Prior Authorization Jobs

Dane Street is hiring Board-Certified Plastic Surgeons licensed in Louisiana to perform flexible, remote utilization reviews on a contract basis, paid per case.

Pfizer is hiring an experienced Field Reimbursement Manager to provide payer-facing education and reimbursement support to HCPs across Albany and upstate New York, ensuring appropriate patient access to specialty products.

McKesson seeks a Product Marketing Manager to lead GTM strategy, sales enablement, and product messaging for provider-focused medication access solutions within the CoverMyMeds commercial marketing organization.

Lead clinical review and care coordination for medically complex MassHealth members by supervising eligibility/authorization processes, interpreting regulations, and partnering with providers and state agencies.

Provide reimbursement and billing support as a territory-based Account Care Educator, assisting providers, patients, and payers to secure coverage and resolve claims for specialty medications.

University of Rochester is hiring a Physician Support Rep III to manage provider schedules, coordinate surgical and ambulatory procedures, and support patient care workflows in a fast-paced clinical environment.

Presbyterian Healthcare Services is hiring a hands-on Medical Assistant for its Santa Fe OB/GYN clinic to support clinical procedures, patient education, and administrative workflows.

Provide cardiac-focused clinical and administrative support at Presbyterian's Albuquerque outpatient clinic as a Cardio Technologist, assisting providers with patient prep, testing, and care coordination.

Pfizer is hiring a Field Reimbursement Manager to support HCPs in the Indianapolis territory with reimbursement, coverage navigation, and patient access solutions through in-person and virtual engagement.

An Insurance Verification and Prior Authorization Specialist is needed at USA Clinics Group's Northbrook corporate office to manage high-volume authorizations, denials, and referral coordination for outpatient procedures.

Provide empathetic, non-clinical patient support and administrative care-center assistance as a Virtual Medical Assistant / Patient Advocate on afternoon and evening shifts for Ro's telehealth platform.

Join UM BWMC as a Financial Clearance Specialist supporting outpatient oncology by managing insurance verification, prior authorizations, preregistration, and payer coordination to ensure smooth patient access and accurate financial clearance.

Presbyterian Healthcare Services seeks a detail-oriented Health Services Assistant in Albuquerque to manage prior authorizations, claims-related documentation, provider coordination, and data entry to support patient care and clinical operations.

Support Lumicera's specialty pharmacy operations as an Intake Specialist I by enrolling patients, managing intake workflows, and accurately entering prescription and payer data.

A consultative Business Development Manager role focused on selling Medical Virtual Assistant solutions to U.S. outpatient providers, combining prospecting, demos, and full-cycle sales to drive new client acquisitions and revenue growth.

Humata Health is hiring an RN with utilization management experience to help digitize payer policies, validate AI-driven prior authorization workflows, and coordinate cross-functional projects.

UChicago Medicine is seeking a detail-oriented Revenue Cycle Financial Specialist to manage insurance verification, prior authorizations, and patient financial assistance within a primarily remote, hybrid work arrangement.

Amgen seeks a field-based Account Manager to grow Tavneos adoption by building stakeholder relationships, enabling access, and executing territory strategies in south Indianapolis.

Mass General Brigham Medical Group is hiring a remote Medication Access Coordinator to manage medication access tasks including prior authorizations, refill processing, and patient prescription assistance for ambulatory care.

Option Care Health seeks a meticulous Authorization Specialist to manage prior authorizations, verify benefits, and support patient account setup for remote team members based in Tallahassee, FL.

Support timely patient care by processing benefit verifications and authorizations for new referrals at Option Care Health's Little Rock location.

Amaze Health is hiring an in-person Patient Advocate in Denver to help patients navigate insurance, denials, and referrals with empathy, clarity, and operational expertise.

Experienced Billing Specialist needed to manage urology revenue cycle operations, ensure accurate coding and claims submission, and improve collections for a busy urology practice.

Humata Health is hiring a consultative Project Manager to lead end-to-end payer implementations and ensure successful customer adoption, retention, and operational handoffs.

Support patients and clinical teams at OHSU by managing insurance verification, prior authorizations, and patient liability estimates within the Centralized Managed Care & Price Estimates department.

