ZipRecruiter

Log In

2

Remote Prior Authorization Jobs in Secaucus, NJ (NOW HIRING)

Thesis

Clinical Expert, Care Team Operations

New York, NY · On-site +1

$100 - $150K/hr

Review prior authorizations, appeals, and other clinical-administrative tasks that require human ... This role may be remote or hybrid. NYC-based candidates are a plus. Target compensation for this ...

McKesson

Field Reimbursement Manager

New York, NY · On-site +1

... Prior Authorization,Claims Assistance, and Appeals) and educating the office on Payer landscape and services available through both remote interaction and on-site training. This position is client ...

McKesson

Field Reimbursement Manager

New York, NY · On-site +1

... Prior Authorization,Claims Assistance, and Appeals) and educating the office on Payer landscape and services available through both remote interaction and on-site training. This position is client ...

McKesson

Field Reimbursement Manager

New York, NY · On-site +1

... Prior Authorization,Claims Assistance, and Appeals) and educating the office on Payer landscape and services available through both remote interaction and on-site training. This position is client ...

McKesson

Field Reimbursement Manager

New York, NY · On-site +1

... Prior Authorization,Claims Assistance, and Appeals) and educating the office on Payer landscape and services available through both remote interaction and on-site training. This position is client ...

McKesson

Field Reimbursement Manager

New York, NY · On-site +1

... Prior Authorization,Claims Assistance, and Appeals) and educating the office on Payer landscape and services available through both remote interaction and on-site training. This position is client ...

McKesson

Field Reimbursement Manager

New York, NY · On-site +1

... Prior Authorization,Claims Assistance, and Appeals) and educating the office on Payer landscape and services available through both remote interaction and on-site training. This position is client ...

CoverMyMeds

Field Reimbursement Manager

New York, NY · On-site +1

... Prior Authorization,Claims Assistance, and Appeals) and educating the office on Payer landscape and services available through both remote interaction and on-site training. This position is client ...

Oscar Health

Pharmacy Technician Supervisor

New York, NY · Remote

$50K - $66K/yr

The Pharmacy Technician Supervisor leads the daily operations of the prior authorization technician ... Work Location: This is a remote position, open to candidates who reside in: Alabama; Arizona;

New

previous pagenext page

Showing results 21-40

All JobsPrior Authorization JobsRemote Prior Authorization JobsRemote Prior Authorization Jobs in Secaucus, NJ

Remote Prior Authorization information

See Secaucus, NJ salary details

$13

$21

$32

How much do remote prior authorization jobs pay per hour?

As of Sep 3, 2026, the average hourly pay for remote prior authorization in Secaucus, NJ is $21.24, according to ZipRecruiter salary data. Most workers in this role earn between $17.60 and $23.46 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 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 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 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 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.

Are remote prior authorization jobs in high demand?

Remote prior authorization jobs are in moderate to high demand due to the increasing need for efficient healthcare administration and insurance processing. These roles often require knowledge of healthcare policies, strong communication skills, and familiarity with electronic health record systems. The demand is expected to grow as healthcare providers and insurers continue to prioritize remote and streamlined authorization processes.
More about Remote Prior Authorization jobs

What are popular job titles related to Remote Prior Authorization jobs in Secaucus, NJ?

For Remote Prior Authorization jobs in Secaucus, NJ, the most frequently searched job titles are:

What job categories do people searching Remote Prior Authorization jobs in Secaucus, NJ look for?

The top searched job categories for Remote Prior Authorization jobs in Secaucus, NJ are:

What cities near Secaucus, NJ are hiring for Remote Prior Authorization jobs?

Cities near Secaucus, NJ with the most Remote Prior Authorization job openings:

Remote Prior Authorization jobs near you
Infographic showing various Remote Prior Authorization job openings in Secaucus, NJ as of August 2026, with employment types broken down into 66% Full Time, 30% Part Time, and 4% Contract. Highlights an 100% Remote job distribution, with an average salary of $44,184 per year, or $21.2 per hour.

Clinical Expert, Care Team Operations

Thesis

New York, NY • On-site, Remote

$100 - $150K/hr

Full-time

This job post has expired today. Applications are no longer accepted.

Key responsibilities

  • Perform care management outreach, chronic condition follow-ups, care gap closure, and other clinical activities powered by Thesis's AI platform

  • Review prior authorizations, appeals, and other clinical-administrative tasks that require human clinical judgment

  • Build clinical protocols, scripts, and decision-support content, and onboard and train clinical team members on workflows and quality standards

Job description

About Us

Thesis is building the AI-powered care team platform for infinitely scalable clinical capacity. We radically increase access and improve quality of care by combining AI agents with clinical experts to take on high-impact clinical operations and care management activities for healthcare organizations.

We're based in NYC, are growing rapidly, and are backed by $60 million in funding from Oak HC/FT, CRV, Black Opal Ventures, and experienced C-level healthtech angel investors.

About the role

We are looking for a passionate and versatile nurse or nurse practitioner to join Thesis as a foundational member of our clinical operations team. This is a broad-scope "utility player" role for a clinician who is equally comfortable performing hands-on care management work, collaborating with product and engineering teams to refine automated technology workflows, and coaching staff on quality and clinical standards. You will work across Thesis's full portfolio of care team agents, supporting everything from chronic condition management and care gap outreach to complex prior authorizations and clinical documentation improvement. In this role, you will serve as an expert-in-the-loop: the clinical voice that ensures we deliver safe, high-quality care at scale.

Responsibilities:

  • Deliver high-impact clinical work: Perform care management outreach, chronic condition follow-ups, care gap closure, and other clinical activities powered by Thesis's AI platform.
  • Support complex clinical operations workflows: Review prior authorizations, appeals, and other clinical-administrative tasks that require human clinical judgment.
  • Provide quality oversight: Conduct quality audits of clinical operations activities, identify trends in errors or gaps, and develop remediation plans. Maintain and evolve quality scorecards and clinical rubrics.
  • Develop clinical content and coach staff: Build the clinical protocols, scripts, and decision-support content that power Thesis AI agents, and onboard and train clinical team members on Thesis's platform, workflows, and quality standards.
  • Partner with product and engineering: Serve as a clinical subject matter expert, participating in workflow design sessions, testing new agent capabilities, identifying edge cases, and providing feedback.

We expect you to have:

  • Active clinical licensure: Current RN, NP, or equivalent clinical license in good standing. Multi-state or Compact licensure is a plus.
  • Strong clinical experience: 2-5 years spanning direct patient care and virtual or telephonic care delivery, with meaningful exposure to care management, utilization management, prior authorization, or population health workflows.
  • Healthtech experience: Prior experience in a healthtech company, venture-backed startup, health plan, or technology-enabled clinical services organization.
  • Quality mindset and entrepreneurial approach: You are detail-oriented, comfortable delivering constructive feedback, and energized by early-stage environments where you're creating processes from the ground up.
  • Location: This role may be remote or hybrid. NYC-based candidates are a plus.

Target compensation for this role is $100-$150k+, plus a generous benefits package. Compensation within this range will depend on experience, licensure level, and scope of responsibilities.

Please note: This role is staffed through our employment partner. The third party company will be your employer of record (payroll, benefits, HR), while you'll work directly with the Thesis Care team on daily responsibilities.

Thesis Care is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

Apply