6 Prior Authorization Specialist jobs

New York, United States (Remote)

$27.00 – $49.00 / hour

Position Purpose: Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance…

Georgia, United States (Remote)

$27.00 – $49.00 / hour

Position Purpose: Performs a clinical review and assesses care related to mental health and substance abuse.

Arkansas, United States (Remote)

$56.4–90.4K / year

Job Summary: Complex Population Service Determination Specialist II is responsible for processing medical necessity and noncommunity supports and…

Florida, United States (Remote)

$56.2–101K / year

Position Purpose: Responsible for clinical file assessments.

United States (Remote)

$36.00 – $38.00 / hour

Vida is looking for a licensed RN or LPN to manage clinical review requests, escalations, and member inquiries in a fully remote, virtual care setting.

Monterey Park, California, US (Hybrid)

$21.00 – $26.00 / hour

Astrana Health is seeking a dedicated Utilization Management (UM) Coordinator – Denials to join our Denial Department.