Provide advanced administrative and clinical scheduling support to providers at Panorama Internal Medicine, focusing on calendar management, surgical/procedure coordination, and patient communications.

U.S. Physical Therapy is looking for a detail-oriented Patient Account Representative to handle billing, insurance verification, and collections at the Big Rapids Central Billing Office.

Presbyterian Healthcare Services seeks a detail-oriented Patient Visit Specialist in Rio Rancho to manage visit closure, scheduling, prior authorizations, and patient communication for efficient care coordination.

CoverMyMeds (McKesson) is hiring a Senior Associate Business Intelligence Analyst to develop BI reporting and insights that drive strategic initiatives for the Pharmacy Dispensing Network.

Guardant Health is hiring a Reimbursement Specialist I to manage prior authorizations, resolve claims, and support billing operations in a hybrid U.S. role focused on timely, compliant reimbursement.

Experienced reimbursement professional needed to lead prior authorization lifecycle management and complex denial resolution for Guardant Health’s billing operations.

CVS Health is hiring a remote Utilization Management Nurse Consultant (Behavioral Health) to conduct clinical reviews, manage prior authorizations, and apply evidence-based criteria for behavioral health and substance abuse services.

Presbyterian Healthcare Services is looking for a detail-oriented Rehab Tech / Scheduler in Santa Fe to coordinate scheduling, verify authorizations, and support patient care and departmental operations.

Presbyterian Healthcare Services is hiring a Health Services Assistant in Albuquerque to manage prior authorizations, medical records coordination, claims research, and provider communications.

University of Rochester seeks an Outpatient Access Rep III to lead and support front-office patient access operations, staff training, and referral/prior-authorization coordination in a Primary Care clinic setting.

The University of Rochester is hiring a Physician Support Representative III to manage provider schedules, coordinate perioperative and ambulatory care, and act as the main patient and provider liaison in the PM&R clinic.

SSM Health Clayton is hiring a licensed Behavioral Health Intake Therapist to conduct admissions assessments, triage crisis calls, and coordinate patient placement and authorizations on a day-shift schedule.

Experienced analytics and insights leader needed to direct franchise-level patient care model strategy and measurement for AbbVie Patient Services across neuroscience, eyecare, and specialty portfolios.

Support patients and healthcare providers as a Patient Care Coordinator I at AbbVie's North Chicago site, delivering high-quality call center assistance and case management using CRM tools.

Centene is hiring a Senior Pharmacy Resolution Specialist to manage escalated pharmacy inquiries, process overrides and prior authorizations, and support members and providers remotely on an EST evening schedule.

RightwayRx is hiring a Pharmacy Technician (CPhT) to perform utilization management tasks, process authorizations, and support specialty pharmacy coordination in their Dallas operations.

Rightway is hiring a Senior Client Success Manager to lead PBM implementations and manage high-value client relationships from onboarding through ongoing operations (hybrid Dallas/remote).

Clinical Pharmacist (Utilization Management) to support PBM clinical operations by reviewing utilization requests, creating policy, and coordinating with prescribers and internal teams to drive safe, cost-effective medication access.

Experienced specialty clinical pharmacist needed to provide concierge-level care and clinical oversight for members on specialty medications within Rightway’s PBM clinical operations.

Lead PrescriberPoint's expansion into health systems as Director of IDN Business Development, owning GTM strategy, enterprise deals, and the Customer Development team.

Experienced Healthcare Business Analyst needed to drive FHIR-based API integration, EMR data workflows, and interoperability initiatives for a New Jersey-based IT consulting firm.

Provide front-line scheduling and authorization support for surgical and procedural patients at McKay-Dee Surgical Center, ensuring accurate schedules, authorizations, and excellent patient communication.

Cooper University Health Care is hiring a detail-oriented Medical Practice Assistant in Voorhees to support ambulatory clinics with clinical patient care and administrative tasks.

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Included Health is hiring a remote Member Care Advocate to provide empathetic, high-volume inbound support and navigate members through complex benefits, claims, and access-to-care needs.

Experienced, certified Medical Assistant II needed to provide clinical and administrative support to physicians and nursing staff at a busy outpatient clinic in Norfolk, VA.