• Prior Auth Service Coordinator - Hybrid

    Fallon Health (Worcester, MA)
    …: Under the direction of the Manager of Prior Authorization , communicates with contracted and non-contracted facilities/agencies/providers to collect pertinent ... prior authorization request data and disseminates information to the Authorization Coordinators. Additionally, supports the authorization process by… more
    Fallon Health (11/21/25)
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  • Security Control Assessor (SCA) I

    General Dynamics Information Technology (Fort Walton Beach, FL)
    …and the Delegated and/or Authorizing Official (DAO/AO) on any assessment and authorization issues. + Evaluate Authorization packages and make recommendation to ... the AO and/or DAO for authorization . + Evaluate IS threats and vulnerabilities to determine...and prepare the Security Assessment Report (SAR) for the Authorization boundary. + Initiate a Plan of Action and… more
    General Dynamics Information Technology (11/06/25)
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  • Manager, Family Support

    LifeCenter Northwest (Bellevue, WA)
    …assigned FS staff. This role is responsible for the success of authorization at LifeCenter Northwest (LifeCenter), and thus is mission-critical for the organization. ... staff, navigating difficult conversations with families of referred patients, obtaining authorization for donation, and completing the legal paperwork required for… more
    LifeCenter Northwest (10/22/25)
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  • Targeted Case Manager - Access - Full Time - Penn…

    Penn Medicine (Philadelphia, PA)
    …30 minutes. Ensures a face-to-face contact is established within 5 days of authorization for all adult TCM programs. Additionally, for PARS, a billable contact (such ... a phone call) must occur within 24 hours of authorization . Ensures compliance to TCM standards of service provision...the following forms are completed within 30 days of authorization and then updated annually or if changes are… more
    Penn Medicine (12/27/25)
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  • Insurance Case Manager

    HCA Healthcare (Gainesville, FL)
    …Qualifications** In this role you will: + Oversee all aspects of transplant authorization and medical management authorization . + Manage the transplant ... are obtained timely. + Manages all aspects of the transplant authorization process for assigned cases, which includes periodic re-verification of patients… more
    HCA Healthcare (12/16/25)
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  • Referral & Prior Auth Rep III

    University of Rochester (Rochester, NY)
    …equity considerations._ **Responsibilities:** Serves as the patient referral and prior authorization specialist, with oversight of data and compliance to enterprise ... standards and referral and prior authorization guidelines. Communicates regularly with patients, families, clinical and...an active member of the care team. Acquire insurance authorization for the visit and, if applicable, any testing;… more
    University of Rochester (12/05/25)
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  • Pharmacist - Clinical Pharmacist Advisor Medicare

    US Tech Solutions (May, OK)
    …criteria based & clinical review of medical data collected to perform prior authorization as per policy and procedure. + The Pharmacist/Clinician will apply clinical ... PA request as needed. **Responsibilities:** + Evaluate and review all prior authorization requests and render coverage determinations based on clinical criteria and… more
    US Tech Solutions (10/30/25)
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  • Financial Clearance Center Representative

    Catholic Health Services (Melville, NY)
    …various components of the insurance verification, insurance notification and authorization , and financial clearance operational activities for the Catholic Health ... insurance coverage, notification to payers for non-scheduled admissions, and pre-certification/ authorization requirements via phone or through an online system to… more
    Catholic Health Services (12/09/25)
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  • Field Service Engineer

    Emerson (Charlotte, NC)
    …paid parental leave (maternal and paternal), vacation and holiday leave **Work Authorization ** Emerson will only employ those who are legally authorized to work ... J or TN, or who need sponsorship for work authorization now or in the future, are not eligible...travel up to 75% of the time. + Legal authorization to work in the United States without sponsorship… more
    Emerson (12/23/25)
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  • Information Systems Security Officer (ISSO) III

    General Dynamics Information Technology (Dayton, OH)
    …environment of operation to include developing and updating the authorization documentation, implementing configuration management across authorization ... in meeting their duties and responsibilities. + Prepare, review, and update authorization packages. + Ensure approved procedures are in place for clearing,… more
    General Dynamics Information Technology (12/17/25)
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