Prior authorization experience jobs

OSH Registered Nurse

LanceSoft Inc · Posted Nov 6, 2026

Open

Albuquerque, New Mexico, United States
On-site
Full-time · Associate
$40–$43 per hour
1–5 years

OSH Registered Nurse

LanceSoft Inc · Posted Nov 6, 2026

Open

Albuquerque, New Mexico, United States
On-site
Full-time · Associate
$40–$43 per hour
1–5 years

Pharmacy Technician - Medication Coordinator

Altruix · Posted Nov 6, 2026

Open

Media, Pennsylvania, United States
On-site
Full-time · Associate
$20–$22 per hour
0+ years

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Onsite Pharmacy Technician coordinating medication management and patient support at Media, PA.

Compensation

Compensation: For this role ranges from $20.00 – $22.00 per hour, based on experience and qualifications.

Responsibilities

Serve as the onsite liaison for our local Pharmacy
Build and maintain strong relationships with clinic staff and individuals receiving care
Educate clinic staff and patients on our pharmacy services and support offerings
Recruit and enroll patients into our Pharmacy by collecting enrollment forms and insurance information
Collect prescriptions and facilitate timely transmission to the pharmacy

Requirements

Nice to have: Sales
Nice to have: Outreach
Nice to have: Marketing experience

Skills

Pharmacy Technician license for PA Data entry Prior authorization experience

Benefits

401(k) program
Medical, Dental, Vision, Life Insurance, and Long-Term Disability

Clinical Review Nurse

Axelon Services Corporation · Posted Nov 5, 2026

Open

Remote, United States
Remote
Full-time · Mid
2–4 years

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Routinely reviews prior authorization requests to determine medical necessity of service and appropriate level of care in accordance with national standards, contractual requirements, and a member's benefit coverage.

Responsibilities

Review prior authorization requests
Assess complex authorization requests
Provide recommendations to medical team

Requirements

Bachelor’s degree in Nursing
Graduate from an Accredited School of Nursing
Nice to have: NV or Compact RN license
Nice to have: One Note
Nice to have: Organizational skills

Skills

Prior authorization experience Utilization Management InterQual or Milliman

See full job description

Specialty Pharmacy Liaison

Beth Israel Lahey Health · Posted Nov 5, 2026

Open

$29–$39 per hour
3–5 years

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This position acts as a liaison between the specialty/retail pharmacy and the prescribers to document, submit, communicate outcomes and appeal if necessary all pharmacy/medical prior authorizations.

Compensation

$29.00 - $39.03

Responsibilities

Understands product and payer reimbursement landscape and prior authorization guidelines and processes
Collects and reviews all data needed pharmacy and/or medical for prior authorization approvals
Resolves insurance related issues, including prior authorizations (PAs), and assist patients with various forms of financial assistance
Provides exceptional customer service to internal and external customers; resolves any customer requests in a timely and accurate manner; escalates complaints accordingly; maintains frequent phone contact with patient, provider and pharmacy staff; and clarifies prescription orders with pharmacist and/or clinician as appropriate
Serves as the direct patient and provider contact for pharmacy benefit information, clinical and program information

Requirements

High School diploma or GED
Nice to have: PTCB certification
Nice to have: Specialty Pharmacy experience
Nice to have: Prior authorization experience
Nice to have: Knowledge of medication use in RA, GI, transplant, hepatitis C, infectious disease (including HIV), and/or oncology

Medical Assistant II - Float - PRN

IU Health · Posted Nov 3, 2026

Open

Fort Wayne, Indiana, United States

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Medical Assistant II providing clinical and administrative support across IU Health Fort Wayne locations.

Responsibilities

Room patients and support providers during clinic visits
Manage patient messages, paperwork, and prior authorizations
Assist with both clinical and administrative duties
Rooming patients and completing intake
Assisting providers with patient care

Requirements

High school diploma or equivalent
Graduation from a Medical Assistant program
MA Certification from recognized associations
Nice to have: Family medicine experience
Nice to have: Advanced life support certifications

Skills

MA Certification Phlebotomy Point-of-care testing Prior authorization experience AHA Basic Life Support Knowledge of OSHA Knowledge of CLIA