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Remote International Prior Authorization Jobs in Michigan

$50K - $150K/yr

... verification, billing, prior authorizations, pharmacy coordination, etc. * Commitment to ... Fully remote within the United States. * Schedule: Part-time * Compensation: $50K-150K per year ...

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Remote International Prior Authorization information

What is a Remote International Prior Authorization specialist?

A Remote International Prior Authorization specialist is a professional who works from a remote location to review and process requests for prior authorization of medical treatments, medications, or procedures, specifically for patients who are receiving care internationally. Their role involves evaluating insurance coverage, coordinating with healthcare providers, and ensuring that all necessary documentation is in place to approve or deny requests in accordance with policy guidelines. They often communicate with international healthcare providers, insurance companies, and patients to facilitate access to needed medical services. Strong attention to detail, knowledge of international healthcare systems, and familiarity with insurance processes are important for this role.

What are the main challenges of working as a Remote International Prior Authorization specialist, and how can they be managed?

One of the main challenges in this role is navigating varying healthcare regulations and documentation requirements across different countries, which can be complex and time-consuming. Additionally, working remotely may require strong self-motivation and excellent communication skills to coordinate with international teams, providers, and insurance companies. Successful specialists often stay organized by using digital tools, maintaining up-to-date knowledge of global payer policies, and proactively addressing time zone differences to ensure timely authorizations and patient care.

What are the key skills and qualifications needed to thrive as a Remote International Prior Authorization specialist, and why are they important?

To excel in a Remote International Prior Authorization Specialist role, you need strong knowledge of healthcare regulations, insurance processes, and medical terminology, often supported by relevant experience in medical billing or healthcare administration. Familiarity with prior authorization software, electronic health records (EHR) systems, and proficiency in using secure communication platforms is typically required. Attention to detail, problem-solving abilities, and effective communication skills are crucial for managing complex cases and collaborating with providers across different countries. These competencies ensure efficient processing of authorizations, compliance with international standards, and positive outcomes for patients and healthcare organizations.

What is the difference between Remote International Prior Authorization vs Remote Domestic Prior Authorization?

AspectRemote International Prior AuthorizationRemote Domestic Prior Authorization
CredentialsTypically requires healthcare or insurance-related certifications, possibly with international compliance knowledgeRequires similar healthcare or insurance certifications, focused on domestic policies
Work EnvironmentRemote, often collaborating with international healthcare providers and insurersRemote, working primarily with domestic healthcare providers and insurance companies
Employer & Industry UsageUsed by global health insurers, international healthcare organizationsUsed by domestic health insurers, healthcare organizations within the country
Search & Comparison IntentOften searched for by professionals working with international health plans or providersMore common for those focusing on domestic health insurance processes

The main difference between Remote International Prior Authorization and Remote Domestic Prior Authorization lies in their scope and work environment. International roles involve working with global healthcare providers and insurers, requiring international compliance knowledge. Domestic roles focus on local policies and providers. Both require similar certifications but serve different markets.

What are popular job titles related to Remote International Prior Authorization jobs in Michigan?

For Remote International Prior Authorization jobs in Michigan, the most frequently searched job titles are:

What cities in Michigan are hiring for Remote International Prior Authorization jobs?

Cities in Michigan with the most Remote International Prior Authorization job openings:

Patient Support Supervisor - Certified Pharmacy Technician, Prior Authorizations

Shields Health Solutions

Detroit, MI • Remote

$17.75 - $21.75/hr

Full-time

PTO

Re-posted 15 days ago


Shields Health Solutions rating

8.4

Company rating: 8.4 out of 10

Based on 41 frontline employees who took The Breakroom Quiz

11th of 113 rated pharmacies


Job description

???? Patient Support Supervisor (Specialty Pharmacy)

???? Location: Remote – supporting Northeast (EST Zone)

???? About the Role

Shields Health Solutions is seeking a Patient Support Supervisor to lead a high-performing team within our Patient Support Center. This is an ideal opportunity for a motivated, service-oriented leader with a background in pharmacy or healthcare operations who thrives in a fast-paced, growth-focused environment.

