- Insight Global (Montgomery, AL)
- …seasoned Project Manager to lead a large-scale healthcare IT initiative focused on Prior Authorization (PA) and API integration. This role will serve as the ... and deliverables - Ensure compliance with healthcare standards and Prior Authorization protocols Salary - $30.00/hour up...communication skills with the ability to interface directly with clients Ability to work independently in a fully remote … more
- University of Miami (Miami, FL)
- …CORE FUNCTIONS: + Adhere and perform timely prospective review for services requiring prior authorization as well as timely concurrent review for continuation of ... exciting opportunity for a full time Utilization Review Case Manager to work to work remote . The...concurrent and retrospective chart reviews for clinical utilization and authorization . The Utilization Review Case Manager coordinates… more
- Fallon Health (Worcester, MA)
- **Overview** **This is 3 months temporary contract position for a Prior Authorization RN.** **About us:** Fallon Health is a company that cares. We prioritize ... psychosocial information from the medical records on site, through remote electronic access, telephonically or by fax in a...setting required. * 2 years' experience as a Utilization Management/ Prior Authorization nurse in a managed care… more
- CVS Health (Baton Rouge, LA)
- …it all with heart, each and every day. **Position Summary** The Utilization Management Manager of Prior Authorization oversees a team of clinical ... Lead, coach, and develop a multidisciplinary team responsible for utilization review, prior authorization , and case management functions. + Monitor team… more
- Elevance Health (St. Louis, MO)
- …affordability, and personalized support throughout the consumer's treatment journey._ ** Authorization Representative I** The ** Authorization Representative I** ... balance. This approach combines structured office engagement with the autonomy of remote work, promoting a dynamic and adaptable workplace. This position will be… more
- RTX Corporation (Sacramento, CA)
- **Date Posted:** 2025-12-23 **Country:** United States of America **Location:** RCA99: RTN Remote , California **Position Role Type:** Remote **U.S. Citizen, US ... a safer, more secure world. We have an exciting opportunity for a ** Manager , Global Trade,** who will support and manage export/import licensing activities within… more
- RTX Corporation (Raleigh, NC)
- …2025-12-15 **Country:** United States of America **Location:** HNC99: Field Office - NC Remote Location, Remote City, NC, 27601 USA **Position Role Type:** ... demands of a rapidly evolving global market. As a Manager , Global Trade Technology Management, you'll be at the...onsite at one of Collins Aerospace's US locations but remote is a possibility. **What You Will Do:** +… more
- RTX Corporation (Raleigh, NC)
- …Posted:** 2025-12-18 **Country:** United States of America **Location:** UT25: North Carolina Remote Location, Remote City, NC, 28208 USA **Position Role Type:** ... sponsorship for this position. The company will not seek an export authorization for this role. **Security Clearance:** None/Not Required RTX Corporation is an… more
- RTX Corporation (Atlanta, GA)
- **Date Posted:** 2025-12-22 **Country:** United States of America **Location:** RGA99: RTN Remote , Georgia **Position Role Type:** Remote **U.S. Citizen, US ... a safer, more secure world. We have an exciting opportunity for a ** Manager , Global Trade,** who will manage export/import licensing and compliance activities within… more
- Capital One (Atlanta, GA)
- …One Ad Solutions ( Remote ) Capital One Shopping is seeking a Senior Manager , Strategic Business Development to join our Partnerships team. In this role, you will ... and creating new business opportunities to achieve ambitious revenue targets + Prior experience owning the end-to-end sales cycle and partnering with internal teams… more
- Capital One (Santa Fe, NM)
- …be regularly worked. Remote (Regardless of Location): $132,800 - $151,600 for Manager , Capital One Ad Solutions Richmond, VA: $132,800 - $151,600 for Manager ... Manager , Client Development Affiliate Marketing, Capital One Ad Solutions ( Remote ) Capital One Ad Solutions is looking for a Strategic Client Manager to join… more
- IQVIA (Chicago, IL)
- …correct eligibility information, perform benefit investigations, copay assistance and check prior authorization and/or appeal status. Care Managers may also ... Plus Pharmacy, an IQVIA company, is seeking a Care Manager ! Responsibilities will vary by program and its lifecycle....assistance programs and/or varied adherence support. This is a ** remote ** position. **Hours:** Must be available for an 8… more
- AssistRx (Orlando, FL)
- …treatment. Our suite of solutions-including iAssist(R), Hub Lite (TM) , Prior Authorization , Benefits Verification, Copay Support, specialty pharmacy ... programs. + Familiarity with PSP workflows: hub services, copay programs, prior authorization , benefits investigations, nurse support. + Strong understanding… more
- Prime Therapeutics (Trenton, NJ)
- …functions, DUR committees and responsibilities. + Supports elevated customer service and prior authorization inquiries specific to assigned accounts. + Manages ... of pharmacy with us. **Job Posting Title** Georgia Medicaid Clinical Account Manager - Remote **Job Description** Innovative business clinician accountable for… more
- Two95 International Inc. (Washington, DC)
- Job Title: Senior Project Manager Location: Washington, DC ( Remote ) Position: 12+ months Contract Salary/Rate: ($Best Possible) Requirements The Senior Project ... Manager is responsible for managing high or mega complexity...& Work Experience + Strong project management skills with prior experience managing complex cross-functional projects ih a highly… more
- Insight Global (Raleigh, NC)
- Job Description Insight Global is hiring for a Remote Care Manager to support our micro clinic operations in Raleigh, NC. You will work in a virtual setting with ... continuity and compliance . Verify provider participation, coverage, and pre- authorization requirements with insurance administrators and healthcare facilities .… more
- Option Care Health (Houston, TX)
- …the best and brightest talent in healthcare. **Job Description Summary:** The Manager , Patient Registration is responsible for all aspects of patient registration ... responsibilities within the Customer Management Center (CMC). The Manager , Patient Registration manages the overall performance and productivity of the PR team in… more
- Kratos Defense & Security Solutions, Inc. (Orlando, FL)
- …program for all users. + Verify user access requirements, including clearance, authorization , and need-to-know, prior to granting system access. + Assume ... Risk Assessment Reports, Plans of Actions and Milestones, Assessment & Authorization packages, and Security Control Traceability Matrices. The ISSM will maintain… more
- Merck (North Wales, PA)
- …and/or education to HCP accounts on patient access, including benefit verification, prior authorization process, appeals process, and patient support programs in ... **Job Description** Field Access Manager The Field Access Manager (FAM)...Medicaid, commercial) and related access processes, including benefit verification, prior authorization , and appeal processes * Expertise… more
- General Dynamics Information Technology (Fairfax, VA)
- …Cyber and IT Risk Management **Skills:** Assessment & Authorization (A&A),Information Security Operations,Information System Security **Certifications:** ITIL 4 ... 5 to 8 security staff across two critical teams: the Assessment & Authorization (A&A) team and the Security Operations team. **Responsibilities** + Supervise and… more