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Remote Prior Authorization Analyst Jobs in Utah (NOW HIRING)

L3HHCM20

Principal Analyst, MRO

Salt Lake City, UT · On-site +1

$139K - $259K/yr

Rockwall, TX; Remote; or Rochester, NY Job Schedule: 9/80: Employees work 9 out of every 14 days ... In lieu of a degree, minimum of 16 years of prior related experience. * Minimum of 9 years of ...

micro1 AI

Senior Counsel - Remote

Saint George, UT · Remote

$140 - $400/hr

No prior experience in AI is required -- your domain knowledge is what matters. This opportunity is ... Scope of Work * Conduct comprehensive legal analysis on a variety of US law topics, providing ...

micro1 AI

Senior Counsel - Remote

Salt Lake City, UT · Remote

$140 - $400/hr

No prior experience in AI is required -- your domain knowledge is what matters. This opportunity is ... Scope of Work * Conduct comprehensive legal analysis on a variety of US law topics, providing ...

micro1 AI

Senior Counsel - Remote

West Valley City, UT · Remote

$140 - $400/hr

No prior experience in AI is required -- your domain knowledge is what matters. This opportunity is ... Scope of Work * Conduct comprehensive legal analysis on a variety of US law topics, providing ...

micro1 AI

Senior Counsel - Remote

Provo, UT · Remote

$140 - $400/hr

No prior experience in AI is required -- your domain knowledge is what matters. This opportunity is ... Scope of Work * Conduct comprehensive legal analysis on a variety of US law topics, providing ...

micro1 AI

Senior Counsel - Remote

West Jordan, UT · Remote

$140 - $400/hr

No prior experience in AI is required -- your domain knowledge is what matters. This opportunity is ... Scope of Work * Conduct comprehensive legal analysis on a variety of US law topics, providing ...

micro1 AI

Senior Legal Consultant - Remote

Provo, UT · Remote

$140 - $400/hr

No prior experience in AI is required -- your domain knowledge is what matters. This opportunity is ... Scope of Work * Conduct comprehensive legal analysis on a variety of US law topics, providing ...

micro1 AI

Managing Partner - Attorney - Remote

Provo, UT · Remote

$140 - $400/hr

No prior experience in AI is required -- your domain knowledge is what matters. This opportunity is ... Scope of Work * Conduct comprehensive legal analysis on a variety of US law topics, providing ...

micro1 AI

Senior Legal Consultant - Remote

West Jordan, UT · Remote

$140 - $400/hr

No prior experience in AI is required -- your domain knowledge is what matters. This opportunity is ... Scope of Work * Conduct comprehensive legal analysis on a variety of US law topics, providing ...

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Remote Prior Authorization Analyst information

What is the difference between Remote Prior Authorization Analyst vs Remote Claims Processor?

AspectRemote Prior Authorization AnalystRemote Claims Processor
Required CredentialsHealthcare certifications, knowledge of insurance policiesBasic insurance knowledge, data entry skills
Work EnvironmentHome office, healthcare or insurance companiesHome office, insurance companies or third-party administrators
Employer & IndustryHospitals, insurance providers, healthcare organizationsInsurance companies, third-party claims firms
Common Search/ComparisonYesYes

The Remote Prior Authorization Analyst and Remote Claims Processor roles both operate in the healthcare insurance industry and often require knowledge of insurance policies. However, the analyst focuses on obtaining prior approvals for treatments, while the claims processor handles the processing of insurance claims after services are rendered. Both roles are typically remote, involve working within healthcare or insurance organizations, and are frequently compared by job seekers seeking similar positions in the industry.

What are popular job titles related to Remote Prior Authorization Analyst jobs in Utah? For Remote Prior Authorization Analyst jobs in Utah, the most frequently searched job titles are:
What job categories do people searching Remote Prior Authorization Analyst jobs in Utah look for? The top searched job categories for Remote Prior Authorization Analyst jobs in Utah are:
What cities in Utah are hiring for Remote Prior Authorization Analyst jobs? Cities in Utah with the most Remote Prior Authorization Analyst job openings:
Remote Prior Authorization Analyst jobs near you

Pharmacy Prior Authorization Specialist

Onco360

Salt Lake City, UT • Remote

$19.75 - $25.75/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted yesterday

New

Onco360 rating

7.7

Company rating: 7.7 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

21st of 111 rated pharmacies

Job description

Pharmacy Prior Authorization Specialist – Onco360 Pharmacy
Salt Lake City, Utah | Full-Time | Starting at $23.00/hr and up
Sign-On Bonus: $5,000 for employees starting before September 30, 2026!
Join a mission-driven team making a difference in the lives of cancer patients.
Onco360 Pharmacy is seeking a Pharmacy Prior Authorization Specialist to join our dedicated team in the State of Utah. This is a full-time position. Remote work if licensed in State of Utah.
Why Join Us?
  • A career with purpose: Help patients access life-saving medications.
  • Supportive culture: We value teamwork, respect, integrity, and passion.
  • Growth opportunities: We invest in your professional and personal development.
Company Benefits
  • Medical; Dental; Vision
  • 401k with a match
  • Paid Time Off and Paid Holidays
  • Tuition Reimbursement
  • Quarterly Incentive Bonus
  • Paid Volunteer Day
  • Referral Incentive Program
  • Company Paid Life Insurance; and Short/Long-Term Disability
What You’ll Do
The Pharmacy Prior Authorization Specialist will ensure patients receive the medication that requires pre-authorizations from insurance carriers by receiving prescriptions, addressing and rectifying rejected claims and conducting necessary third party authorization requests.
How You’ll Do This
  • Manage prior authorization requests and appeals with insurance carriers.
  • Collaborate with physicians, pharmacists, and other departments.
  • Ensure HIPAA compliance while handling sensitive patient information.
  • Maintain accurate documentation of authorization details.
  • Proactively monitor and renew expiring authorizations.
What You Bring
Required:
  • High School Diploma or GED
  • 1+ years of pharmacy or prior authorization experience
  • Registration with Board of Pharmacy (as required by state law)
  • Strong communication, organizational, and customer service skills
  • Self-motivated, organized, detail-oriented, and adaptable to changing priorities
  • Knowledge of pharmacy terminology, pharmacy insurance claims, Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, experience with CoverMyMeds
Preferred:
  • Associate degree or Certified Pharmacy Technician (PTCB)
  • 3+ years of experience in pharmacy or prior authorizations
  • Specialty pharmacy experience
Ready to make a meaningful impact? Apply today and help us better the lives of those battling cancer.
#Company Values: Teamwork, Respect, Integrity, Passion

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