Hartford, CT · Remote
$58.75 - $70.50/hr
Review prior authorization requests for accuracy, appropriateness, and clinical necessity. * Apply ... Prior authorization, utilization management, or managed care preferred - retail or hospital ...
Hartford, CT · Remote
$58.75 - $70.50/hr
Review prior authorization requests for accuracy, appropriateness, and clinical necessity. * Apply ... Prior authorization, utilization management, or managed care preferred - retail or hospital ...
New Haven, CT · Remote
$58.50 - $70.50/hr
Review prior authorization requests for accuracy, appropriateness, and clinical necessity. * Apply ... Prior authorization, utilization management, or managed care preferred - retail or hospital ...
New Haven, CT · Remote
$58.50 - $70.50/hr
Review prior authorization requests for accuracy, appropriateness, and clinical necessity. * Apply ... Prior authorization, utilization management, or managed care preferred - retail or hospital ...
Hartford, CT · On-site +1
$57.75 - $70.25/hr
Review clinical documentation for medication coverage appeals and grievances. * Apply evidence ... Prior managed care or utilization management experience preferred - retail and hospital pharmacists ...
Hartford, CT · On-site +1
$57.75 - $70.25/hr
Review clinical documentation for medication coverage appeals and grievances. * Apply evidence ... Prior managed care or utilization management experience preferred - retail and hospital pharmacists ...
New Haven, CT · On-site +1
$57.50 - $70.25/hr
Review clinical documentation for medication coverage appeals and grievances. * Apply evidence ... Prior managed care or utilization management experience preferred - retail and hospital pharmacists ...
New Haven, CT · On-site +1
$57.50 - $70.25/hr
Review clinical documentation for medication coverage appeals and grievances. * Apply evidence ... Prior managed care or utilization management experience preferred - retail and hospital pharmacists ...
Hybrid/Remote Summary: The purpose of the Denial Prevention Nurse is to ensure that all patient ... If unable to resolve, escalate to the PA and Utilization Review (UR) Leadership. * Coordinate with ...
Hybrid/Remote Summary: The purpose of the Denial Prevention Nurse is to ensure that all patient ... If unable to resolve, escalate to the PA and Utilization Review (UR) Leadership. * Coordinate with ...
Windsor, CT · Remote
$29 - $31/hr
Review data discrepancies and gaps across multiple systems. Escalate to appropriate channels. What ... History identifying and resolving part quality and delivery issues - including utilization of ...
Windsor, CT · Remote
$29 - $31/hr
Review data discrepancies and gaps across multiple systems. Escalate to appropriate channels. What ... History identifying and resolving part quality and delivery issues - including utilization of ...
Hartford, CT · Remote
$60K - $100K/yr
... review. • Maintain and optimize financial data within Google Sheets for better reporting and ... for weekend or extended hours as needed to meet business demands. Required Skills and ...
Hartford, CT · Remote
$60K - $100K/yr
... review. • Maintain and optimize financial data within Google Sheets for better reporting and ... for weekend or extended hours as needed to meet business demands. Required Skills and ...
Waterbury, CT · Remote
$60K - $100K/yr
... review. • Maintain and optimize financial data within Google Sheets for better reporting and ... for weekend or extended hours as needed to meet business demands. Required Skills and ...
Waterbury, CT · Remote
$60K - $100K/yr
... review. • Maintain and optimize financial data within Google Sheets for better reporting and ... for weekend or extended hours as needed to meet business demands. Required Skills and ...
Stamford, CT · Remote
$60K - $100K/yr
... review. • Maintain and optimize financial data within Google Sheets for better reporting and ... for weekend or extended hours as needed to meet business demands. Required Skills and ...
Stamford, CT · Remote
$60K - $100K/yr
... review. • Maintain and optimize financial data within Google Sheets for better reporting and ... for weekend or extended hours as needed to meet business demands. Required Skills and ...
Bridgeport, CT · Remote
$60K - $100K/yr
... review. • Maintain and optimize financial data within Google Sheets for better reporting and ... for weekend or extended hours as needed to meet business demands. Required Skills and ...
Bridgeport, CT · Remote
$60K - $100K/yr
... review. • Maintain and optimize financial data within Google Sheets for better reporting and ... for weekend or extended hours as needed to meet business demands. Required Skills and ...
New Haven, CT · Remote
$60K - $100K/yr
... review. • Maintain and optimize financial data within Google Sheets for better reporting and ... for weekend or extended hours as needed to meet business demands. Required Skills and ...
New Haven, CT · Remote
$60K - $100K/yr
... review. • Maintain and optimize financial data within Google Sheets for better reporting and ... for weekend or extended hours as needed to meet business demands. Required Skills and ...
Windsor, CT · On-site +1
$29 - $31/hr
Review data discrepancies and gaps across multiple systems. Escalate to appropriate channels. What ... History identifying and resolving part quality and delivery issues - including utilization of ...
Windsor, CT · On-site +1
$29 - $31/hr
Review data discrepancies and gaps across multiple systems. Escalate to appropriate channels. What ... History identifying and resolving part quality and delivery issues - including utilization of ...
