remote prior authorization jobs in Philadelphia

Are you an experienced healthcare professional with a sharp eye for detail and a strong background in prior authorizations? We are seeking a highly organized, detail-oriented Prior Authorization Specialist to join our national Utilization Management team. In this role, you will serve as a vital link in the member care pipeline by managing authorization...

Radiology Prior Authorization Specialist – Remote Position – Full Time Position Summary We’re looking for an EXPERIENCED U.S. based Radiology Prior Authorization Specialist with extensive, hands-on experience working prior authorizations in EPIC to join our Prior Authorization Team. EPIC proficiency 4+ years is required. This is not an entry-level...

Shift Position is remote. No time zone preference but shift times offered will be in EST time so candidates will need to adjust accordingly if in a different time zone. Shift Schedule: 8:30am-5:00pm EST, 9:00 am-5:30 pm EST, or 9:30 am-6:00 pm EST. They should be available in the mentioned shifts. Duties Reporting directly to the...

Duration: 3 months with possible extension Summary: Prior Authorization Technician I processes prior authorization requests received from providers members and pharmacies including requests for high cost and specialty medications. Responsibilities Interprets and applies clinical criteria during the prior authorization review process and approves...

It’s not just a job. It’s a mission. Altruix is a high-touch pharmacy dedicated to serving behavioral health and intellectual and developmental disability populations. Through our pharmacy expertise, and specialized packaging, we promote medication adherence and improve patient outcomes. Our services help clients take medications as prescribed while...

Pharmacy Technician - Prior Authorization City: Philadelphia State: PA Job Type: Local Contract Discipline: Allied Health Professional Speciality: Pharmacy Technician Facility Setting: Short Term Acute Care (STAC) Accepting Locals per Radius Rule?: Yes Contract Length: 13 weeks Shifts: Days Shift Details: 8:00 AM - 5:30 PM Weekly Schedule: 40...

Company Description Godevico Publishing is redefining the self-publishing experience by enabling individuals from all walks of life to transform their ideas into income through accessible and easy-to-use publishing solutions. We empower authors to bring their stories to life and share their unique voices with readers worldwide. Our mission is to simplify...

Shift Position is remote. No time zone preference but shift times offered will be in EST time so candidates will need to adjust accordingly if in a different time zone. Shift Schedule: 8:30am-5:00pm EST, 9:00 am-5:30 pm EST, or 9:30 am-6:00 pm EST. They should be available in the mentioned shifts. Duties Reporting directly to the...

WORK REMOTELY after training! CANDIDATE MUST RESIDE IN THE METROPOLITAN NEW YORK AREA! !! Process all requests for services in accordance with Medicare and NYS Medicaid guidelines as well as departmental criteria and guidelines. Work collaboratively with other disciplines including care manager, assessment nurse and primary care physician or other...

🚀 Ready to turn your passion for travel into an exciting career? Join our team as an Online Travel Reservations Advisor! 💻 Remote | Flexible Hours | Uncapped Earnings Are you the go-to person for planning vacations? Do you love helping others book unforgettable getaways? If so, this opportunity is perfect for you! We’re looking for motivated...

Our client, a Medical Center facility under the aegis of a California Public Ivy university and one of largest health delivery systems in California, seeks an accomplished Infusion Referral Intake Coordinator ________________________________________ NOTE- THIS IS 100% REMOTE ROLE & ONLY W2 CANDIDATES/NO C2C/1099 *** Candidate must be authorized to work in...

Remote Personal Assistant | Entry-Level Welcome | Yes Communities Yes Communities is one of the nation’s largest owners of manufactured home communities, and we’re growing our remote support team! If you’re organized, reliable, and love helping people behind the scenes, this role is for you. Position: Personal Assistant – Remote Type: Full-time or...

Job DescriptionJob DescriptionFully Remote Certified Pharmacy TechnicianAs a Certified Pharmacy Technician, you will evaluate and authorize approval of commercial prior authorization pharmacy requests from prescribers using clinical criteria in a call center environment. ResponsibilitiesEvaluate and authorize approval of pharmacy requests based on clinical...

Job Title: Utilization Management Registered Nurse (UM RN) – SNF / MLTC Location: Remote (Must reside in NY, NJ, or CT) Schedule: Monday – Friday, 9:00 AM – 5:00 PM Position Type: Full-Time Position Overview We are seeking an experienced Utilization Management Registered Nurse (UM RN) with a strong background in Skilled Nursing Facility (SNF)...

Location: Remote / Washington, DC / Dallas / Houston / Chicago Experience: 5–7 years Compensation: $245,000–$440,000 (published salary range; compensation based on experience) Saltu is partnering with a nationally recognized law firm seeking a talented Litigation Associate to join its sophisticated federal litigation practice. This is an excellent...

About the Role: We are seeking motivated individuals to join our growing remote team as an Employee Benefits Specialist. This is an entry-level opportunity designed for candidates who are eager to learn the fundamentals of protecting employees, work directly with members, and support the delivery of benefit solutions. No prior industry experience is...

Litigation Attorney - Hybrid Remote - Philadelphia or Cherry Hill - $120k to $200k Base + Bonuses This Jobot Job is hosted by: Stanton Sikorski Are you a fit? Salary: $120,000 - $200,000 per year A bit about us: Founded close to three decades ago, we are a regional civil litigation defense firm, recognized locally, regionally, and nationally, serving as...

We are seeking motivated individuals to join our growing remote team as a Benefits Enrollment Advisor. This is an entry-level opportunity designed for candidates who are eager to learn the fundamentals of protecting employees, work directly with members, and support the delivery of benefit solutions. No prior industry experience is required- comprehensive...

Outlier helps the world’s most innovative companies improve their AI models by providing human feedback. Are you a strong communicator with fluency in English who would like to lend your expertise to train AI models?About the opportunity:Outlier is looking for talented, detail-oriented English speakers to help train generative AI voice, image, and video...

Company Description AAA Accelerator builds on the globally recognized AAA Model (AI Automation Agency), to help developers, entrepreneurs, and industry leaders start and scale their own AI agencies. The program has a strong track record of guiding newcomers into successful AI entrepreneurs generating six-figure revenues and holds a 4.8-star rating on...