- Insight Global (Eden Prairie, MN)
- Job Description An employer is looking for a highly skilled remote Prior Authorization Regulatory Specialist to join one of our largest national ... professional experience working within the prior authorization process specifically within a regulatory environment...prior authorization process specifically within a regulatory environment will help you be successful on this… more
- Fallon Health (Worcester, MA)
- …us on Facebook, Twitter and LinkedIn. 3 days in the office ** Prior Authorization experience required** **Brief summary of purpose:** Performs all functions ... associated with completing tasks related to inpatient and prior authorization denial letters and special approval letters. This position serves as the subject… more
- Merck (Rahway, NJ)
- **Job Description** We are seeking a Director (Principal Scientist), Global Regulatory Affairs Liaison with a visionary, growth-oriented mindset that can help ... and drive our strategic priorities. The Director, Principal Scientist | Regulatory Affairs Liaison is responsible for development and implementation of worldwide… more
- Merck (North Wales, PA)
- …Description** We are seeking a Senior Director (Sr. Principal Scientist) Global Regulatory Affairs Liaison with a visionary, growth-oriented mindset that can help ... priorities. **Summary, Focus and Purpose** The Senior Principal Scientist | Regulatory Affairs Liaison is responsible for development and implementation of worldwide… more
- RTX Corporation (Frankfort, KY)
- …Posted: 2024-09-09 Country: United States of America Location: HKY99: Field Office - KY Remote Location, Remote City, KY, 40601 USA Position Role Type: Remote ... program objectives, provide guidance regarding GT regulations, establish an authorization /technology transfer plan, and ensure plan execution to allow business… more
- Healthfirst (NY)
- **Duties & Responsibilities:** + Monitor and review prior authorization requests for medications + Calculate appropriate billable units based on dosing, ... drug information to maintain drug knowledge and disease state understanding for application to prior authorization reviews + Ensure prior authorization … more
- AdventHealth (Altamonte Springs, FL)
- …performance improvement, obtaining timely authorizations, avoiding unnecessary denials, prior authorization functions, ongoing claim authorizations, and ... we are even better. **Shift** : Full-time, Monday-Friday **Job Location** : Remote **The role you'll contribute:** The Divisional Manager of Utilization Management… more
- GE Aerospace (Evendale, OH)
- …but are not necessarily limited to): **Job Description** + Prepare and submit authorization applications for approval to the US Department of State, Directorate of ... annual reports + Manage and maintain records in accordance with US Government regulatory requirements and internal policies + Track, status, and provide reports and… more
- GE Vernova (Wilmington, NC)
- …of nuclear fuel design, fabrication, and licensing. Competitive candidates will have prior experience in new fuel development and the capacity to provide both ... process development. + Monitor documentation for compliance with all quality, regulatory , and customer requirements. + Be accountable for fabrication milestones… more
- GE Vernova (Wilmington, NC)
- …plant layout and applications of such to customer's site-specific requirements, and regulatory requirements specific to the nuclear industry. + Work closely with the ... guidance on the analysis and design of the NPP SSC to meet different regulatory bodies + Coordinate and solve coordination interfaces. + Help support the SSI… more
- Martin's Point Health Care (Portland, ME)
- …including experience in care management/ disease management, utilization management and prior authorization . + Experience developing and managing health plan ... Management will support the above through coordination of government and regulatory affairs, industry best practices and innovation, population health strategies and… more
- GE Vernova (Wilmington, NC)
- …quality deliverables in accordance with customer requirements, business procedures and regulatory agency guidelines. + Execute the analysis, design, test, or ... Headquarters in Wilmington, NC; but highly qualified **(US based)** remote candidates will be considered. + **This role is...technology. GE will require proof of US person status prior to employment.** **Desired Characteristics - What will make… more
- GE Vernova (Wilmington, NC)
- …quality deliverables in accordance with customer requirements, business procedures, and regulatory agency guidelines. + Leads the analysis, design, test, and ... at the GEH Headquarters in Wilmington, NC; but highly qualified (US based) remote candidates will be considered. **Desired Characteristics** + 9+ years of experience… more
- GE Vernova (Wilmington, NC)
- …and external customers, suppliers, partners, licensing, the NRC and international regulatory authorities on technical issues + Incorporate design requirements into ... Headquarters in Wilmington, NC; but highly qualified (US based) remote candidates will be considered. + **This role is...technology. GE will require proof of US person status prior to employment.** **Desired Qualifications** + Master's Degree or… more
- Williams Adley (Washington, DC)
- …degree preferred. + 10 years' experience working in financial institutions or regulatory supervisory institutions with an emphasis on SBA + Deep understanding of ... of federal and state banking laws related to credit risk + Prior experience should include progressive responsibilities, including supervising and reviewing the work… more
- GE Vernova (Wilmington, NC)
- …oversite of design deliverables created in compliance with all applicable regulatory , quality, and company/project requirements. + Provides accountability for design ... at the GEH Headquarters in Wilmington, NC; but highly qualified (US based) remote candidates will be considered. **Desired Characteristics** + Master's Degree in a… more
- Windstream Communications (Columbus, OH)
- …Communications Commission, is required to notify and to obtain approval from federal regulatory agencies prior to granting certain system/network access to any ... IT Information Tech - Info Security Engineer ( 100% Remote ) 4005 Rodney Parham Rd, Little Rock, AR 72212, USA * Greenville, SC, USA * North Carolina, USA *… more
- Prime Therapeutics (Columbus, OH)
- …Manages current clients in all Medical Pharmacy programs such as Fee Schedule Management, Prior Authorization , Post Service Claim Edits, Site of Service and any ... **Job Posting Title** Director, Specialty Clinical Solutions- RPH/PharmD required- REMOTE **Job Description Summary** Responsible for support and development of… more
- The Cigna Group (Bloomfield, CT)
- **This is a remote position. Ideal candidate must reside in FL, IN, PA or TN and be licensed in their state of residence and preferably reside within an hour of our ... is responsible for compounding and dispensing medications within corporate and regulatory guidelines. The Staff Pharmacist will track order status and outstanding… more
- SSM Health (Oklahoma City, OK)
- …to hospital and regulatory policies. + Performs insurance verification and prior - authorization based on payor requirements. + Works in a constant state ... **It's more than a career, it's a calling** OK- REMOTE **Worker Type:** PRN **Job Highlights:** . Department: Emergency Room . Schedule: PRN, Varied hours .… more