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Remote Aetna Prior Authorization Jobs in Rochester, NY

Engineering Lead - Remote

Rochester, NY ยท Remote

$105K - $155K/yr

... authorization, API security, and data protection ... Ability to learn and support Progress OpenEdge ABL; prior Progress OpenEdge experience is strongly ...

Engineering Lead - Remote

Rochester, NY ยท Remote

$105K - $155K/yr

... authorization, API security, and data protection ... Ability to learn and support Progress OpenEdge ABL; prior Progress OpenEdge experience is strongly ...

Engineering Lead - Remote

Rochester, NY ยท On-site +1

$105K - $155K/yr

... authorization, API security, and data protection ... Ability to learn and support Progress OpenEdge ABL; prior Progress OpenEdge experience is strongly ...

Remote Aetna Prior Authorization information

See Rochester, NY salary details

$85.8K

$132.9K

$186.5K

How much do remote aetna prior authorization jobs pay per year?

As of Aug 31, 2026, the average yearly pay for remote aetna prior authorization in Rochester, NY is $132,905.00, according to ZipRecruiter salary data. Most workers in this role earn between $102,600.00 and $161,300.00 per year, depending on experience, location, and employer.

What is a remote Aetna prior authorization specialist?

Remote Aetna prior authorization jobs involve reviewing and processing requests for medical procedures, medications, or services to determine if they meet Aetna insurance's coverage criteria. Employees in these roles work from home, typically as part of a healthcare team, to ensure that patients receive necessary care while adhering to Aetna's policies. Responsibilities may include evaluating clinical documentation, communicating with healthcare providers, and making authorization decisions based on established guidelines. These positions often require knowledge of medical terminology, insurance processes, and strong attention to detail.

What skills and qualifications are needed to thrive as a remote Aetna prior authorization specialist?

Success as a Remote Aetna Prior Authorization Specialist requires a strong understanding of medical terminology, insurance processes, and prior authorization guidelines, often supported by experience in healthcare administration or certification such as a Certified Medical Administrative Assistant (CMAA). Familiarity with electronic health record (EHR) systems, Aetna's proprietary platforms, and insurance verification tools is typically needed. Outstanding attention to detail, problem-solving abilities, and effective communication with providers and patients are crucial soft skills. These skills ensure timely and accurate authorization decisions, reduce claim errors, and provide a positive experience for both healthcare providers and members.

What are common challenges faced by remote Aetna prior authorization specialists, and how can they be managed?

Professionals in a Remote Aetna Prior Authorization role often encounter challenges such as navigating complex insurance criteria, managing high volumes of authorization requests, and communicating effectively with healthcare providers and patients. Staying organized, maintaining up-to-date knowledge of Aetna's policies, and utilizing digital workflow tools can help manage these demands. Regular communication with team members and ongoing training are also key to ensuring accurate and timely authorizations while working remotely.

What is the difference between Remote Aetna Prior Authorization vs Remote Medical Billing Specialist?

AspectRemote Aetna Prior AuthorizationRemote Medical Billing Specialist
CredentialsInsurance, healthcare, or medical administration certificationsMedical billing or coding certifications
Work EnvironmentHealthcare insurance companies, remote or office-basedMedical offices, hospitals, or remote billing companies
Industry UsageHealth insurance providers, specifically AetnaHealthcare providers, billing companies, insurance payers

Remote Aetna Prior Authorization specialists focus on obtaining approval for medical services from Aetna insurance, requiring knowledge of insurance policies and authorization procedures. Remote Medical Billing Specialists handle billing, coding, and claims processing for healthcare providers. While both roles involve healthcare and insurance, the primary difference lies in their responsibilities: authorization versus billing. Understanding these distinctions helps job seekers find the right role aligned with their skills and certifications.

Does Aetna offer remote positions?

Aetna offers remote positions for roles such as remote Aetna Prior Authorization specialists, allowing employees to work from home. These positions typically require familiarity with healthcare systems, prior authorization processes, and remote work tools like teleconferencing and electronic health records.

What are popular job titles related to Remote Aetna Prior Authorization jobs in Rochester, NY?

For Remote Aetna Prior Authorization jobs in Rochester, NY, the most frequently searched job titles are:

What job categories do people searching Remote Aetna Prior Authorization jobs in Rochester, NY look for?

The top searched job categories for Remote Aetna Prior Authorization jobs in Rochester, NY are:

What cities near Rochester, NY are hiring for Remote Aetna Prior Authorization jobs?

Cities near Rochester, NY with the most Remote Aetna Prior Authorization job openings:

Infographic showing various Remote Aetna Prior Authorization job openings in Rochester, NY as of June 2026, with employment types broken down into 70% Full Time, 19% Part Time, 3% Temporary, and 8% Contract. Highlights an 100% Remote job distribution, with an average salary of $132,905 per year, or $63.9 per hour.

Collaborating Psychiatrist / Supervising Physician (MD or DO) -- Remote | Telehealth | Part-Time | Ne

Legion Health

Rochester, NY โ€ข Remote

$50K/yr

Part-time

Posted 13 days ago


Job description

[We show compassion to heal minds.]

 
About Legion Health

Legion Health is a technology-forward psychiatry company delivering world-class outpatient mental health care while expanding access for patients through insurance.

We are seeking exceptional Collaborating Psychiatrists (MD or DO) across the United States to collaborate with and supervise psychiatric mental health nurse practitioners through secure telehealth workflows.

