Displaying 1 - 50 of 755

US Tech Solutions
Telecommute
Duration: 6+ months contract Job Description: Responsible for reviewing and completing criteria based on prior authorization as per policy and procedure. Responsibilities: This individual must have excellent interpersonal skills. Will be responsible for: Reviewing and completing criteria based on prior authorization as per policy and procedure. Experience: Prior authorization experience required.
US Tech Solutions
Telecommute
Duration: 6 months contract Job Description: As an RPh Advisor you will be directly supporting Medicare Part D members and providers with requests related to their pharmacy benefits. Responsible for ensuring cases are accurately set up for our members, review clinical information for decisioning the request, performing outreach to providers for more information when needed, and ensuring accurate d
A-Line Staffing Solutions
Woonsocket, Rhode Island
Job Title: Remote Prior Authorization Pharmacy Technician Pay: $21.24 an hr Bi-weekly Job Type: Remote Start date: 11/18/24 Shift Options: Assigned shifts vary from 7AM-8PM CT. Training hours 8AM-430PM CT Remote Prior Authorization Pharmacy Technician Overview: This position takes in-coming calls from members, providers, etc providing professional phone assistance to all callers through the criter
US Tech Solutions
Telecommute
Duration: 06 Months Summary: This position takes in-coming calls from members, providers, etc providing professional phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of all approvals and denials, and transfers all clinical questions and judgment calls to the pharmacist. The Pharmacy Technician certificatio
US Tech Solutions
Telecommute
Duration: 06 Months Summary: This position takes in-coming calls from members, providers, etc providing professional phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of all approvals and denials, and transfers all clinical questions and judgment calls to the pharmacist. The Pharmacy Technician certificatio
US Tech Solutions
Telecommute
Duration: 06 Months Job Summary: The clinical pharmacist is an operation based role that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply clinical knowledge to plan approved criteria for prospective and concurrent reviews of cases. authorizations. Responsibilities: 1. Collaborates with the CRU Technicia
US Tech Solutions
Telecommute
Duration: 06 Months Summary: · Tasks for Customer Service Rep can differ per location: Effective delivery of company products and services (40%) *Responds to telephone inquiries and orders from homecare patients and referral sources. · Provides information on equipment, supplies and services. · Determines the best method for providing services. * May assist walk-in patients with the selection of e
US Tech Solutions
Telecommute
Duration: 6+ months contract Job Description: Responsible for reviewing and completing criteria based on prior authorization as per policy and procedure. Responsibilities: This individual must have excellent interpersonal skills. Will be responsible for: Reviewing and completing criteria based on prior authorization as per policy and procedure. Experience: Prior authorization experience required.
US Tech Solutions
Telecommute
Duration: 06 Months Job Summary: The clinical pharmacist is an operation based role that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply clinical knowledge to plan approved criteria for prospective and concurrent reviews of cases. authorizations. Responsibilities: Collaborates with the CRU Technician t
A-Line Staffing Solutions
Woonsocket, Rhode Island
Job Title: Remote PBM Prior Authorization Pharmacist Pay: $53 an hr Bi-weekly Job Type: Remote Shift Options: 8am to 8pm EST/CST - 8hours per day M-F or 7am-330p EST/CST rotating weekends Remote PBM Prior Authorization Pharmacist Overview: Collaborates with multiple groups within CD&A, including answering clinical questions, collecting appropriate clinical/ medical data needed to perform clinical
A-Line Staffing Solutions
Telecommute
A-Line staffing is hiring a Prior Authorization Pharmacist - this position has career growth potential with full time / 40+ hours per week. If interested in this position APPLY NOW for IMMEDIATE consideration Jenise Nottage jnottage@alinestaffing.com text 5864736098 Summary and Highlights: This position is responsible for reviewing and completing criteria based on prior authorization as per policy
University of Utah
Salt Lake City, Utah, 84112
Prior Authorization Coordinator Job Summary Job Summary The Division of Pediatric Clinical Enterprise at the University of Utah School of Medicine has an immediate opening for a Scheduling and Prior Authorization Coordinator. This position works with a team of professionals responsible for obtaining prior authorization before services are rendered for requested procedures, testing, and medications
Jobot
Sumterville, Florida, 33585
Authorization and Referrals Specialist $$$$ Flexible Schedule This Jobot Job is hosted by: Kaylee Pauley Are you a fit? Easy Apply now by clicking the "Quick Apply" button and sending us your resume. Salary: $25 - $28 per hour A bit about us: This role is ideal for those who thrive in a fast-paced environment, have excellent attention to detail, and possess a strong understanding of the medical in
University at Albany
Albany, New York, 12222
Coordinator, Credit for Prior Learning About University at Albany: Established in 1844 and designated a University Center of the State University of New York in 1962, the University at Albany's broad mission of excellence in undergraduate and graduate education, research, and public service engages a diverse student body of more than 17,000 students in nine schools and colleges across three campus
Southwest Research Institute
