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The Pharmacy Prior Authorization Specialist will ensure patients receive the medication that requires pre-authorizations from insurance carriers by receiving prescriptions, addressing and rectifying rejected claims and conducting necessary third party authorization requests.
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Become a part of our caring community and help us put health first The Pre-Authorization Nurse 2 reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder.
$96,200 a yearExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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Line Staffing Solutions is looking to hire a FULLY RMOTE PBM Prior Authorization Pharmacist with a major healthcare company. Prior Authorization Pharmacist Location: Remote - Anywhere in the U.S.
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Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Performs pre-authorization through QRM and other systems required. Responsible for data processing, diagnostic reporting, clinical information gathering, verification of coverage, QRM authorization, and completion of all other pre-operative requirements to include obtaining authorization from outside insurers for Medicaid patients using their independent authorization system.
$24.81 - $31.41 an hourFull-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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GDIT is an Equal Opportunity/Affirmative Action employer. Advise customer on Risk Management Framework (RMF) assessment and authorization issues. Prior performance in roles such as ISSO or ISSM.
$153,180 a yearExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Advise the Information System Owner (ISO), Information Data Owner (IDO), Program Security Officer (PSO), and the Delegated and/or Authorizing Official (DAO/AO) on any assessment and authorization issues.
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Faith Technologies, Inc. will take affirmative action to provide equal opportunity in apprenticeship and will operate the apprenticeship program as required under Title 29 of the Code of Federal Regulations, part 30.
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Faith Technologies, Inc. (FTI) is an Affirmative Action Employer/Equal Opportunity Employer. Leverage Technology: Our virtual design and build programs that offer the latest in robotic total stations, 3D scanning, virtual and augmented reality and drone surveillance and assessment.
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Familiarity with third party administrator operations such as eligibility, prior authorization, claims administration and provider network administration. Prior experience demonstrating the ability to understand and interpret laws, rules and regulations as defined under state and Federal statutes along with remaining current on Healthcare Reform updates and changes.
$32.82 an hourFull-timeExpandApply NowActive JobUpdated 15 days ago - UpvoteDownvoteShare Job
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Contacts patients to update medication reconciliation lists; supports management of prescription refills; pre/post procedure questions and handles insurance prior authorization of medications.
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ABARTA Coca-Cola Beverages, LLC is an Equal Opportunity Employer Minorites/Women/Veterans/Disable/Sexual Orientation/Gender Identity. Additional InformationABARTA Coca-Cola Beverages, LLC applicants must submit to a background verification process prior to commencing employment with the company.
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The Prior Authorization Specialist I is responsible for obtaining and resolving referral, precertification, and/or prior authorization to support insurance specific plan requirements for all commercial, government and other payors across hospital (inpatient & outpatient), ED, ancillary and clinic/ambulatory environments.
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Faith Technologies, a division of Faith Technologies Incorporated (FTI), is an energy expert and national leader in electrical planning, engineering, design and installation. In collaboration with Workforce Manager, participates in performance review process for field leadership.
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Equal Opportunity Employer: GracePoint Church is an equal opportunity employer and makes employment decisions on the basis of merit. It is the policy of GracePoint Church to grant equal employment opportunities to all qualified persons without regard to race, color, creed, sex, religion, age, national origin, marital status, sexual orientation, citizenship, physical or mental disability that does not prohibit performance of essential job functions, veteran's status, or any other conditions or identifications against which discrimination is prohibited.
$40 an hourFull-timeExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
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Full time practice manager and prior authorization specialist on site. Investment opportunity in the ASC. Shareholder track in clinic. Multiple experienced nurse practitioners within our department extend our community impact by providing excellent clinical care.
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equal opportunity prior authorization jobs Title: licensed practical nurse in Lexington, Massachusetts
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