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Remote Prior Authorization Jobs in Rohnert Park, CA

Bilingual in English/Spanish and prior Ambassador experience desirable. * BSN preferred ... authorization to work in the US without the need for sponsorship. #LI-CES #LI-REMOTE IQVIA is a ...

Posted today

Customer Representative Agent

Napa, CA · Remote

$18.25 - $24.75/hr

Perks * 100% remote work with flexible scheduling. * Opportunities for growth within the agency. * Travel perks and exclusive industry discounts. * Supportive team environment with ongoing training.

Remote Prior Authorization information

See Rohnert Park, CA salary details

$15

$23

$35

How much do remote prior authorization jobs pay per hour?

As of Aug 16, 2026, the average hourly pay for remote prior authorization in Rohnert Park, CA is $23.14, according to ZipRecruiter salary data. Most workers in this role earn between $19.18 and $25.58 per hour, depending on experience, location, and employer.

What is a remote prior authorization job?

Remote prior authorization jobs involve reviewing and processing requests from healthcare providers to determine if specific medical treatments, medications, or procedures are covered by a patient's insurance plan. Employees in these roles work from home, utilizing online systems to evaluate clinical information, communicate with providers, and ensure compliance with insurance policies. This position requires a strong understanding of medical terminology, insurance guidelines, and attention to detail to facilitate timely and accurate approvals or denials. Remote prior authorization specialists help streamline patient care by acting as a liaison between healthcare providers and insurance companies.

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

Remote Prior Authorization specialists often encounter challenges such as navigating complex insurance requirements, managing high volumes of requests, and maintaining clear communication with healthcare providers and payers. Staying organized and up-to-date on payer policies is crucial, as requirements can vary widely between insurers. Utilizing workflow management tools and fostering strong collaboration with clinical and administrative teams can help streamline processes and reduce delays, ultimately ensuring patients receive timely care.

What are the key skills and qualifications needed to thrive as a remote prior authorization specialist, and why are they important?

To thrive as a Remote Prior Authorization Specialist, you need a solid understanding of medical terminology, insurance processes, and healthcare regulations, often supported by experience in medical billing or coding. Familiarity with electronic health record (EHR) systems, insurance portals, and prior authorization software is typically required. Attention to detail, strong organizational skills, and effective communication are crucial soft skills in this role. These skills ensure timely and accurate processing of authorizations, reducing claim denials and supporting efficient patient care.

What is the difference between Remote Prior Authorization vs Remote Medical Coder?

AspectRemote Prior AuthorizationRemote Medical Coder
Required CredentialsMedical credentials, insurance knowledgeMedical coding certification (CPC, CCS)
Work EnvironmentHealthcare offices, insurance companies, remoteHealthcare facilities, remote coding jobs
Industry UsageInsurance, healthcare providersHospitals, clinics, billing companies
Job FocusReviewing and approving insurance requestsTranslating medical records into codes

Remote Prior Authorization and Remote Medical Coder roles both operate within the healthcare industry but focus on different tasks. Remote Prior Authorization involves reviewing insurance requests for coverage approval, requiring insurance and medical knowledge. Remote Medical Coders translate medical records into standardized codes, primarily focusing on billing and documentation. Both roles can be performed remotely and require healthcare-related credentials, but their daily responsibilities and skill sets differ significantly.

What is a remote prior authorization job?

Remote prior authorization jobs focus on working with insurance companies to coordinate benefit coverage and get approval to provide care for a patient. In this pre-authorization role, you may collect documentation and proof of insurance, perform data entry, help evaluate the need for a particular process, and otherwise work from home to help manage the prior authorization process. Remote prior authorization personnel often answer telephone calls to provide consultations, perform initial benefit verification, document case status, actions, and outcomes in a database, and use customer service skills to help expedite cases as needed. Since this is a remote call center-style job, you may be asked to arrange for a quiet office in your house that is free of distractions.

What are popular job titles related to Remote Prior Authorization jobs in Rohnert Park, CA?

For Remote Prior Authorization jobs in Rohnert Park, CA, the most frequently searched job titles are:

What job categories do people searching Remote Prior Authorization jobs in Rohnert Park, CA look for?

The top searched job categories for Remote Prior Authorization jobs in Rohnert Park, CA are:

What cities near Rohnert Park, CA are hiring for Remote Prior Authorization jobs?

Cities near Rohnert Park, CA with the most Remote Prior Authorization job openings:

Infographic showing various Remote Prior Authorization job openings in Rohnert Park, CA as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 19% Part Time, 1% Temporary, and 2% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $48,141 per year, or $23.1 per hour.