San Antonio, Texas
Who We Are: The Services Group provides support by issuing Services Purchase orders to SwRI vendors to support SwRI Overhead or SwRI (Government and Commercial) projects, in accordance with SwRI General Terms and Conditions. Objectives of this Role: Solicits, negotiates, awards and administers services Purchase Orders necessary to support either SwRI Overhead needs or project need to support exter
Tacoma Community College
Tacoma, Washington
Who We Are Located in the scenic Puget Sound area with nearby mountain ranges and Mount Rainier in the distance, Tacoma is surrounded by outdoor recreational opportunities such as hiking, boating and camping. Tacoma, Washington has been ranked as one of the most livable cities in the country, due to the increasing career opportunities, cultural diversity and community engagement, just to name a fe
Unitil Service Corporation
Hampton, New Hampshire
Our Company More than a utility company, Unitil provides energy for life. Our work helps keep homes comfortable, businesses thriving and communities connected. Unitil is an investor-owned public utility proudly serving Maine, Massachusetts and New Hampshire. We are dedicated to delivering energy to our customers safely and reliably. Unitil is committed to creating an inclusive environment that wel
Southwest Research Institute
San Antonio, Texas
Who We Are: Project Planning & Control (PP&C) Planner / Earned Value Management section are highly trained and skillful in the use of Industry Standards applicable to project planning, scheduling, project controls, and leading validated earned value management application and implementation across Space Sector contract projects and science missions while serving NASA; DoD; and private sector contr
Southwest Research Institute
Oklahoma City, Oklahoma
Who We Are: The Aerospace Systems Engineering Section in the Strategic Aerospace Department provides an array of engineering support for several US Air Force Global Strike Command and Department of Defense programs. We provide engineering services to projects involving the design, development and maintenance of systems for the strategic aerospace community, including aircraft and ground support eq
Southwest Research Institute
Boulder, Colorado
Who We Are: Our team, the Space Mission Directorate within Division 19, is looking for Linux IT Systems Administrator with an enthusiasm for spacecraft operations. Objectives of this Role: Formal knowledge of Linux required, with RedHat Enterprise Linux/CentOS specific experience a plus. Experience with servers and networking. Experience with Apache HTTP, LVM, clustered filesystems, DRBD, high ava
Southwest Research Institute
San Antonio, Texas
Who We Are: Operation System Support Section - Section that provides Unix/Linux support to the SwRI administrative cost centers and to technical divisions as needed. This team is responsible for managing the Unix/Linux, SAN storage, Load Balancer, and backup environments on-prem. Objectives of this Role: Support of the UNIX/Linux environment to include the provisioning of UNIX/Linux systems, apply
Southwest Research Institute
San Antonio, Texas
Who We Are: The Electronics Group of the Purchasing Department is responsible for the solicitation, negotiation, award and document purchase orders in compliance with SwRI policies as well as in compliance with Government regulations. Objectives of this Role: As the procurement expert, be able to process various large dollar and complicated orders including performing complex price analysis, locat
Raleigh, North Carolina, 27601
NCDIT - Specialist- Mid Level/GIS Coordination Support Specialist (747947) Client : NCDIT Title : Specialist- Mid-Level/GIS Coordination Support Specialist Address : 301 N. Wilmington St. Raleigh, NC 27601 Type : Hybrid Duration : 12 Months Short Description: Support specialist needed to assist GIS Coordination Program Manager in implementation of Geographic Information Coordinating Council (GICC)
Southwest Research Institute
San Antonio, Texas
Who We Are: Network Telecommunications Services: Responsible for connectivity and communications needs for the Institute. This includes network administration of routing, switching, unified communications, wireless and ISP connectivity. In addition, we manage AV operations and the telecom infrastructure inside/outside plant. Objectives of this Role: Handle centralized wired network management. Adm
Southwest Research Institute
San Antonio, Texas
Who We Are: We are R&D problem-solvers providing independent, premier services to government and industry clients; operating as a nonprofit since 1947 we work the public’s best interest, pushing the boundaries of science and technology to develop solutions. Objectives of this Role: Manage Applied Power Division Government Property as the Government Property Administrator. Understand Government Pro
Southwest Research Institute
San Antonio, Texas
Who We Are: The Export and International Affairs Group in the General Counsel's Office serves as an internal resource on U.S. export control and economic sanctions laws and regulations, oversees the Institute's export compliance program, and drafts and obtains export licenses and authorizations from U.S. government agencies. Objectives of this Role: Provide guidance to staff on U.S. export control
Southwest Research Institute
San Antonio, Texas
Who We Are: The Services Group provides support by issuing Services Purchase orders to SwRI vendors to support SwRI Overhead or SwRI (Government and Commercial) projects, in accordance with SwRI General Terms and Conditions. Objectives of this Role: Solicits, negotiates, awards and administers services Purchase Orders necessary to support either SwRI Overhead needs or project need to support exter
Southwest Research Institute
