Pharmacy Technician | Remote
San Juan, PR · On-site +1
$15/hr
We are looking for a Pharmacy Technician for a Remote position ... This position will handle inbound and outbound calls, process prior authorizations, and provide ...
New
Quick apply
Pharmacy Technician | Remote
San Juan, PR · On-site +1
$15/hr
We are looking for a Pharmacy Technician for a Remote position ... This position will handle inbound and outbound calls, process prior authorizations, and provide ...
New
... authorized to access information under this program/contract. Qualifications We Prefer: * Prior ... Remote: Employees who are working in Remote roles will work primarily offsite (from home). An ...
... authorized to access information under this program/contract. Qualifications We Prefer: * Prior ... Remote: Employees who are working in Remote roles will work primarily offsite (from home). An ...
... authorized to access information under this program/contract. Qualifications We Prefer: * Prior ... Remote: Employees who are working in Remote roles will work primarily offsite (from home). An ...
... authorized to access information under this program/contract. Qualifications We Prefer: * Prior ... Remote: Employees who are working in Remote roles will work primarily offsite (from home). An ...
... authorized to access information under this program/contract. Qualifications We Prefer: * Prior SAP ... Remote: Employees who are working in Remote roles will work primarily offsite (from home). An ...
... authorized to access information under this program/contract. Qualifications We Prefer: * Prior SAP ... Remote: Employees who are working in Remote roles will work primarily offsite (from home). An ...
S. citizens are authorized to access information under this program/contract. Security Clearance ... A University Degree or equivalent experience and minimum 2 years of prior relevant experience, or ...
S. citizens are authorized to access information under this program/contract. Security Clearance ... A University Degree or equivalent experience and minimum 2 years of prior relevant experience, or ...
S. citizens are authorized to access information under this program/contract. Security Clearance ... A University Degree or equivalent experience and minimum 5 years prior relevant experience, or an ...
S. citizens are authorized to access information under this program/contract. Security Clearance ... A University Degree or equivalent experience and minimum 5 years prior relevant experience, or an ...
S. citizens are authorized to access information under this program/contract. Security Clearance ... Prior experience conducting global trade investigations. * Experience in the aerospace or ...
S. citizens are authorized to access information under this program/contract. Security Clearance ... Prior experience conducting global trade investigations. * Experience in the aerospace or ...
S. citizens are authorized to access information under this program/contract. Security Clearance ... Prior experience conducting global trade investigations. * Experience in the aerospace or ...
S. citizens are authorized to access information under this program/contract. Security Clearance ... Prior experience conducting global trade investigations. * Experience in the aerospace or ...
SSO Infrastructure Engineer (Puerto Rico)
Santa Isabel, PR · Remote
$96K - $127K/yr
Remote U.S. Citizen, U.S. Person, or Immigration Status Requirements: U.S. citizenship is required ... S. citizens are authorized to access information under this program/contract. Security Clearance:
SSO Infrastructure Engineer (Puerto Rico)
Santa Isabel, PR · Remote
$96K - $127K/yr
Remote U.S. Citizen, U.S. Person, or Immigration Status Requirements: U.S. citizenship is required ... S. citizens are authorized to access information under this program/contract. Security Clearance:
Staff Psychiatric Mental Health Nurse Practitioner (PMHNP) - Remote | Telehealth | Full-Time or Part
Caguas, PR · On-site +1
$150K - $300K/yr
... prior authorizations, pharmacy coordination, etc. * Patient Acquisition: Unlike with a private ... Fully remote within the United States. * Schedule: Full-time or part-time positions are available.
Staff Psychiatric Mental Health Nurse Practitioner (PMHNP) - Remote | Telehealth | Full-Time or Part
Caguas, PR · On-site +1
$150K - $300K/yr
... prior authorizations, pharmacy coordination, etc. * Patient Acquisition: Unlike with a private ... Fully remote within the United States. * Schedule: Full-time or part-time positions are available.
Staff Psychiatrist (MD or DO) - Remote | Telehealth | Full-Time or Part-Time | Puerto Rico
Caguas, PR · On-site +1
$300K - $500K/yr
... prior authorizations, pharmacy coordination, etc. * Patient Acquisition: Unlike with a private ... Fully remote within the United States. * Schedule: Full-time or part-time positions are available.
