- Merck & Co. (Boston, MA)
- …and/or education to HCP accounts on patient access, including benefit verification, prior authorization process, appeals process, and patient support programs in ... B, Medicaid, commercial) and related access processes, including benefit verification, prior authorization , and appeal processes- Expertise in pharmaceutical… more
- 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