San Antonio, Texas
Who We Are: The Mechanical Engineering division at Southwest Research Institute develops engineering solutions for multiple industries and government agencies. From marine structures to aerospace to clean energy, we improve efficiency and productivity through expertise in engineering dynamics, structures, materials, machinery, and fluids systems. Our mission is to improve the safety, reliability,
Southwest Research Institute
San Antonio, Texas
Who We Are: Institute Quality Systems is a dedicated team of professionals committed to ensuring the effectiveness, efficiency, compliance and continuous improvement of internal processes within our organization. Objectives of this Role: Develop and implement a comprehensive continuous improvement strategy aligned with organizational goals and objectives. Lead cross-functional teams to identify ar
Southwest Research Institute
Boulder, Colorado
Who We Are: The Subcontracts Group of the Purchasing Department is responsible for the solicitation, negotiation, award, documentation, administration, and closeout of subcontracts. The team assists Project Managers in all phases of the subcontract. Objectives of this Role: Must be a motivated self-starter who can work independently and as part of a team in a dynamic environment. Provide cradle to
Southwest Research Institute
San Antonio, Texas
Who We Are: The Internal Audit Department is an independent and objective assurance and consulting activity guided by a philosophy of adding value to improve the operations of Southwest Research Institute. Objectives of this Role: With training and guidance from leadership, learn and be advised on how to perform internal audits successfully and compliantly from inception to completion to help impr
Southwest Research Institute
San Antonio, Texas
Who We Are: The Contracts Department is responsible for leading 'cradle-to-grave' contract negotiation & administration activities for SwRI's engineering/technical divisions. Objectives of this Role: Conduct prompt and thorough reviews of solicitation packages and contractual documents to identify key requirements, potential risks, and effectively communicate them to various internal departments.
Aditi Consulting
Bellevue, Washington, 98005
Responsibilities: Primarily tasked with property management, NON-SPM PO and invoice/payment processing. Potential tasks include Microwave, property management, transport, DAS/inbuilding or macro leasing projects. Will be responsible for driving project completion and site acquisition Tracking vendor performance, ensuring project trackers are updated, conforming to all leasing, zoning/permitting, e
AFCO Performance Group, LLC
Boonville, Indiana, 47601
AFCO Performance Group is seeking a dynamic and creative Marketing Specialist to join our team. The ideal candidate will possess a strong blend of marketing expertise, creative skills, and analytical abilities. As a Marketing Specialist, you will play a key role in developing and executing marketing strategies to drive brand awareness, engagement, and conversions. Responsibilities May Include: Con
Department of State, Overseas Buildings Operations
Virginia
Open and Close Dates: Oct 07, 2024 - Oct 21, 2024 Marketing Statement: The men and women of the US Department of State with their skills, character and commitment to public service, are the backbone of America's diplomacy. Personal Services Contractor employees support the foreign policy mission from offices in Washington, DC and worldwide. Join us in helping to shape a freer, more secure and pros
Zodiac Solutions
providence, Rhode Island, 02903
Title: Transmission Specialist Duration: 24 months + 6 months Extension Location: Providence, RI Rotation Shift: 14/14 days Travel: Rhode Island, New York Key responsibilities / Tasks / Deliverables Responsibilities Implementation of the Client Electrical Safety Rules on site, including the safe system of work Advise operationally on high voltage electrical installations to WTG, offshore substatio
Adex Corporation
Canonsburg, Pennsylvania, 15317
Location/Schedule: 100% remote, time zone/working hours is open but needs to be first shift, if the resource is near a local office they may be required to come in for a meeting/training. Top Skills: Compliance and Wireless Industry experience. Federal and state regulations experience on height and lighting for tower sites, environmental issues or concerns, backlog and delay experience, reviewing
Genesis10
Brooklyn, Ohio, 44144
Genesis10 is seeking a Lead Specialist_ Comm Client Services – SBA for a 3-month on-site contract position with a leading client located in Brooklyn, OH. This role pays $25.00/HR W2 based on experience. This role can be located in either Brooklyn, OH or Amherst, NY. Hours: Hours M-F 8am - 5pm ET. Once a month, a late shift of 11:00am-7:30pm is required. Training: 100% on-site for the first 6 weeks
Concern Housing
Middle Island, New York, 11953
Concern Housing is seeking a Mobile Team Wellness Counselor/Specialist to be responsible for providing linkages with community resources, daily living skills training, counseling and support, documentation, and compliance with program requirements, as well as be an essential resource and advocate for their clients. Duties and Responsibilities Include but not limited to: Facilitate residents linkag
Genesis10
Brooklyn, Ohio, 44144
Genesis10 is seeking an Insurance Specialist for a 3-month remote contract position with a leading client located in Brooklyn, OH. This role pays $20/HR W2 based on experience. Candidates applying must be a US Citizen or Green Card Holder and able to work on a W2 basis directly with Genesis10. Job Duties: Under the direction of the department manager, the person in this position is responsible for
International Logic Systems, Inc.
