US Tech Solutions Telecommute Duration: 06 Months Job Summary: Training and working virtually Utilizing multiple software systems to complete Medicare appeals case reviews Meeting or exceeding government mandated timelines Complying with turnaround time, productivity and quality standards Conveying resolution to beneficiary or provider via direct communication and professional correspondence Acquiring and maintaining basic kno |
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 |
Managed Care Staffers Aurora, Illinois, 60507 Remote Temp F/T CPhT Certified PBM Pharmacy Prior Authorization Tech Our client, a busy Taft Hartley Health & Welfare Fund located in Aurora, IL has an immediate staffing need for a remote experienced CPhT Certified Pharmacy Prior Authorization Technician with recent Pharmacy Benefits Management (PBM) experience. Experience with any of the following software PAHub, RxClaim Pro, or Five9 is a plus. |
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 |
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: 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: Collaborates with the CRU Technician t |
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. |
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 |
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: Our group is responsible for processing the bi-weekly payroll. This entails processing timesheets, employee setups and separations, leave processing, and corresponding tax payments and returns. We also perform services for employees on LTD, FMLA, and Worker's Compensation. Objectives of this Role: Develop an understanding of Payroll processes and procedures. Assist employees and other |
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. |
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 |
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 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 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: 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 |
The Institute for Family Health New Paltz, New York, 12561 SUMMARY: The Revenue Cycle Specialist I is cognizant of the philosophy, standards, objectives and policies of the Department and the Organization. The representative shall have a basic understanding of medical billing and collections and will provide support to senior representatives to facilitate the collections of accounts receivable. Staff in this position must be able to complete basic tasks w |
Partnership Employment New York City, New York, 10004 This role will be 25-30 hours per week, with the potential to become full-time, 40 hours down the road. We are looking for an administrative position that can help us with document management, document tracking, and general administrative support for regular, ongoing client notifications. We are thinking this person may come out of a compliance or legal area. Specific tasks would include: · Store, |
Revitalize Med Spa and Salon Des Moines, Iowa Job description About US: The team at Revitalize U is here to provide an all-inclusive cosmetic experience. We look to set the standard in the industry for quality. We combine the latest trainings and experience to deliver the results you are looking for. This is a remote position. We need an enthusiastic and dedicated Customer Support Specialist to provide outstanding customer service and support |
Freyr West Point, 19486 Freyr is hiring!! We are hiring for a Deviation Management Specialist position with a leading pharma client at West Point, PA. The pay rate is $42/hr. Along with the hourly rate you are eligible for the following benefits package: earned paid sick days, matching 401k plan, and discounted health insurance. The ideal candidate would have an experience in writing investigations for atypical events in |
PerfectVision Little Rock, Arkansas, 72223 POSITION SUMMARY The Sales Support Specialist is responsible for processing sales orders, and necessary steps required to finalize orders related to other supporting departments. Helping with customer quotes and basic customer communication pertaining to account and item details. ESSENTIAL FUNCTIONS Reasonable Accommodations Statement To perform this job successfully, an individual must be able to |
Quadrant Inc Catonsville, Maryland Job ID: 24-03460 Medical Biller - Preauthorization Specialist Catonsville, MD MUST: The Medical Biller - Preauthorization Specialist must have experience: Minimum High School Diploma or equivalent; Associate s degree in Health Care preferred 4 years of experience in insurance authorization HIPAA Compliance handling patient information with discretion and integrity Meticulous and timely attention t |
Heritage Bank Tacoma, Washington, 98418 Salary Range: Level I - $20.00 - $24.40 - $29.29per hour Level II - $20.99 - $26.24 - $31.49per hour Depending on qualifications and experience Digital Banking Specialist I or II may be considered. At Heritage Bank, we work hard, but we also know how important it is to take time off to stay healthy, relax, and spend time doing what makes your heart happy! As part of our team you’ll enjoy a total r |
Innova Solutions Monroeville, Pennsylvania, 15146 Innova Solutions is immediately hiring for an Chemist Position type: Fulltime/Contract Location: Monroeville Pennsylvania 15146 Duration: 06 Months with possible extension Payrate: $22/hr Fully Onsite Role As an Chemist, you will: JOB DUTIES AND RESPONSIBILITIES The SSG Process Development team is looking to add a LCMS support chemist to the dynamic group. Key Responsibilities: The successful cand |
Jewish Family Service of Dallas Dallas, Texas, 75248 The PLAN Peer Support Specialist Description: The PLAN Peer Support Specialist offers a unique, professional opportunity to work with individuals diagnosed with severe and persistent mental illness in a Clubhouse Work-Ordered Day program. People Living Active Now (PLAN) in Dallas is an accredited Clubhouse organization offering this excellent opportunity to assist members with coordinating their b |