The ideal candidate is a results-driven self-starter who is passionate about patient care, team development, and operational excellence, with proven experience managing front-line employees and driving performance.

 

???? Position Summary

The Patient Support Supervisor is a key leadership role responsible for overseeing daily operations of a Patient Support team and ensuring patients receive medications efficiently, accurately, and on time.

This role partners closely with internal teams and hospital stakeholders to:

  • Meet service level agreements (SLAs)
  • Ensure adoption of best practices
  • Drive team performance, engagement, and development

 

???? Key Responsibilities

???? Team Leadership & Operations

  • Lead, coach, and manage a team of Patient Support Associates to ensure medication adherence, prior authorization completion, and financial assistance support
  • Provide ongoing performance management, training, and mentorship
  • Manage staffing, scheduling, PTO, and time reporting (ADP)
  • Step in to support workload during peak or short-staffed periods

???? Patient & Partner Coordination

  • Ensure patients receive medications on time and without barriers
  • Partner with hospital/clinic stakeholders through regular meetings and collaboration calls
  • Maintain strong working relationships with pharmacy and clinical teams

???? Workflow & Performance Management

  • Monitor and ensure achievement of service level metrics and quality standards
  • Conduct audits, oversee system workflows, and manage responsiveness to incoming requests
  • Establish and optimize workflows between Patient Support, liaison teams, and clinical integration teams

???? Process Improvement & Support

  • Identify and implement operational improvements and best practices
  • Support data, analytics, contracting, and special projects
  • Provide troubleshooting, guidance, and issue resolution for team members and partners

⚙️ Administrative & Coordination

  • Assist with hiring, onboarding, training coordination, and system access setup
  • Maintain confidentiality of sensitive patient and business data

 

Qualifications

???? Licensure & Experience

  • Active Pharmacy Technician license/registration (state-specific)
  • National certification (CPhT) required
  • 3+ years pharmacy technician experience (specialty pharmacy preferred)
  • Prior leadership experience (formal or informal) strongly preferred

???? Education

  • High School Diploma or GED (required)
  • Bachelor's degree (preferred or in progress)
  • Leadership/management training (preferred)

???? Skills & Competencies

  • Strong leadership, communication, and team development skills
  • Ability to influence, collaborate, and drive results across teams
  • Solid operational and analytical skills; ability to identify trends and improve performance
  • Proficiency in Microsoft Excel and Word (data analysis, reporting)
  • Experience with pharmacy/EMR systems (Willow, QS1, RX30 preferred)
  • Highly organized, detail-oriented, and patient-focused
  • Ability to manage multiple priorities and maintain confidentiality

???? Additional Requirements

  • Ability to lead both remote and on-site teams
  • Willingness to travel up to 20% (if outside core locations)

 

???? Why Join Shields?
  • ???? Fast-growing leader in specialty pharmacy
  • ❤️ Mission-driven, patient-first culture
  • ???? Strong career growth and leadership development opportunities
  • ???? Collaborative and supportive environment

 

???? SEO Keywords

Patient Support Supervisor, Pharmacy Supervisor, Specialty Pharmacy, Pharmacy Technician Supervisor, Healthcare Operations, Patient Access, Prior Authorization, Medication Adherence, Care Coordination, Patient Support Center, Pharmacy Team Lead

California residents employed by or applying for work at Shields have certain privacy rights. Please review our: California Workforce Privacy Notice and Privacy Policy.  

By providing your mobile number, you agree to receive text messages from Shields Health Solutions related to job opportunities, interview scheduling, and recruiting updates. Message and data rates may apply. You may opt out at any time by replying 'STOP.' Consent is not a condition of employment.

Solid computer skills are required, including proficiency in Microsoft Office tools (Outlook, Teams, Word, Excel, and PowerPoint) for communication, documentation, and data management, as well as, navigating the internet and web-based platforms. Data entry and computer skills will be evaluated through an assessment as part of the pre-employment process.

Shields Health Solutions provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

Shields Health Solutions is committed to providing an inclusive hiring experience; if you need assistance or accommodation during the application or interview process, please email talentacquisition@shieldsrx.com.

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