- Actalent (Eagan, MN)
- …Your main role will be utilizing your clinical skills to complete utilization management reviews ( Prior authorizations, Coverage Exceptions, Quantity Limit ... 100% REMOTE POSITION( PRIOR AUTHORIZATION) Job Title: Pharmacist : Job Description:… more
- Humana (Schaumburg, IL)
- …and/or experience with medical terminology and/or ICD-10 codes. + Experience with Utilization Review and/or Prior Authorization, preferably within a managed care ... of Microsoft Office programs specifically, Word, Excel, Outlook. + Prior billing/claims or authorization experience. **Preferred Qualifications** + Associate's or… more
- Actalent (Atlanta, GA)
- …ensure the successful completion of cases. Essential Skills + Experience in utilization management, concurrent review, prior authorization, utilization ... + Active Compact RN License, Compact LPN is okay too + Utilization Management/Concurrent Review experience. + ICU/ER experience. + Strong communication skills. +… more
- Leidos (Chantilly, VA)
- …+ Use of **Power BI** , **Visio** , or equivalent tools for space utilization analysis and reporting. + Prior experience supporting federal, government, or ... Computer-Aided Facilities Management (CAFM) systems, AutoCAD-based floorplans, and space utilization analysis. **Primary Responsibilities** : + Plan and analyze the… more
- CVS Health (Charleston, WV)
- …+ Ability to thrive in a **fast-paced environment** **Preferred Qualifications** + Prior experience in **precertification or prior authorization** + **West ... Virginia residency** preferred + **Compact RN licensure** preferred + **Bachelor of Science in Nursing (BSN)** preferred **Education** + **Associate's degree in Nursing** required + **BSN** preferred **Anticipated Weekly Hours** 40 **Time Type** Full time… more
- CVS Health (Richmond, VA)
- …environment **Preferred Qualifications** . Virginia resident preferred . Previous prior authorization experience . Compact RN licensure preferred **Education** + ... Associates degree required + BSN preferred **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $29.10 - $62.32 This pay range represents the base hourly rate or base annual full-time salary for all… more
- CVS Health (Richmond, VA)
- …to work in a fast paced environment Preferred Qualifications: - Previous prior authorization experience - Virginia resident preferred - Compact RN licensure ... preferred Education: Associates degree required BSN preferred **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $29.10 - $62.32 This pay range represents the base hourly rate or base annual full-time… more
- Ascension Health (Baltimore, MD)
- …American Heart Association or American Red Cross accepted. + Registered Nurse obtained prior to hire date or job transfer date required. Education: + Required ... professional licensure/certification AND 3 years of experience and 1 year of cumulative leadership experience required. **Additional Preferences** \#ATP **Why Join Our Team** Ascension associates are key to our commitment of transforming healthcare and… more
- Molina Healthcare (Omaha, NE)
- …holidays.** Preferred Experience Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge ... and eligibility for requested treatments and/or procedures. + Conducts prior authorization reviews to determine financial responsibility for Molina Healthcare… more
- US Tech Solutions (GA)
- …team. **Experience:** + 1-3 years of related work experience. **Skills:** + Prior Authorization + Utilization Reeview **Education:** + High School Diploma ... from distractions. You will provide processing and communication of specialty medication prior authorization (PA) requests reviewed by the Specialty Medical Prior… more
Recent Jobs
-
Principal Engineer - Corporate Automation Program Lead - Drug Product
- Lilly (Indianapolis, IN)