Prior Authorization Reviewer

Job OverviewLifelancer is a talent-hiring platform that connects professionals with opportunities in life sciences, pharma, and IT. We are currently seeking a skilled Clinical Pharmacist to join our team.Salary InformationThe estimated salary for this position ranges from $86,500 to $145,775, depending on factors such as work experience, education, and...

Unlock Your Career as a Medical Authorization SpecialistWe are seeking a skilled Medical Authorization Specialist to join our team in New York City. As a key member of our organization, you will play a vital role in ensuring seamless interactions between patients, healthcare providers, and insurance companies.About the RoleThis is a contract-to-hire position...

Senior Director of Regulatory Affairs Job DescriptionHobson Prior is a leading life sciences recruiter dedicated to matching talented professionals with exceptional opportunities in the industry.We are currently seeking a highly motivated and experienced Senior Director of Regulatory Affairs to join our team. This role will play a crucial part in ensuring...

About the Role:We are seeking an experienced Device Development Manager to lead our regulatory affairs efforts. As a key member of our team, you will be responsible for ensuring regulatory compliance and supporting the development and commercialization of innovative medical devices.This role requires a strong understanding of regulatory requirements and...

Job OverviewNew York University seeks an Academic Authorization Project Coordinator to support a long-term NYSED compliance project within the Office of Academic Program Review and Assessment (OAPRA). As a proactive and self-motivated member of the OAPRA team, you will serve as a project administrator for a complex project, providing oversight and project...

About the role: Document Review Coordinator Job Description The Document Review Coordinator at ServiceMaster Restore plays a critical role in supporting our clients by reviewing and entering documents, using their skills to make a positive impact on the organization. As a key member of our team, you will provide document review and data entry support,...

About RIT Solutions, Inc.We are a leading provider of digital experience solutions. Our team is seeking an experienced Content Authoring Expert to join our client-facing delivery team. This role will be responsible for the technical leadership and implementation of Adobe Experience Manager (AEM) projects.Job SummaryThe successful candidate will have...

Job Summary:The Residential Mortgage Processor is responsible for developing and maintaining business relationships between SONYMA and its participating lenders, as well as indirect business partners such as realtors, builders, affordable housing non-profit organizations, and potential homebuyers.Main Responsibilities:Perform pre-closing and post-closing...

About the RoleThis Pre-Authorization Nursing Specialist LPN position is a key part of our team's efforts to provide high-quality healthcare services to our patients and members. As a member of our team, you will review cases, process requests, and collaborate with other disciplines to ensure compliance with regulatory standards and timely provision of...

Job SummaryThe Prior Authorization Reviewer processes review prior authorization requests for non-formulary medications for clinical appropriateness.This position requires a strong understanding of medical policies, procedures, and regulations to ensure compliance and efficient decision-making.

About the Position:We are seeking a Contract Attorney to support our eDiscovery and document review efforts. As a key member of our team, you will be responsible for reviewing and analyzing large datasets, managing project workflows, and collaborating with attorneys and other professionals.Key Responsibilities:Review and analyze large datasets for relevant...

Job DescriptionWe are seeking a skilled Commissioning Engineer/Authority to join our team at IMEG Corp., a leading design consulting firm in the US. This role will involve performing commissioning tasks on building projects, including preparing plans and specifications, conducting site observations, and developing reports.Key Responsibilities:Manage multiple...

We are seeking a skilled Clinical UM Pharmacist to join our team at Lifelancer, a leading talent-hiring platform in Life Sciences, Pharma, and IT.This role involves reviewing prior authorization requests for medications under the medical benefit, developing clinical criteria, and staying current with literature and trends in medicine. The successful...

Lifelancer is a dynamic talent-hiring platform in Life Sciences, Pharma and IT. We connect exceptional talent with exciting opportunities in pharma, biotech, health sciences, healthtech and IT domains.Job Title: Distinguished Clinical UM Pharmacist OpportunityWe are seeking a highly skilled Clinical UM Pharmacist to join our team. The ideal candidate will...

Job OverviewManhattan Restorative Health Sciences is a leading group of award-winning medical centers specializing in advanced 'body and mind' treatment plans and the development of related clinical research. We are committed to delivering exceptional patient care and advancing impactful medical research.We are seeking a talented Insurance Claim Verifier and...

Job OverviewMEDNATIONAL is seeking an experienced Utilization Management (UM) Nurse to join our team. This role involves assessing healthcare services to ensure optimal patient outcomes and compliance with regulatory standards.Key Responsibilities:Service Assessment and Compliance: Evaluate healthcare services to guarantee optimal patient outcomes and...

Job Summary: The Primary Care Specialist will work collaboratively with Primary Care Providers (PCPs) to deliver high-quality patient care with a focus on health maintenance and prior authorization requests.About NYC Health + Hospitals:NYC Health + Hospitals/Metropolitan is a community hospital of choice for residents of East Harlem, northern Manhattan, and...

Job Description:We are looking for a skilled Insurance Defense Paralegal to support our litigation practice at Strikowsky Drachman & Shapiro PLLC. The ideal candidate will have prior experience as a paralegal, calendar clerk, or legal assistant, and be familiar with discovery, IMEs, and authorizations.Key Responsibilities:Process medical authorizations and...

About the RoleThe Mount Sinai Health System is seeking a highly skilled FPA Support-Patient Coordinator to join our team. As a key member of our faculty practice, you will play a vital role in ensuring a seamless patient experience. Your primary responsibility will be to greet and establish first contact with patients, confirming and updating their...

Job Overview:We are seeking an experienced Insurance Defense Paralegal to join our team at Strikowsky Drachman & Shapiro PLLC. As a key member of our close-knit team, you will provide overall support to our active litigation practice.Key Responsibilities:Process medical authorizations and assist with the litigation calendar.File court papers on NYSCEF and...