Staff Psychiatrist (MD or DO) - Remote | Telehealth | Full-Time or Part-Time | Puerto Rico
Caguas, PR · On-site +1
$300K - $500K/yr
... prior authorizations, pharmacy coordination, etc. * Patient Acquisition: Unlike with a private ... Fully remote within the United States. * Schedule: Full-time or part-time positions are available.
Remote U.S. Citizen, U.S. Person, or Immigration Status Requirements: U.S. citizenship is required ... S. citizens are authorized to access information under this program/contract. Security Clearance:
Remote U.S. Citizen, U.S. Person, or Immigration Status Requirements: U.S. citizenship is required ... S. citizens are authorized to access information under this program/contract. Security Clearance:
Remote U.S. Citizen, U.S. Person, or Immigration Status Requirements: U.S. citizenship is required ... S. citizens are authorized to access information under this program/contract. Security Clearance:
Remote U.S. Citizen, U.S. Person, or Immigration Status Requirements: U.S. citizenship is required ... S. citizens are authorized to access information under this program/contract. Security Clearance:
Remote U.S. Citizen, U.S. Person, or Immigration Status Requirements: U.S. citizenship is required ... S. citizens are authorized to access information under this program/contract. Security Clearance:
Remote U.S. Citizen, U.S. Person, or Immigration Status Requirements: U.S. citizenship is required ... S. citizens are authorized to access information under this program/contract. Security Clearance:
Remote U.S. Citizen, U.S. Person, or Immigration Status Requirements: U.S. citizenship is required ... S. citizens are authorized to access information under this program/contract. Security Clearance:
Remote U.S. Citizen, U.S. Person, or Immigration Status Requirements: U.S. citizenship is required ... S. citizens are authorized to access information under this program/contract. Security Clearance:
Remote U.S. Citizen, U.S. Person, or Immigration Status Requirements: U.S. citizenship is required ... S. citizens are authorized to access information under this program/contract. Security Clearance:
Remote U.S. Citizen, U.S. Person, or Immigration Status Requirements: U.S. citizenship is required ... S. citizens are authorized to access information under this program/contract. Security Clearance:
Remote U.S. Citizen, U.S. Person, or Immigration Status Requirements: U.S. citizenship is required ... S. citizens are authorized to access information under this program/contract. Security Clearance:
Remote U.S. Citizen, U.S. Person, or Immigration Status Requirements: U.S. citizenship is required ... S. citizens are authorized to access information under this program/contract. Security Clearance:
Remote U.S. Citizen, U.S. Person, or Immigration Status Requirements: U.S. citizenship is required ... S. citizens are authorized to access information under this program/contract. Security Clearance:
Remote U.S. Citizen, U.S. Person, or Immigration Status Requirements: U.S. citizenship is required ... S. citizens are authorized to access information under this program/contract. Security Clearance:
Remote U.S. Citizen, U.S. Person, or Immigration Status Requirements: U.S. citizenship is required ... S. citizens are authorized to access information under this program/contract. Security Clearance:
Remote U.S. Citizen, U.S. Person, or Immigration Status Requirements: U.S. citizenship is required ... S. citizens are authorized to access information under this program/contract. Security Clearance:
Remote U.S. Citizen, U.S. Person, or Immigration Status Requirements: U.S. citizenship is required ... S. citizens are authorized to access information under this program/contract. Security Clearance:
Remote U.S. Citizen, U.S. Person, or Immigration Status Requirements: U.S. citizenship is required ... S. citizens are authorized to access information under this program/contract. Security Clearance:
Remote Optum Prior Authorization information
What is a Remote Optum Prior Authorization?
A Remote Optum Prior Authorization job involves reviewing and processing requests from healthcare providers to determine whether certain medical procedures, medications, or services will be covered under a patient's insurance plan. Employees in this role work from home and use clinical guidelines to assess the necessity and appropriateness of requested treatments. They collaborate with providers, patients, and insurance teams to ensure timely authorization decisions. This position typically requires strong communication skills, attention to detail, and familiarity with healthcare regulations and insurance policies.
How does a Remote Optum Prior Authorization specialist typically interact with healthcare providers and insurance teams?
