authorization jobs in Philadelphia

Job Description Care Options for Kids connects leading pediatric specialists with families to provide best-in-class pediatric therapy, nursing, and school-based services. We seamlessly integrate into children’s lives by bringing individualized care to children where they live, work, and play. Our pediatric specialists are committed to providing...

Prior Authorization Technician I Duties: Reporting directly to the Supervisor, Prior Authorization Technicians, the Prior Authorization Technician I processes prior authorization requests received from providers, members, and pharmacies, including requests for high cost and specialty medications. Essential Functions Interprets and applies clinical...

A-Line Staffing is now hiringLicensed Practical Nurse Prior Authorization (LPN/LVN) Remote in PA. If you are interested in this LPN position, please contact Alexis atawordlaw-conley@alinestaffing.com Licensed Practical Nurse Prior AuthorizationCompensation The pay for this position is26.00 per hour Licensed Practical Nurse Prior AuthorizationHighlights...

Retail Sales Consultant Ready to level up your career? At Prime Communications, you'll earn competitive pay, develop valuable sales skills, and have the opportunity to grow into leadership roles with the largest authorized AT&T retailer in the U.S. With over 2,000 locations across 48 states, we believe in promoting from within and providing driven team...

AR Follow-Up Representative - Authorization & Code Updates Fully Remote Center City 833 Chestnut - Philadelphia, PA 19107 Level: Experienced Position Type: Full Time Job Shift: Day Shift Education Level: High School Description Position Summary The AR Follow-Up Representative Authorization & Code Updates is responsible for researching, correcting, and...

**Description** Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines....

The Utilization Management (UM) Nurse Supervisor is responsible for providing direct leadership and oversight to the UM nursing team. This role ensures team performance, accountability, and professional development by conducting regular 1:1s, managing performance reviews, and driving compliance with organizational, state, and federal requirements. The...

INDEPENDENT FREIGHT AGENTR.B. Humphreys, Inc. — Rome, NY (Remote)ROLE OVERVIEWAs an Independent Freight Agent with R.B. Humphreys, you will build and manage your own book of business while operating under our established authority. Backed by more than 60 years of experience in temperature-controlled transportation, you'll have the flexibility to pursue...

PA RN License RequiredWe are seeking an experienced Care Management Coordinator to join our Infusion Therapy team. This role is responsible for performing utilization management reviews to determine the medical necessity of requested healthcare services, ensuring members receive appropriate, evidence-based care while maintaining compliance with regulatory...

All qualified resumes will be responded to in 24 hrsActive DOD Secret ClearanceIAT level III certified preferred.Sucessfull candidates will have a deep knowledge of Risk Management Framework (RMF) and Information Systems Security Engineering (ISSE). Primary responsibility is to perform tasks related to Assessment & Authorization (A&A) and cybersecurity to...

(626) Information System Security Specialist III Philadelphia, PA Company Summary Arlo Solutions (Arlo) is an information technology consulting services company that specializes in delivering technology solutions. Our reputation reflects the high quality of the talented Arlo Solutions team and the consultants working in partnership with our customers. Our...

We anticipate the application window for this opening will close on - 16 Nov 2026 Careers that change lives start here. Medtronic is a global leader in healthcare technology with a Mission to alleviate pain, restore health, and extend life. Our 95,000 employees work across more than 150 countries to put patients first — developing innovative medical...

We are seeking an experienced Oracle Fusion Financials Business Analyst to join our team. The ideal candidate will play a pivotal role in bridging the gap between business needs and technology solutions, specializing in the Oracle Fusion Financials suite. This individual will analyze business requirements, drive innovative solutions, and support robust and...

Staff Auditor II (618745)The Philadelphia Housing Authority, America's fourth largest public housing authority and leader in real estate development and property management, is seeking a Staff Auditor II in the Office of Audit and Compliance.Reporting to the Senior Auditor, the Staff Auditor II conducts financial, compliance, and operational audits of...

Secure Your Future with SEPTA – A Leader in Transportation! The Southeastern Pennsylvania Transportation Authority (SEPTA) is the sixth-largest transportation system in the U.S., connecting communities across a 2,200-square-mile service region . SEPTA is at the forefront of innovation in the transit industry, ensuring reliable and efficient...

(603) Information System Security Officer (ISSO) III Philadelphia, PA Apply Company Summary Arlo Solutions (Arlo) is an information technology consulting services company that specializes in delivering technology solutions. Our reputation reflects the high quality of the talented Arlo Solutions team and the consultants working in partnership with our...

Company: US0670 Edward Don Sales Territory: Zip Code: 08060 Travel Percentage: Compensation Range: $19.95 - $29.95 The compensation range provided is in compliance with state specific laws. Factors that may be used to determine your actual rate of pay include your specific skills, years of experience and other factors. You may be eligible to participate in...

Discharge Planner The Discharge Planner facilitates safe, timely, and cost-effective transitions of care by coordinating all post-acute service and appointment needs for patients on the assigned unit. The discharge planner assists the transfer center to ensure timely internal and external transfers. Working collaboratively with providers, care managers, and...

Job Title: Pharmacy Technician - Coverage DeterminationsJob Description This role focuses on tracking, reviewing, and processing coverage determination requests for prior authorizations and Medicare Part D recipients. The pharmacy technician evaluates requests against defined criteria, coordinates with prescribers to obtain necessary clinical information,...

*This position is fully remote/home based. This is 2 year FTC. Applications will be accepted from candidates based in the following US states: FL, IL, MA, MD, NY, PA, TX, VA. In the US, this is a union represented position as part of the Pacific Media Workers Guild, Local 39521 of the NewsGuild-Communication Workers of America. Role Summary As a Peer Review...