Fairfax, Virginia, 22033
International Logic Systems, Inc. (ILS) has an opening at our headquarters' in Fairfax, VA for a Business Development/Capture Specialist. The Business Development/Capture Specialist plays a crucial role in evaluating, analyzing, managing and responding to inquiries from potential customers. This role involves understanding customer requirements, communicating effectively with internal teams, and c
Trigyn Technologies Inc
White Plains, New York, 10601
Immediate contract opportunity for Help Desk Specialist with direct client in Westchester County, NY. Our client - a major utility firm based out of Westchester County, NY - has an immediate need for a Help Desk Specialist. The particulars of the position are as follows. Project Overview: This role will field incoming help desk requests from end users via both telephone and e-mail in a courteous/p
O'Connor, Acciani & Levy
CINCINNATI, Ohio, 45202
Intake Specialist O’Connor Acciani & Levy seeks a full-time client intake specialist. If you have a professional demeanor and good telephone etiquette this is the perfect opportunity for you! Responsibilities Include: Handle inbound and/or outbound phone calls Provide A+ client service Skills Required Active Listening Telephone Etiquette Empathy Basic Computer and typing Skills Education High Scho
Employ-Temps Staffing Service
Salem, Ohio, 44460
Administrative Support We are currently seeking a candidate with a background in Accounting for a client in Salem, Ohio! In this position, you will be working for an organization with a vast history and passion for community. Do they sound like a good fit for you? Read on! Shift: 1st Shift Monday-Friday 8am-5pm Pay: $18/hr Key Responsibilities: Payroll and Benefits Administration Accounts Payable
Chemtall/ SNF Holding
Riceboro, Georgia, 31323
SUMMARY: The Sr. Import/Export Logistics Specialist will be responsible for all international freight shipments and will act as the liaison with all parties to ensure a smooth and complete transaction. This will include but not be limited to the planning and execution of SNF’s logistics processes to dispatch, track, and manage shipment bookings, maintenance of records and costs, keeping a reposito
Innova Solutions
Dublin, California
Innova Solutions is immediately hiring for a Solutions Specialist/ Debt collector Position type: Contract Duration: 6 Months Location: Dublin, California As a(n) Solutions Specialist/ Debt collector you will: Role Description: Job Title: Solutions Specialist/ Debt collector Job Location: Dublin, California Job Duration: 6 Months Description: In this role, candidates will need to be proficient in a
US Tech Solutions
Columbia, South Carolina
Duration: 6+ months (Possible contract to hire) Job Description: Imp notes: Monday-Friday 7:30-4:00. A typical day would like in this role: Have claims workload for day to work from and will be assigned priority claims, will also work info buckets as needed. Previous claims processing experience//familiarity with excel spreadsheets/word suite. Skill sets/qualities: Claims processing experience/cus
Mabbett & Associates, Inc.
STONEHAM, Massachusetts, 02180
Mabbett & Associates, Inc. (Mabbett®), an award-winning leading provider of environmental, health and safety consulting, and engineering services to federal, state and local agencies, and private commercial, institutional and industrial clients nationally. We are seeking an Environmental Health & Safety (EHS) Specialist to join our Safety, Health and Industrial Hygiene Practice Typical activities,
Elgen Staffing
Boston, Massachusetts
Our client, a leading litigation law firm with offices throughout the Northeast, has an immediate need for an Client Billing Specialist, to join our winning team in Boston. Our candidate of choice will be the primary contact for the billing attorneys and clients and responsible for the monthly pro forma process. You will bring strong organizational and communication skills, and the ability to meet
TRS Staffing
Lebanon, Indiana, 46052
Great opportunity with a growing project! Immediate need for an experienced individual with strong computer and reporting skills. Expediting and ability to garner results in a positive manner. Follow-up and follow-through a must. Able to work in a CONSTRUCTION environment with multiple daily demands and personalities. Prefer someone with contracting or supply chain and construction experience. Thi