As a Remote Optum Prior Authorization specialist, you will regularly communicate with healthcare providers, pharmacies, and insurance representatives to obtain and verify necessary information for authorizing medical procedures or medications. Most interactions occur via phone, secure messaging, or electronic health record systems, requiring clear communication and attention to detail. Collaboration is essential, as you'll often need to clarify clinical documentation with providers and ensure compliance with insurance guidelines. This role is well-suited for those who are organized, proactive, and comfortable working independently within a supportive virtual team environment.
What are the key skills and qualifications needed to thrive as a Remote Optum Prior Authorization specialist, and why are they important?
To thrive as a Remote Optum Prior Authorization Specialist, you need strong knowledge of medical terminology, insurance processes, and prior authorization protocols, typically supported by a healthcare-related degree or relevant experience. Familiarity with electronic health record (EHR) systems, insurance verification tools, and prior authorization software is essential. Excellent attention to detail, organizational skills, and effective communication are vital soft skills for efficiently managing high volumes of authorization requests and collaborating with providers. These skills ensure accurate, timely approvals and help optimize patient care while reducing administrative delays.
What is the difference between Remote Optum Prior Authorization vs Remote Optum Claims Reviewer?
| Aspect | Remote Optum Prior Authorization | Remote Optum Claims Reviewer |
|---|---|---|
| Credentials | Typically requires healthcare-related certifications, such as RN, LPN, or medical coding credentials | Often requires similar healthcare certifications, with focus on claims processing |
| Work Environment | Remote, healthcare insurance setting, interacting with providers and patients | Remote, insurance claims processing environment, reviewing submitted claims |
| Employer & Industry Usage | Commonly employed by health insurance companies like Optum, focusing on authorization processes | Employed by insurance companies, focusing on claims review and reimbursement |
Remote Optum Prior Authorization specialists focus on obtaining approvals for healthcare services, while Remote Optum Claims Reviewers evaluate submitted claims for accuracy and reimbursement. Both roles require healthcare knowledge and certifications, but differ in their primary functions within the insurance process.
What are popular job titles related to Remote Optum Prior Authorization jobs in Puerto Rico?
For Remote Optum Prior Authorization jobs in Puerto Rico, the most frequently searched job titles are:
What job categories do people searching Remote Optum Prior Authorization jobs in Puerto Rico look for?
The top searched job categories for Remote Optum Prior Authorization jobs in Puerto Rico are:
What cities in Puerto Rico are hiring for Remote Optum Prior Authorization jobs?
Cities in Puerto Rico with the most Remote Optum Prior Authorization job openings:
$15/hr
Full-time
Medical, Dental, Vision, Retirement
Posted 3 days ago
New
Job description
We are looking for a Pharmacy Technician for a Remote position. This position will handle inbound and outbound calls, process prior authorizations, and provide support to patients, physicians, and pharmacists with medication-related information.
IMPORTANT: The first 8 weeks of training are fully Onsite in San Juan. After successfully completing the training period, the position will transition to Remote.
Schedule: Full-Time, 40 hours per week. Availability Monday through Friday between 8:00am and 10:00pm and Saturdays between 9:00am and 7:00pm.
Equal Opportunity Employer / Disabled / Protected Veterans
The Know Your Rights poster is available here:
https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12.pdf
The pay transparency policy is available here:
https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf
For temporary assignments lasting 13 weeks or longer, the Company is pleased to offer major medical, dental, vision, 401k and any statutory sick pay where required.
We are committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation for any part of the employment process, please contact your staffing representative who will reach out to our HR team.
AppleOne participates in the E-Verify program in certain locations as required by law. Learn more about the E-Verify program.
https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify_Participation_Poster_ES.pdf
We also consider for employment qualified applicants regardless of criminal histories, consistent with legal requirements, including, if applicable, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment-qualified applicants with arrest and conviction records, including, if applicable, the San Francisco Fair Chance Ordinance. For Los Angeles, CA applicants: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
#2233
Company Description
This company offers growth and a great group of people to work with.
About AppleOne
Sourced by ZipRecruiter
AppleOne is a renowned staffing service based in Glendale, California, USA. Positioned in the Human Resources industry, the company offers extensive staffing and recruiting solutions, such as temporary, full-time, and part-time placement, to companies across diverse industry sectors. The company was established by Bernie Howroyd in 1964, launching the business to aid others in finding excellent jobs and companies in finding excellent people.
Industry
Recruiting and staffing services
Company size
1,001 - 5,000 Employees
Headquarters location
Glendale, CA, US
Year founded
1964