- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- Prior Authorization Technician - Remote Job Details Job Location Polaris Pharmacy Services of Ft Lauderdale - Ft. Lauderdale, FL Remote Type Fully Remote Position ... Type Full Time Job Category Pharmaceutical Description PRIOR AUTHORIZATION SPECIALIST (REMOTE) WHO WE ARE Polaris Pharmacy Services is an industry leader in both the… more
- Centene Corporation (Tallahassee, FL)
- …on workplace flexibility. **Centene is Hiring - Remote Clinical Review Nurse ( Prior Authorization)!** **Ready to take your nursing career beyond the bedside? Join ... for:** + **RN or LPN with a compact license** + **Experience in prior authorization (managed care or clinical setting)** **Make your nursing background count in… more
- University of Miami (Miami, FL)
- …Manager RN - Full Time The University of Miami is currently seeking a Prior Authorization Nurse Case Manager. The incumbent purose is to conduct initial chart ... + Adhere and perform timely prospective reviews for services requiring prior authorization + Follows the authorization process using established criteria as… more
- Molina Healthcare (Tampa, FL)
- …and eligibility for requested treatments and/or procedures. + Conducts prior authorization reviews to determine financial responsibility for Molina Healthcare ... members. + Processes requests within required timelines. + Refers appropriate prior authorization requests to Medical Directors. + Requests additional information… more
- Molina Healthcare (South Florida, FL)
- …and eligibility for requested treatments and/or procedures. + Conducts prior authorization reviews to determine financial responsibility for Molina Healthcare ... members. + Processes requests within required timelines. + Refers appropriate prior authorization requests to Medical Directors. + Requests additional information… more
- Centene Corporation (Tallahassee, FL)
- …- Saturday 8A-5PM Florida Residency Required **Position Purpose:** Analyzes all prior authorization requests to determine medical necessity of service and ... teams, to assess medical necessity of care of member + Escalates prior authorization requests to Medical Directors as appropriate to determine appropriateness of… more
- CVS Health (Tallahassee, FL)
- …day. **Position Summary** The Tech I is the initial point of contact for Prior Authorization requests from members, providers, and a diverse customer base. The Tech ... I will make the determination if a complex request should be transferred to a pharmacist for assistance. Additionally, the Tech I is responsible for maintaining complete, timely, and accurate documentation of all approvals and denials. In order to be… more
- University of Miami (Miami, FL)
- …FUNCTIONS: + Adhere and perform timely prospective review for services requiring prior authorization as well as timely concurrent review for continuation of care ... services + Follows the authorization process using established criteria as set forth by the payer or clinical guidelines + Accurate review of coverage benefits and payer policy limitations to determine appropriateness of requested services + Refers to the… more
- Orange County Sheriff's Office, Orlando, Florida (Orlando, FL)
- …- SRO are fully prepared to be a solo deputy. New hires with prior law enforcement experience may be eligible for an accelerated Field Training and Evaluation ... certified (vested with authority to bear arms and make arrests). Exemptions: prior /current Orange County Sheriff's Office Deputy Sheriff, prior /current Reserve… more
- Northrop Grumman (Melbourne, FL)
- …to obtain and maintain a DoD Top-Secret Security Clearance with SCI access + Prior management experience with programs valued at or greater than $100M + Prior ... and / or major subcontractors on development programs + Prior leadership experience leading cross-functional teams + Earned Value...Current Top Secret (TS/SSBI) clearance with SCI access + Prior experience with managing proposal efforts + Prior… more