Windsor, CT · Remote
$29 - $31/hr
Review data discrepancies and gaps across multiple systems. Escalate to appropriate channels. What ... History identifying and resolving part quality and delivery issues - including utilization of ...
Windsor, CT · Remote
$29 - $31/hr
Review data discrepancies and gaps across multiple systems. Escalate to appropriate channels. What ... History identifying and resolving part quality and delivery issues - including utilization of ...
Hartford, CT · Remote
$198K - $260K/yr
This is a remote position, open to candidates who reside in: Hartford, CT. You will be fully remote ... and utilization management agreements * Review, draft, and negotiate commercial agreements ...
Hartford, CT · Remote
$198K - $260K/yr
This is a remote position, open to candidates who reside in: Hartford, CT. You will be fully remote ... and utilization management agreements * Review, draft, and negotiate commercial agreements ...
Hartford, CT · Remote
$198K - $260K/yr
This is a remote position, open to candidates who reside in: Hartford, CT. You will be fully remote ... and utilization management agreements * Review, draft, and negotiate commercial agreements ...
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Hartford, CT · Remote
$198K - $260K/yr
This is a remote position, open to candidates who reside in: Hartford, CT. You will be fully remote ... and utilization management agreements * Review, draft, and negotiate commercial agreements ...
Hartford, CT · On-site
$198K - $260K/yr
This is a remote position, open to candidates who reside in: Hartford, CT. You will be fully remote ... and utilization management agreements * Review, draft, and negotiate commercial agreements ...
Hartford, CT · On-site
$198K - $260K/yr
This is a remote position, open to candidates who reside in: Hartford, CT. You will be fully remote ... and utilization management agreements * Review, draft, and negotiate commercial agreements ...
New Haven, CT · On-site +1
... remote position) Will perform admit, discharge, chart review and other patient care duties via a ... Shift: 7p - 7a, rotating weekends. Job Summary: The Registered Nurse I (Virtual) assesses, plans ...
New Haven, CT · On-site +1
... remote position) Will perform admit, discharge, chart review and other patient care duties via a ... Shift: 7p - 7a, rotating weekends. Job Summary: The Registered Nurse I (Virtual) assesses, plans ...
... review and other patient care duties via secure virtual link to patient rooms 3 - 12 hour shifts days/evenings 7a - 7p, rotating weekends #RNSIND Job Summary: The Registered Nurse I (Virtual ...
... review and other patient care duties via secure virtual link to patient rooms 3 - 12 hour shifts days/evenings 7a - 7p, rotating weekends #RNSIND Job Summary: The Registered Nurse I (Virtual ...
New Haven, CT · On-site +1
... remote position) Will perform admit, discharge, chart review and other patient care duties via a ... Shift: 10a - 10p, rotating weekends. Job Summary: The Registered Nurse I (Virtual) assesses, plans ...
New Haven, CT · On-site +1
... remote position) Will perform admit, discharge, chart review and other patient care duties via a ... Shift: 10a - 10p, rotating weekends. Job Summary: The Registered Nurse I (Virtual) assesses, plans ...
Danbury, CT · Remote
$38.46 - $43.59/hr
This position will be part time evening and/ or weekends, schedules will be based on clinicians ... Meets productivity standards as outlined annually during employee's performance appraisal review ...
Danbury, CT · Remote
$38.46 - $43.59/hr
This position will be part time evening and/ or weekends, schedules will be based on clinicians ... Meets productivity standards as outlined annually during employee's performance appraisal review ...
| Aspect | Remote Weekend Utilization Review | Remote Weekday Utilization Review |
|---|---|---|
| Credentials | Typically requires a healthcare professional license and utilization review certification | Same as weekend role, healthcare license and utilization review certification |
| Work Environment | Remote, weekend hours, often part-time or flexible | Remote, weekday hours, standard business hours |
| Employer & Industry | Health insurance companies, third-party administrators | Same as weekend role, health insurance industry |
| Work Schedule | Primarily weekends, possibly evenings | Weekdays, regular business hours |
Remote Weekend Utilization Review and Remote Weekday Utilization Review roles are similar in credentials and industry but differ mainly in work schedule. Weekend roles focus on reviewing cases during weekends, offering flexibility, while weekday roles follow standard business hours. Both positions require healthcare licensing and utilization review certification, serving health insurance companies and third-party administrators.
$58.75 - $70.50/hr
Other
Posted 2 days ago
Remote Prior Authorization Pharmacist - Work From Home in Managed Care
A confidential managed care organization is seeking a motivated Remote Prior Authorization Pharmacist to evaluate prescription requests, ensure medical necessity, and improve patient access to safe and effective therapies. This work-from-home position is ideal for pharmacists who want to transition out of retail or hospital settings while building expertise in managed care.
Key Responsibilities
What You'll Bring
Why This Role?
About Us
We are a confidential healthcare partner working with health plans and PBMs across the U.S.. Our pharmacists ensure patients receive the right therapy at the right time while maintaining compliance with all regulations.
Apply Today
Take the next step in your career with our Remote Prior Authorization Pharmacist opportunity - and enjoy the benefits of working from home while shaping the future of managed care.
