Prior Authorization Specialist

Job DescriptionLanceSoft is seeking a skilled Prior Authorization Specialist to support our clients' providers and UM reviewers with prior authorization requests for post-acute care services.The ideal candidate will have experience in manually entering authorization requests into client's Care Management systems, following rules and algorithms embedded in...

Job Title: Prior Authorization Specialist - Post-Acute Care CoordinatorJob Summary: We are seeking a skilled Prior Authorization Specialist to join our team at LanceSoft. In this role, you will be responsible for supporting clients' providers and UM reviewers with prior authorization requests for post-acute care services.Key Responsibilities:* Manually enter...

Job Title: Prior Authorization NurseJob SummaryActalent is seeking a skilled Clinical Review Nurse to join our team as a Prior Authorization Nurse. In this role, you will be responsible for analyzing prior authorization requests to determine medical necessity and appropriate level of care in accordance with national standards, contractual requirements, and a...

Job Title: Pharmacy Technician SpecialistJob Summary:Strategic Staffing Solutions is seeking a skilled Pharmacy Technician Specialist to join our team. As a Pharmacy Technician Specialist, you will provide support to providers with Medicare Part D and/or Commercial pharmacy/specialty drug benefits analysis, drug coverage inquiries, and prior authorizations....

Pharmacy Technician SpecialistThis role is ideal for a highly skilled Pharmacy Technician looking to take their career to the next level. As a Pharmacy Technician Specialist with Strategic Staffing Solutions, you will be responsible for providing exceptional support to our clinical team in the adjudication of pharmacy claims. Your expertise in pharmacy...

Job SummaryStrategic Staffing Solutions is seeking a skilled Pharmacy Technician to support our pharmacy help desk team. As a Pharmacy Support Specialist, you will be responsible for providing excellent customer service to healthcare providers, answering phone calls, and resolving issues related to pharmacy claims and prior authorizations.Key...

Job DescriptionJob Title: Transportation SpecialistJob Summary:We are seeking a highly skilled and experienced Transportation Specialist to join our team at Avis Budget Group. As a Transportation Specialist, you will be responsible for providing exceptional customer service to our clients by transporting them safely and efficiently to their destinations.Key...

Health Advocates Network-Allied is seeking a highly skilled Radiology Specialist for a travel opportunity in the healthcare industry.Job Requirements:Specialty: RadiologyDiscipline: Allied Health ProfessionalWork Schedule: 36 hours per week, 12 hours per shiftEmployment Type: TravelKey Qualifications:Authorized to work in the United States2 years of...

Job SummaryWe are seeking a highly skilled Pharmacy Technician to join our team at Strategic Staffing Solutions. As a Pharmacy Technician, you will play a critical role in supporting providers with Medicare Part D and/or Commercial pharmacy/specialty drug benefits analysis, drug coverage inquiries, and prior authorizations.Key ResponsibilitiesAnswer...

Pharmacy Technician OpportunityStrategic Staffing Solutions is seeking a skilled Pharmacy Technician to join our team in Detroit, MI. As a Pharmacy Technician, you will play a critical role in supporting our pharmacy operations and ensuring the efficient processing of prior authorizations.Key Responsibilities:Answer telephones and provide assistance to...

Job SummaryWe are seeking a highly skilled Pharmacy Technician to join our team at Strategic Staffing Solutions. As a Pharmacy Technician, you will play a critical role in supporting our pharmacy help desk team in providing exceptional service to our clients.Key ResponsibilitiesAnswer telephones and provide assistance to providers in a timely and efficient...

Job SummaryWe are seeking a skilled Labor Relations Specialist to join our Human Resources team. This role will be responsible for representing the Authority in addressing, investigating, and resolving labor issues between management and employees.Key ResponsibilitiesInvestigate and respond to union grievances, meeting with union officials as the Authority...

Job Title: Medical Coding SpecialistWe are seeking a highly skilled Medical Coding Specialist to join our team at Kyyba. As a Medical Coding Specialist, you will be responsible for reviewing and researching new code changes released by the Coding Authorities (AMA, CMS) for system implementation in PPO and HMO Commercial Business.Key Responsibilities:Analyze...

Job SummaryWe're seeking a highly skilled and detail-oriented Care Coordination Specialist to join our team at ChenMed. As a key member of our healthcare team, you will be responsible for coordinating patient care, ensuring seamless transitions, and providing exceptional customer service.Key Responsibilities Serve as the primary point of contact for incoming...

Job Title: Salesforce Technical SpecialistWe are seeking a highly skilled Salesforce Technical Specialist to join our team at CapB InfoteK. The ideal candidate will have extensive experience working with Salesforce and a strong understanding of its various features and functionalities.Key Responsibilities:Design and implement Salesforce solutions that meet...

Job Title: Specialist, Poison InformationWayne State University is seeking an experienced Specialist, Poison Information to join its Department of Emergency Medicine.The successful candidate will provide online and telephone consultation, evaluate possible poisoning, and recommend poison treatment information to the public, physicians, and other healthcare...

Job Title: Clinical Specialist Utilization ManagementAt Detroit Wayne Mental Health Authority, we are seeking a highly skilled Clinical Specialist Utilization Management to join our team. As a key member of our organization, you will play a vital role in ensuring that our consumers receive the highest quality care and services.Job Summary:The Clinical...

Job SummaryAs a Signal Support Systems Specialist in the Army National Guard, you will be responsible for integrating signal systems and networks, performing signal support functions, and maintaining authorized signal equipment. You will also install, operate, and maintain radio and data distribution systems, as well as provide technical assistance and...

Job Title: Exceptional Student Education SpecialistJoin the Detroit Public Schools Community District as an Exceptional Student Education Specialist, where you will play a vital role in providing high-quality education to students with emotional impairments.Job Summary:The Exceptional Student Education Specialist will be responsible for teaching students...

Job Summary:We are seeking a highly skilled Neonatal Nurse Practitioner to join our team at Henry Ford Health System. As a Neonatal Nurse Practitioner, you will provide high-quality patient care to newborns and their families in our Neonatal-Perinatal Medicine department.Responsibilities:Provide direct patient care to newborns in the inpatient units, under...