Reed Smith LLP Pittsburgh, Pennsylvania US Job Description Firm Information Reed Smith is a global relationship law firm with more than 1,800 lawyers in 25 offices throughout the United States, Europe, Asia and the Middle East. Founded in 1877, the firm represents leading international businesses, from Fortune 100 corporations to mid-market and emerging enterprises. Its lawyers provide litigation and other dispute resolution services in |
YRCI Reston, Virginia, 20190 Job Description Conduct Quality Review (QR) of vacancy packages submitted by Human Resources (HR) staff before posting to USAJobs. Review and approve of specialized experience, job analysis and assessment, job announcement language, announcement configuration in USA Staffing, and all other documentation in the package to include Optional Form (OF) 8, Job Requisition information, and Reemployment P |
Managed Care Staffers Chicago, Illinois, 60606 Physician 3rd Party Claim Collection Specialist, Chicago Loop Our client that provides physician management services on behalf of the University of Illinois Physician Group has an immediate staffing need for an experienced temporary to hire full-time Medical Accounts Receivable Specialist. This is a temporary to hire, full time position Monday-Friday from (8:00am to 4:30pm). This is an on-site pos |
Professional Career Solutions LLC Telecommute We're looking for candidates with great customer service skills to fill our Benefits Specialist role! This role is entirely remote and offers full-time hours with flexibility. We are ready to schedule interviews for this week. We're seeking someone who is great with people, building relationships, and putting customers first. Our ideal candidate is eager to grow, ready to learn, and loves a fast-p |
Siena College Loudonville, New York, 12211 Company Description Located in Loudonville, New York - just 10 minutes from the state capital of Albany - Siena empowers more than 3,400 students each year through a transformative journey we call the Education for a Lifetime. All members of the Siena College community work together to advance the College's mission to graduate Saints intent on making the world more just, peaceful, and humane. The |
Professional Career Solutions LLC Telecommute We're looking for candidates with great customer service skills to fill our Benefits Specialist role! This role is entirely remote and offers full-time hours with flexibility. We are ready to schedule interviews for this week. We're seeking someone who is great with people, building relationships, and putting customers first. Our ideal candidate is eager to grow, ready to learn, and loves a fast-p |
Professional Career Solutions LLC Telecommute We're looking for candidates with great customer service skills to fill our Benefits Specialist role! This role is entirely remote and offers full-time hours with flexibility. We are ready to schedule interviews for this week. We're seeking someone who is great with people, building relationships, and putting customers first. Our ideal candidate is eager to grow, ready to learn, and loves a fast-p |
United Nations Federal Credit Union New York, New York Assists in the overview of daily member interaction activities of the Global Cards Solutions department, including telephone, mail and email channels. Works directly with members to resolve all credit and debit card fraud or dispute claims. Under supervision, develops and maintains a close working relationship with all vendors and processors to ensure optimal member access and services. Assist wit |
Professional Career Solutions LLC Telecommute We're looking for candidates with great customer service skills to fill our Benefits Specialist role! This role is entirely remote and offers full-time hours with flexibility. We are ready to schedule interviews for this week. We're seeking someone who is great with people, building relationships, and putting customers first. Our ideal candidate is eager to grow, ready to learn, and loves a fast-p |
INSPYR Solutions Houston, Texas, 77002 Title: UKG Application Specialist Location: Houston, TX Duration: Direct Hire Work Requirements: US Citizen, GC Holders or Authorized to Work in the U.S. The HRIS Applications Specialist is a technical resource skilled in the management and support of one or more HRIS applications and provides support services to business users. The primary focus for the Specialist is to be responsible for maintai |
Pequea Valley School District Kinzers, Pennsylvania, 17535 HARDWARE SUPPORT SPECIALIST • 40 HRS/WK Pequea Valley School District Join our dynamic and forward-thinking Technology Team where you will play a critical role in supporting our school district’s technology needs. Please direct questions and/or interest to Dr. Ashley Bottiglieri, Director of Technology, at Ashley_Bottiglieri@pequeavalley.org or 717-768-5530. For more information, please visit pequ |
SOFIE Sterling,, Virginia Overview The Quality Assurance Specialist I, Corporate (Floater) will be responsible for support of the Quality Management System across the SOFIE Network. Essential Duties and Responsibilities ▪ Assist with quality assurance initiatives and provide support with Quality Management System (QMS) compliance at SOFIE 21 CFR Part 212 network facilities. ▪ Provide backup support, remote and in-person, t |
The Law Offices of Jacob Emrani, APC Los Angeles, California, 90015 Marketing Specialist in Los Angeles CA. Analyze costs and media methods of marketing the lgeal services provided by the firm. Mail resume: The Law Offices of Jacob Emrani, APC, 714 W. Olympic Blvd. Ste 300, Los Angeles CA 90015 |