbursement Specialist - Florida North
US - Florida - Jacksonville - Field/Remote, United States

Patient health information Financial assistance programs Benefits investigation Formulary coverage Payer prior authorization Reimbursement process Reimbursement issue resolution Patient Support Programs Claims resolution +47

USD 155K+

Field Reimbursement Specialist - Nashville, TN
US - Tennessee - Memphis - Field/Remote, United States

Patient health information Financial assistance programs Benefits investigation Formulary coverage Payer prior authorization Reimbursement process Reimbursement issue resolution Patient Support Programs Claims resolution +46

USD 155K+

Field Reimbursement Specialist - Los Angeles, CA
US - California - Thousand Oaks - Field/Remote, United States

Patient health information Benefits investigation Financial assistance programs Payer prior authorization Reimbursement process Formulary coverage Reimbursement issue resolution Claims resolution Healthcare provider education +49

USD 155K+

Field Reimbursement Specialist - Charlotte, NC
US - North Carolina - Charlotte - Field/Remote, United States

Patient health information Financial assistance programs Benefits investigation Formulary coverage Payer prior authorization Reimbursement process Reimbursement issue resolution Patient Support Programs Claims resolution +46

USD 155K+

Field Reimbursement Specialist -Philadelphia, PA
US - Pennsylvania - Philadelphia - Field/Remote, United States

Insurance forms Financial assistance programs Collaborative territory strategic plan Formulary coverage Payer prior authorization Reimbursement process Patient health information Benefits investigation Reimbursement issue resolution +47

USD 155K+

Field Reimbursement Specialist - Denver, CO
US - Colorado - Denver - Field/Remote, United States

Financial assistance programs Payer prior authorization Formulary coverage Benefits investigation Reimbursement process Patient health information Reimbursement issue resolution Claims resolution Denials +47

USD 155K+

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