Average salary: $127,082 /yearly
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...Remote Prior Authorization Pharmacist
**Job Description:**
We are actively seeking a dedicated Pharmacist to join our remote team with a focus on Prior Authorization. In this role, you will play a crucial part in evaluating medication requests, ensuring adherence to...
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...LPN/LVN - Prior Authorization Nurse
Location: Remote (PST Time Zone)
Hours: 8am-5pm PST
Summary:
The LVN Prior Authorization Nurse will be responsible for conducting concurrent reviews and providing prior authorizations for medical treatments and procedures in...
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...Job Title: Referral / Authorization Specialist
(Healthcare Experience REQUIRED) Location: Must live on West Coast - Pacific Time Zone... ...team. The ideal candidate will possess extensive knowledge of prior authorization and referrals processes, medical terminology, and...
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...Job Title: Referral/Authorization Coordinator
Location: Candidates must live near Hidalgo for occasional in-person meetings
Pay: $19.00 per hour Work Arrangement: 100% Remote
Experience Required: 1+ Years of Relevant Experience
Company Overview:
Our...
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...culture that values each individual, our environment, and the communities in which we live. You would be responsible for IT IAM Authorization implementation and support; ensuring all stakeholders stay connected.
Smithfield Foods, Inc. is looking for a highly motivated and...
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Worldwide
...across 12 states. We’re focused on serving people and the communities we are part of.
Job Summary:
The RCM Representative, Authorization reports to the RCM Client Access Supervisor. This position performs general data entry & keying tasks for the Revenue Cycle...
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...REAL TIME CONSULTING (An RTCo Company)—POSITION DESCRIPTION
JOB TITLE: APU Design Authority System Requirements Development
REMOTE WORK OPTIONS AVAILABLE!
ABOUT THE JOB:
This position is responsible for development of System Requirements for an Auxiliary Power...
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...PB Authorization Specialist I
Shift: 8am-5pm (Monday thru Friday) including 1-hour lunch break
Work location: Additional details shall be discussed as part of the interview process. Applicant must live in Texas, the Greater DFW area highly preferred.
JOB SUMMARY...
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Monday to Friday
...) using NONMEM, R and other common pharmacometrics software
Prior experience in applying model-informed drug development in multiple... ...requirements and significant experience in regulatory authority interactions
Experience in managing people
Experience building...
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...global cross-functional teams to develop an aligned strategy
~ Prior experience in large scale late phase Solid Tumor Oncology drug... ..., or other relationships through influencing without direct authority, creating effective relationships with peer counterparts in an...
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...internal commercial teams to achieve targeted objectives and meet established MBO’s and goals. Provider and account interface, prior authorization and coding education, as well as case management all will be done within current compliance guidelines. This position will...
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2 days per week
3 days per week
...What are the day to day responsibilities? Inpatient pediatric authorization reviews using MCG as criteria
Peds experience a bit plus... ...members that require hospitalization and/or procedures providing prior authorizations and/or concurrent review. Assesses services for...
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...~ Typically requires a University Degree and minimum 8 years prior relevant experience or an Advanced Degree in a related field and... ...absence of a degree, 12 years of relevant experience
~Must be authorized to work in the U.S. without sponsorship now or in the future....
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...levels to accomplish established regulatory parameters, customer service, quality and productivity goals. Ensures that authorization requests sent to Prior Authorization and identified post service claims are reviewed according to appropriate regulatory, coverage and...
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Full time
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Shift work
...credibility, utilization, and risk based on population size and prior predictive behavior of the pool/account; identifying and... ...conditions of offering and pricing within the limits of their authority for increasingly complex accounts.
Contributes to goals, initiatives...
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Full time
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Shift work
...credibility, utilization, and risk based on population size and prior predictive behavior of the pool/account; working with team to... ...conditions of offering and pricing within the limits of their authority.
Contributes to goals, initiatives, and program development...
Full time
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Shift work
...feedback.
Assesses needs and provides appropriate training prior to go-live, provides on-site support during go-live and maintains... ...: Work location is the remote workplace (from home) within KP authorized states. Worker location must align with Kaiser Permanente's...
Full time
Work experience placement
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Shift work
...accordingly; testing and validating upgrades and enhancements prior to production implementation; providing incident support to help... ...: Work location is the remote workplace (from home) within KP authorized states. Worker location must align with Kaiser Permanente's Authorized...
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...medical record data abstracted or encounter
data corrected, prior to submitting the data.
Ensures timely data completion by meeting... ...: Work location is the remote workplace (from home) within KP authorized states. Worker location must align with Kaiser Permanente's...
Full time
Local area
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Shift work
$67k - $76k
...requirements, including turnaround times and line of business specific authorization requirements. This position requires significant coordination... ...an applicant's skills, education/degrees, certifications, prior experience, market data, and other relevant factors.
This...
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