Our innovative model combines the stability of a traditional hospital position with the flexibility of a private practice. We prioritize our clinicians' well-being and professional growth, offering a competitive compensation package and fostering a vibrant, collaborative culture.

Quality and patient experience are paramount to us. This means recruiting exceptional providers, championing evidence-based protocols, and displaying compassion in every patient interaction. Our exceptional psychiatrists operate with clinical autonomy, supported by experienced peers.

Our vision is to pioneer a new era of medicine by delivering world-class psychiatry. We believe in a future where every person can access the compassionate, high-quality care they need.

 
About the Role

Legion Health is seeking clinically excellent, patient-centered psychiatrists to collaborate with and supervise PMHNPs through secure telehealth workflows. This nationwide, remote, part-time contractor opportunity combines predictable flexibility with meaningful clinical responsibility and the support of a modern clinical organization.

Legion recruits and vets the PMHNPs and manages the operational infrastructure, while you provide responsive clinical guidance, chart review, mentorship, and independent prescribing decisions when legally permitted and clinically appropriate.

 
Benefits

Legion’s model is built to give clinicians more time for patients, fewer administrative distractions, and the support of a high-caliber psychiatric community.

  • Flexibility: Set your own schedule for optimal work-life balance.

  • Work from Home: Collaborate with PMHNPs through secure telehealth and clinical systems.

  • Significant Administrative Support: You focus on patient care, and we’ll handle scheduling, insurance verification, billing, prior authorizations, pharmacy coordination, etc.

  • Commitment to Responsible Prescribing and High-Quality Care: We have rigorous, evidence-based protocols and provide objective diagnostic tools to ensure responsible and ethical prescriptions of controlled substances.

  • Legal Protection: We provide full malpractice insurance coverage.

  • PMHNP acquisition: Legion recruits and vets the PMHNPs you support.

  • Clinical autonomy: Exercise independent medical judgment within clear, evidence-based protocols.

  • Licensure and DEA Coverage: We’ll reimburse you for all fees associated with getting licensed in other states as required by Legion.

  • Credentialing Support: We handle all aspects and costs of credentialing with a large number of insurance plans, including commercial, ACA, and government, ensuring your legal and effective authorization within insurance networks.

  • Community of Clinical Excellence: You will work alongside the most talented psychiatrists and PMHNPs in the world. Our current providers have trained at some of the country’s most prestigious institutions.

  • Monthly Pay: We pay our providers every month for immediate financial benefit and planning ease.

  • Culture of Excellence through Innovation: Actively participate in ushering in a new era of mental health care through superior clinical care and technology.

  • Resources: We provide premium subscriptions to resources such as UpToDate and Carlat.

  • Exclusive Events: Engage with your colleagues through exclusive in-person and virtual events.

 
✅ Responsibilities
  • Collaborate with experienced PMHNPs treating low- and medium-acuity psychiatry patients using evidence-based approaches.

  • Conduct chart reviews and provide timely guidance on diagnoses, treatment plans, medication management, and clinical escalations.

  • Review and authorize prescriptions, including controlled substances when legally permitted and clinically appropriate.

  • Be available during agreed working hours and at the end of PMHNP shifts when required by applicable state rules.

  • Mentor clinicians and reinforce Legion's clinical standards, documentation expectations, and responsible-prescribing protocols.

  • Help Legion expand access to high-quality psychiatric care across the United States.

 
Qualifications
  • An active, unrestricted license to practice medicine in at least one U.S. jurisdiction.

  • Strong clinical assessment, diagnostic, and medication-management skills.

  • Excellent communication and interpersonal skills.

  • Comfort providing care remotely and using electronic health record systems.

  • Commitment to patient-centered, compassionate, evidence-based care.

 
Role Logistics
  • Location: Fully remote within the United States.

  • Schedule: Part-time

  • Compensation: $50K-150K per year, depending on the number and workload of PMHNPs supervised

 
Clinical Advisory Board

Legion’s Clinical Advisory Board brings together nationally recognized psychiatrists, physician executives, telepsychiatry pioneers, and primary-care leaders. Working closely with Legion’s medical leadership, they help shape our clinical quality standards, evidence-based care protocols, prescribing safeguards, risk-management practices, and continuous quality-improvement efforts as the company scales.

Members of our clinical advisory board include:

  • Madhukar Trivedi, M.D. — Psychiatrist; Professor of Psychiatry and Distinguished Chair in Mental Health at UT Southwestern

  • Alexander Ruvalcaba, M.D. — Psychiatrist; Physician Executive at MultiCare Behavioral Health Network

  • Jon Kole, M.D. — Psychiatrist; Senior Medical Director at Headspace

  • Liberty Eberly, D.O. — Psychiatrist; Co-Founder and Former Chief Medical Officer at innovaTel Telepsychiatry

  • John Lusins, M.D. — Psychiatrist; Founder and President at South Texas Mental Health Associates

  • Jacqueline Champlain, M.D. — Family Medicine Physician; Lead Physician at WellMed and Fellow of the American Academy of Family Physicians

 
✨ Bring Your Best Clinical Work to Legion

If you are a thoughtful, evidence-based psychiatrist who wants the flexibility of remote practice, meaningful clinical autonomy, robust operational support, and a community committed to excellent psychiatric care, we would be excited to learn more about you.

 
Equal Employment Opportunity

Legion Health is proud to be an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees, contractors, and applicants without regard to race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, disability, veteran status, genetic information, or any other protected characteristic under applicable law. We encourage applicants from all backgrounds to apply.

Compensation Range: $50K - $150K