• Authorization Specialist , Digestive…

    UPMC (Pittsburgh, PA)
    UPMC Digestive Health Care is hiring a full-time Authorization Specialist to join their team at Shadyside Medical Building, Pittsburgh! In this position, you ... excellence to which all work is to conform. The expertise of the Authorization Specialist shall include working knowledge in the area of authorization more
    UPMC (12/12/25)
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  • Authorization Specialist (Children's…

    UPMC (Pittsburgh, PA)
    …of Pediatric Ophthalmology, Strabismus, and Adult Motility is hiring a full-time Authorization Specialist to support their team located at UPMC Children's ... of this role include completing surgery authorizations, genetic Testing authorization , out of state authorizations, radiology authorizations (and other duties… more
    UPMC (12/12/25)
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  • Pharmacy Insurance Authorization

    Penn State Health (Hershey, PA)
    …(MAILTO://###@pennstatehealth.psu.edu) **SUMMARY OF POSITION:** The Pharmacy Insurance Authorization Specialist must demonstrate clinical expertise ... maintaining the highest standards of safety and efficacy. The Pharmacy Insurance Authorization Specialist drives our medication procurement queues and assists… more
    Penn State Health (11/14/25)
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  • Insurance Authorization Specialist

    Penn State Health (Hershey, PA)
    …prohibit or outlaw discrimination._ **Union:** Non Bargained **Position** Insurance Authorization Specialist - Radiation Oncology **Location** US:PA: Hershey ... | Clerical and Administrative | Full Time **Req ID** 84287 more
    Penn State Health (10/24/25)
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  • Lead Insurance Authorization

    Penn Medicine (Lancaster, PA)
    …with or without reasonable accommodation to perform the following duties: Coordinate pre- authorization process + Serve as the primary SME for the Financial Clearance ... periodic staff updates to the Supervisor. + Verify eligibility and obtain authorization through telephonic interaction or using online insurance portals. + Obtains… more
    Penn Medicine (12/06/25)
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  • Med Refill/Prior Authorization Support…

    St. Luke's University Health Network (Bethlehem, PA)
    …of a patient's ability to pay for health care. The Practice Prior Authorization and Referral Specialist is responsible for the coordination of ... Performs insurance verification, obtaining pre-authorizations, scheduling, and referrals. The specialist will secure the necessary prior authorization , then… more
    St. Luke's University Health Network (12/09/25)
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  • Senior Product Owner - Clinical Referral…

    CenterWell (Harrisburg, PA)
    …Care to lead strategy and execution for our referral management, payer prior authorization , and specialist network solutions. This role is critical to shaping ... delivery of external specialist referral management solutions, including specialist network optimization, authorization processes, and workflow enablement. +… more
    CenterWell (11/25/25)
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  • Home Modification Specialist

    AmeriHealth Caritas (Philadelphia, PA)
    …us at www.amerihealthcaritas.com . The Community Health Choices (CHC) Home Modification Specialist works within the scope of the service definition for home ... under the Community Health Choices (CHC) Program. The Home Modification Specialist evaluates Participant needs for home accessibility/modification and the existing… more
    AmeriHealth Caritas (10/29/25)
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  • Patient Access Specialist

    Globus Medical, Inc. (Collegeville, PA)
    …Summary** **:** Reporting to the Supervisor, Patient Access, the Patient Access Specialist will focus on providing payer coverage support to customers from the ... initial processing of received documentation through prior authorization , appeals support, detailed claims review, and hotline support. The Patient Access … more
    Globus Medical, Inc. (10/02/25)
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  • Pharmacy Clinical Review Specialist

    UPMC (Pittsburgh, PA)
    UPMC Health Plan is looking for Pharmacy Clinical Review Specialist I positions in the Pharmacy Services department. This is a full time position working Monday ... through Friday 11:30am to 8:00pm and weekend rotations. The Clinical Review Specialist will oversee administrative and system processes that relate to pharmacy prior… more
    UPMC (12/12/25)
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