Prior Authorization Specialist

Job Summary:As a Prior Authorization Specialist at LanceSoft, you will play a critical role in supporting our clients' providers and UM reviewers with prior authorization requests for post-acute care services. Your expertise will be essential in manually entering authorization requests into our clients' Care Management systems, following rules and algorithms...

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...

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 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: 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: 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: 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 SummaryThe Wayne County Airport Authority is seeking a highly skilled Senior Airfield Compliance Specialist to support compliance matters related to operations on and off the airport AOA and support the Airport Authority's Safety Management System (SMS) Program.Key ResponsibilitiesAdminister the Airport Authority's Safety Program to maintain compliance...

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...

Selectek is seeking a skilled Electrical Design Specialist to collaborate with a leading engineering firm in Detroit, MI, on a 6-month engagement.In this role, you will utilize your expertise to design power and lighting projects, ensuring they meet all safety regulations and performance requirements.Please note that you must be authorized to work for any...

Overview:Snap-on, a leading global developer, manufacturer, and marketer of tool and equipment solutions, seeks a professional outside sales specialist to represent the Bahco line to industrial customers.Responsibilities:The ideal candidate will have prior experience selling cutting tools, be mechanically inclined, and capable of operating/adjusting...

Cash Application SpecialistAssist the Cash Application Manager in receiving, recording, and depositing cash receipts from clients, settlements, and other sources. Collaborate with billing departments to reconcile client accounts, track payments, and resolve any billing-related discrepancies or issues.Investigate and resolve any discrepancies or disputes...

Job Summary: We are seeking an experienced Interventional Radiology Technologist to join our team at Henry Ford Health System. As an Imaging Specialist, you will play a critical role in providing high-quality patient care and contributing to the success of our Interventional Radiology department. Key Responsibilities: Assist with procedures and provide...

Are you ready for a challenging and rewarding career at Ray Laethem Buick GMC? As a Product Specialist, you will play a crucial role in guiding customers on their journey to finding the perfect vehicle. No prior experience is required, but you must possess excellent communication skills, a curious nature, and a relentless commitment to excellence.Long hours,...

Job DescriptionWe are seeking a skilled Medical Coding Specialist to join our team at Kyyba. The ideal candidate will have a strong background in medical coding and a passion for staying up-to-date with the latest industry developments.Key Responsibilities:Review and research new code changes released by the Coding Authorities (AMA, CMS) for system...