Flex Nurse Educator - San Francisco, CA

IQVIA

Petaluma, CA • Remote

Full-time

Posted 15 hours ago

Posted today


IQVIA rating

8.1

Company rating: 8.1 out of 10

Based on 53 frontline employees who took The Breakroom Quiz

62nd of 224 rated it services


Job description

Flex Nurse Educator

IQVIA - Advancing Patient Support and Education. IQVIA, the world's premier provider of commercial healthcare solutions, is seeking licensed healthcare professionals for the position of Flex Nurse Educator. This role supports patient care through both remote and, when required, in-field coverage, ensuring continuity during staff absences and territory vacancies.

Job Responsibilities:
  • Deliver remote patient education, including medication administration training and adherence support, via telephonic, video, email, SMS, and secure messaging platforms.
  • This is an educational, non-clinical position. Nurse Educators do not provide medical advice but empower patients to manage their disease and improve treatment compliance. Join IQVIA's team of over 10,000 representatives and help deliver medical breakthroughs to those who need them most.
  • Provide in-person support and education exclusively during coverage of territory vacancies, such as home visits and other approved designated locations, maintaining privacy and high educational standards.
  • Facilitate connections to program-approved resources and encourage dialogue between patients and healthcare providers.
  • Maintain accurate documentation, follow approved protocols, and uphold KPIs and compliance standards.
  • Collaborate with District Managers and Field Leadership, participate in training sessions and strategic planning, and assist in onboarding and mentoring new team members as needed.
  • Coordinate and facilitate the connection between patients and program-approved, patient-based resources.
  • Provide educational training to patients on specific disease states and prescribed medication.
  • Provide patient-focused education to empower patients to adhere to specific treatment compliance as directed by their HCP.
  • Foster appropriate dialogue between patient and health care provider
  • Support patients throughout their treatment journey, addressing access barriers and promoting behavioral change for optimal health outcomes.
  • Participate in ongoing professional development, team meetings, and quality improvement initiatives.
  • Adhere strictly to program guidelines, ensuring non-clinical and educational interactions with patients.
  • Uphold territory-specific targets and compliance with company and regulatory standards.
Schedule
  • Ability to travel up to 50% for in-field assignments and coverage as needed.
  • Monday - Friday and flexibility to work weekends and evenings
Required Qualifications:
  • Active RN license in good standing (compact multi-state preferred); may be required to obtain additional licensure in multiple states.
  • Bachelor's degree
  • Must possess or be willing to obtain a California RN Licensure if residing in the Mountain or Pacific time zone
  • Must reside within the specific geography
  • At least 5 years clinical experience in hospital, home health, pharmaceutical, or biotech settings.
  • Exceptional communication, organization, and time management skills, including experience managing multiple territories and prioritizing projects and deadlines.
  • Proficient in virtual platforms, documentation, MS Office, and iPad technology
  • Private designated workspace at home required
  • Driving is required for this role. Candidates must possess a valid driver's license and will be subject to a review of their driving record prior to hire.
  • Must reside in country where the job is posted.
Preferred Qualifications:
  • Nurse educator background a plus
  • Bilingual in English/Spanish and prior Ambassador experience desirable.
  • BSN preferred

Compensation

  • Competitive annual salary

  • Bonus eligibility

This is an educational, non-clinical position. Nurse Educators do not provide medical advice but empower patients to manage their disease and improve treatment compliance.

Note: This role is not eligible for visa sponsorship. Candidates must have authorization to work in the US without the need for sponsorship.

#LI-CES

#LI-REMOTE

IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries. We create intelligent connections to accelerate the development and commercialization of innovative medical treatments to help improve patient outcomes and population health worldwide. Learn more athttps://jobs.iqvia.com

IQVIA is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by applicable law. https://jobs.iqvia.com/eoe

IQVIA is committed to integrity in our hiring process and maintains a zero tolerance policy for candidate fraud. All information and credentials submitted in your application must be truthful and complete. Any false statements, misrepresentations, or material omissions during the recruitment process will result in immediate disqualification of your application, or termination of employment if discovered later, in accordance with applicable law. We appreciate your honesty and professionalism.

The potential base pay range for this role is $80,000-$85,000 annually. The actual base pay offered may vary based on a number of factors including job-related qualifications such as knowledge, skills, education, and experience; location; and/or schedule (full or part-time). Dependent on the position offered, incentive plans, bonuses, and/or other forms of compensation may be offered, in addition to a range of health and welfare and/or other benefits.

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About IQVIA

Sourced by ZipRecruiter

At IQVIA, we are passionate about helping customers and partners improve results and patient outcomes. Everything we do contributes to this vision for creating a healthier world. In today’s healthcare environment, it’s not only about how much data, information, and technology you have at your fingertips – it’s what you do with it. IQVIA is focused on making intelligent connections for customers across the entire healthcare ecosystem to help you drive healthcare forward. Whether that means partnering with novel technology companies to boost patient engagement, leveraging AI & machine learning to accelerate results, or using decentralized trials to reach the right patients wherever they are – we are always looking for smarter ways to move you forward.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Durham, NC, US