Prior Authorization Specialist

Job Title: Prior Authorization PharmacistWe are seeking a highly skilled Prior Authorization Pharmacist to join our team at US Tech Solutions.About the Role:The successful candidate will be responsible for reviewing and completing criteria based on prior authorization as per policy and procedure. This will involve working closely with our team to ensure that...

Job Summary:The Prior Authorization Coordinator plays a vital role in facilitating patient and physician requests for diagnostic imaging and transfusion services within the Ancillary Support department at CharterCARE Health Partners.Key Responsibilities:Identify special needs, such as physical, language, or other barriers, and address them...

Job DescriptionAs a Clinical Quality Specialist at US Tech Solutions, you will play a critical role in the development and implementation of Quality Management (QM) Work Plan activities.Key ResponsibilitiesReview and evaluate clinical documentation to identify potential quality of care issues based on clinical policies and benefit determinations.Collaborate...

About the RoleEvolent Health is seeking a skilled Healthcare Coordinator, Utilization Management Specialist to join our team. As a key member of our Utilization Management department, you will play a critical role in ensuring the efficient processing of prior authorization requests.Key ResponsibilitiesRequest Processing: Review internal workflows and...

Job Title:Remote Pharmacy Technician I(Temporary One Year or longer)HealthcareOperationsJob Summary:This position involves providing professional phone assistance to callers through the criteria-based prior authorization process.Responsibilities:Take in-coming calls from members and providersProvide professional phone assistance to all callersProcess prior...

Job SummaryNTT DATA is seeking a skilled Healthcare Coverage Determination Representative II to join our team. As a key member of our team, you will work closely with healthcare providers to process prior authorization requests and ensure compliance with Medicare Part D CMS Regulations.Key ResponsibilitiesProcess prior authorization requests for healthcare...

**Job Summary**LifeSpan is seeking a highly skilled and dedicated Classroom Behavior Specialist to join our team. As a key member of our educational support team, you will play a vital role in assisting our Special Education Teachers in implementing an effective educational program for children assigned to our care.**Key Responsibilities**Assist in the...

Job SummaryNTT DATA is seeking a skilled Coverage Determination Representative II to join our team. As a key member of our healthcare team, you will work closely with providers to process prior authorization requests and ensure compliance with Medicare Part D CMS Regulations.Key ResponsibilitiesProcess prior authorization requests from healthcare...

Job SummaryNTT DATA is seeking a skilled Coverage Determination Representative II to join our team. As a key member of our healthcare team, you will work closely with providers to process prior authorization requests and ensure compliance with Medicare Part D CMS Regulations.Key ResponsibilitiesProcess prior authorization requests for healthcare services and...

Job Title: ADHD SpecialistAt Collegium Pharmaceutical, Inc., we are committed to improving the lives of people living with serious medical conditions. Our portfolio of medications includes treatments for severe and persistent pain and ADHD.Job Summary:The ADHD Specialist is responsible for meeting and exceeding quarterly and annual sales objectives by...

Job SummaryAs a key member of the WM team, the Accountant I, Sustainability Specialist will apply principles of accounting to support project managers and track, prepare, and perform billing functions for customers on a regular basis.Key ResponsibilitiesManage the collection of data, preparation, and submission of billing activities for sites, working...

Job SummaryThe Healthcare Coverage Determination Representative II will work closely with healthcare providers to process prior authorization and drug benefit exception requests on behalf of NTT Data's client, in accordance with Medicare Part D CMS Regulations.Key ResponsibilitiesResearch and conduct outreach via phone to requesting providers to obtain...

Clinical Donation SpecialistAbout the Role:The Clinical Donation Specialist plays a critical role in facilitating the organ and tissue donor process, ensuring maximum recovery and quality of organs and tissue for transplantation. This position requires strong clinical judgment, decision-making skills, and the ability to work independently in a fast-paced...

Job SummaryThe Insurance Verification Specialist plays a crucial role in ensuring seamless healthcare services for patients within the CharterCARE Health Partners network.Key ResponsibilitiesVerify and authorize insurance claims for inpatient and outpatient servicesUtilize extensive knowledge of third-party contracts to ensure accurate processingCollaborate...

About the RoleWe are seeking a highly motivated and experienced ADHD Specialist to join our team at Collegium Pharmaceutical, Inc. As a key member of our sales team, you will play a critical role in driving sales growth and expanding our presence in the ADHD market.Key ResponsibilitiesMeet and Exceed Sales Objectives: Develop and execute territory-specific...

Job Title: Electrical Maintenance SpecialistWe are seeking a skilled Electrical Maintenance Specialist to join our team at the Providence Housing Authority. As a key member of our maintenance team, you will be responsible for performing electrical maintenance and repair work on our housing stock and properties.Key Responsibilities:Perform skilled electrical...

Job SummaryWe are seeking a highly skilled Clinical Pharmacy Technician II to join our team at Prime Therapeutics. As a Clinical Pharmacy Technician II, you will play a critical role in evaluating and authorizing prior authorization pharmacy requests from prescribers. Your expertise in clinical criteria and instructions will enable you to approve or deny...

Job SummaryWe are seeking a highly motivated and experienced ADHD Specialist to join our team at Collegium Pharmaceutical, Inc. as a Pharmaceutical Sales Representative. The successful candidate will be responsible for developing and executing territory-specific sales strategies to drive utilization of our products within their defined geography.Key...

About the RoleWe are seeking a highly skilled and detail-oriented Operations Representative II to join our team at NTT DATA. As a key member of our team, you will be responsible for reviewing and processing medication prior authorizations, ensuring timely and accurate resolution for our clients.Key ResponsibilitiesReview and process medication prior...

Job SummaryWe are seeking a highly skilled and experienced Electrical Maintenance Specialist to join our team at the Providence Housing Authority. As an Electrical Maintenance Specialist, you will be responsible for performing skilled electrical construction, maintenance, and repair work on our housing stock and properties.Key ResponsibilitiesPerform skilled...