remote prior authorization jobs in Phoenix

Job DescriptionJob DescriptionJob Title: Pharmacy TechnicianJob DescriptionWe are seeking a dedicated Pharmacy Technician to work with Medicare and Medicaid patients, primarily focusing on prior authorizations. The role involves both intake and technical review functions within the MedPharm environment.ResponsibilitiesHandle the intake of MedPharm prior...

Actalent is seeking a Remote MedPharma Pharmacy Technician to process and review Medicare/Medicaid prior authorizations. You will handle intake, perform technical reviews, and determine coverage decisions in a HIPAA-compliant remote setting. Training runs Monday–Friday with flexible schedules and rotating holiday coverage. The role emphasizes data...

Actalent is seeking a Remote Pharmacy Technician to support Medicare/Medicaid patients by processing prior authorizations in a fully remote environment. You will intake requests, perform technical reviews, and determine coverage based on criteria and SOPs, while delivering excellent customer service by phone. The role requires data entry accuracy, managed...

Prior Authorization Submitter At Tobii Dynavox, LLC in Phoenix, Arizona, United States, we're on a mission to empower people with disabilities to do what they once did or never thought possible. As the world-leader in assistive communication solutions, we empower our customers to express themselves, connect with the world, and live richer lives. At Tobii...

Actalent is seeking a Certified Pharmacy Technician for a 100% remote role to evaluate and authorize commercial prior authorization requests in a call-center environment. You will determine medication appropriateness, document outcomes, and escalate complex cases for pharmacist review. Requirements include a valid pharmacy technician license with a national...

CVS Health is hiring a Pharmacy Prior Authorization Technician to support AC and AZ regions. The role involves processing prior authorization requests received by phone, fax, or electronically, researching criteria, and ensuring accurate documentation. Excellent communication and NCQA-compliant language are required. The position is full-time and remote,...

OverviewHealthCare Support Staffing, Inc. (HSS) is a national healthcare recruiting and staffing firm that places healthcare professionals in clinical and non-clinical positions with hospitals, laboratories, clinics, and other healthcare facilities throughout the United States. HSS connects healthcare professionals with career opportunities and supports...

Senior Director, Pharmacy Prior Authorization and Call CenterThe Blue Shield of California (BSC) Pharmacy team is passionate about making a meaningful impact by reimagining pharmacy care. Ensuring every member has safe, equitable access to sustainably affordable pharmacy benefits is at the heart of everything we do. The Senior Director, Pharmacy Prior...

AHCCCS in Phoenix seeks an Behavioral Health Prior Authorization Utilization Review Consultant to monitor, evaluate, and decide on payment for medical and behavioral services under AHCCCS Fee for Service. The role requires licensing, clinical expertise, and strong analysis to ensure compliance with standards of care and regulations, with collaboration across...

A healthcare recruiting firm located in Phoenix, Arizona is seeking a Pharmacy Technician to provide clerical and phone support for member prior authorizations. The ideal candidate will have a clear and active pharmacy tech license in Arizona and 1-2 years of relevant experience. This position involves answering calls from pharmacies and medical...

Your Role The Blue Shield of California (BSC) Pharmacy team is passionate about making a meaningful impact by reimagining pharmacy care. Ensuring every member has safe, equitable access to sustainably affordable pharmacy benefits is at the heart of everything we do. The Senior Director, Pharmacy Prior Authorization and Call Center will report to the Senior...

Blue Shield of California is seeking a Senior Director of Pharmacy Prior Authorization and Call Center to lead a 200+ team, shaping PA and call center operations for safe, cost-effective patient care.In collaboration with the Medical Director, you will design and optimize processes cross-functionally, partner with vendors, and advance affordable access...

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something...

FULL TIME ONSITE IN PHOENIX, AZAbout the roleAs a Clinical Operations Specialist at Generator Health, you will play a critical role in ensuring the accuracy and integrity of our system’s prior authorization process. You'll bring your expertise in clinical data understanding to catch errors, and uphold the standards that our patients and providers depend...

A healthcare staffing company is seeking a pharmacy technician to support prior authorization processes. The role involves providing customer service and expertise to members and providers, handling requests for prior authorizations, and ensuring compliance with regulatory standards. Ideal candidates will have a CPhT certification and experience in customer...

Actalent is seeking a Remote Pharmacy Technician to support Medicare/Medicaid patients by processing prior authorizations in a fully remote environment. You will intake requests, perform technical reviews, and determine coverage based on criteria and SOPs, while delivering excellent customer service by phone. The role requires data entry accuracy, managed...

Clinical Prior Authorization Reviewer Location: Phoenix, AZ OR Remote as well Duration: 03 Month+ Contract Work hours: Remote okay, but must work Arizona/Phoenix hours. Reliability is important. Pay Rate: $45/Hour On W2 What they really need: RN/Clinical background Strong Prior Authorization (PA) / Utilization Management (UM) experience Health Plan/Payer or...

A leading healthcare staffing agency is seeking a full-time Prior Authorizations Pharmacy Technician in Phoenix, Arizona. The role focuses on providing expertise in prior authorization requests, ensuring high-quality customer service while adhering to legal requirements. Candidates must possess a High School Diploma, an active Pharmacy Technician License,...

We’re building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something...

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...