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Prior Authorization Specialist, Data Extraction & AI Quality (Fully Remote, Part-Time)
Rate: $45/hour (depending on experience)
Schedule: Part-time, fully remote
Company: Quantile Health - AI-Powered Insights for Life Science
Quantile Health is a New York-based, fast growing AI agent startup on a mission to expand patient access to life-changing medicines while cutting commercial research costs...

Prior Authorization Specialist (Remote - Select States Only)
TRA Medical Imaging
Remote | Full-Time | Monday-Friday | $19.27-$22.93 per hour
Applicants must reside in one of the following states to be considered:
Alabama, Arizona, Georgia, Idaho, North Carolina, Texas, Utah, or Washington.
TRA Medical Imaging is seeking an experienced Prior Authorization Specialist with strong knowledge of radi...

POSITION SUMMARY :
Responsible for screening prior-authorization and coordination of specialized services requests in the medical care management program, including a broad range of requests for inpatient, outpatient and ancillary services. Adheres to policies and procedures in order to comply with performance and compliance standards and to ensure cost effective and appropriate healthcare deli...

Company
Navitus
About Us
Navitus - Putting People First in Pharmacy - Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to make medications more affordable for the people who need them. At Navitus, our team members work in an environment that celebrates diversity, fosters creativity and encour...

Our Mission
All of us, for each of you, every time.
Our Vision
Together, serving as the trusted regional healthcare partner.
Our Values
Listen~Love~Respect~Excel~Innovate
At Samaritan, we do more than deliver healthcare-we make a meaningful difference in the lives of our community every day. We're committed to creating an exceptional workplace where professionals feel valued, supported, and in...

Top Healthcare Provider Network
The 61st Street Service Corporation, provides administrative and clinical support staff for ColumbiaDoctors. This position will support ColumbiaDoctors, one of the largest multi-specialty practices in the Northeast. ColumbiaDoctors' practices comprise an experienced group of more than 2,800 physicians, surgeons, dentists, and nurses, offering more than 240 specia...

Job Description
UW Medicine Primary Care - Prior Authorization Team has an outstanding opportunity for a Patient Services Specialist 2- Prior Authorization Specialist.
WORK SCHEDULE
* Full-time, 100% FTE (40 hours per week)
* Monday - Friday; 8am-5pm
* Day Shift
DEPARTMENT DESCRIPTION
Conveniently located along I-5 near the Northgate Transit Center, UW Medicine Primary Care at North...

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
*Qualified candidates for this role must be available to work 9:30AM-6:00PM EST. *
Must be authorized to work in the ...

CDS Intake Specialist
What you will be doing:
First point of contact for network providers, physicians, and members. Responsible for processing incoming prior-authorization requests via phone, fax and web while ensuring that both internal and external customers receive a level of service that exceeds their expectations. Intake Specialist will utilize two methods of communication (inbound and ou...

Become a part of our caring community and help us put health first
Humana is seeking a Utilization Management (UM) Coordinator to join the Wisconsin Medicaid Market (iCare) team. The UM Coordinator provides non-clinical support for the policies and procedures ensuring best and most appropriate treatment, care or services for members. Join this dedicated team and lead change in how health car...

As a Director of Growth at Humata, you will be responsible for selling into large acute health systems in the US market. You will leverage consultative selling to educate prospects on the power of Humata's technology, helping Providers understand how Humata can improve capacity, positively impact top and bottom line revenue, and enhance the patient experience. You will work with a team to drive...

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
*Qualified candidates must be able to work 2:00PM-10:30PM EST.*
Must be authorized to work in the U.S. without the ne...

**This is posted in anticipation of a future role**
Position Summary:
Care Managers are responsible for contacting insurance companies to obtain correct eligibility information, perform benefit investigations, copay assistance and check prior authorization and/ or appeal status.
The information contained herein is intended to be an accurate reflection of the duties and responsibilities of the i...

Current Employees: If you are currently employed at any of the Universities of Wisconsin, log in to Workday to apply through the internal application process.
Position Title:
Academic Retention Specialist
Job Category:
Academic Staff
Employment Type:
Terminal (Fixed Term)
Job Profile:
Retention Specialist
Job Duties:
The Academic Retention Specialist for the School of STEM plays a key rol...

About PharmaCentra LLC
PharmaCentra LLC, a leading provider of customizable contact center solutions in the healthcare industry, is seeking highly motivated and dedicated individuals to join our FULLY REMOTE team as a Customer Service Representative. Based in Georgia, our company is committed to delivering exceptional customer service to patients and healthcare providers. This is a fantastic op...

Exemption Status:
United States of America (Non-Exempt)
$22.99 - $30.35 - $37.71
"Pay scale information is not necessarily reflective of actual compensation that may be earned, nor a promise of any specific pay for any selected candidate or employee, which is always dependent on actual experience, education, qualifications, and other factors. A full review of our comprehensive pay and benefits ...

About PharmaCentra LLC
PharmaCentra LLC, a leading provider of customizable contact center solutions in the healthcare industry, is seeking highly motivated and dedicated individuals to join our FULLY REMOTE team as an Entry Level Customer Service Representative. Based in Georgia, our company is committed to delivering exceptional customer service to patients and healthcare providers. This is a...

Job Summary
The Pharmacy QA Specialist plays a critical role in the pharmacy review process, supporting PBM clients by ensuring the accuracy, completeness, and quality of pharmacy-related determinations and documentation.
This role is responsible for coordinating with clients, pharmacists, and internal teams to ensure that all reviews are completed in accordance with client requirements, regula...

Meet MedPro Group. We're an industry-leading Berkshire Hathaway insurance company with a passion for our clients and our team. We are hundreds of professionals with varied backgrounds and experience levels who came together to achieve one goal: protecting those who have made it their mission to serve and care for others. Never considered the insurance industry before? We think you should.
This ...

Where Human Connection Fuels Possibility
At Maritz, decades of innovation and perseverance have built more than just a strong reputation - they've shaped a culture where human connection and collaboration are at the heart of everything we do.
Joining Maritz means becoming part of a workplace grounded in a critical truth; people and their potential is our greatest resource.
Maritz helps compani...