Home, WA · Remote
$143K - $243K/yr
This includes clinical and utilization management, mac operations, analysis, financial management ... Maintains currency with clinical skills and knowledge of pharmacotherapy by reviewing the ...
Home, WA · Remote
$143K - $243K/yr
This includes clinical and utilization management, mac operations, analysis, financial management ... Maintains currency with clinical skills and knowledge of pharmacotherapy by reviewing the ...
Redmond, WA · Remote
$165K - $235K/yr
Comfortable reading and reviewing Go code, particularly in the context of understanding upstream ... Hybrid or remote work will not be considered. * Willingness to work extended hours and weekends as ...
Redmond, WA · Remote
$165K - $235K/yr
Comfortable reading and reviewing Go code, particularly in the context of understanding upstream ... Hybrid or remote work will not be considered. * Willingness to work extended hours and weekends as ...
Home, WA · On-site +1
$150K - $190K/yr
The team is open to discussing hybrid or remote options in Minneapolis, Chicago, and St. Louis ... Solicits and reviews new and renewal account information required to evaluate a risk. * Identifies ...
Home, WA · On-site +1
$150K - $190K/yr
The team is open to discussing hybrid or remote options in Minneapolis, Chicago, and St. Louis ... Solicits and reviews new and renewal account information required to evaluate a risk. * Identifies ...
Conduct regular business reviews to align on goals, performance, and ROI. * Understand evolving ... Remote-first culture with flexibility and autonomy Our mission is to power the next era of ...
Quick apply
Conduct regular business reviews to align on goals, performance, and ROI. * Understand evolving ... Remote-first culture with flexibility and autonomy Our mission is to power the next era of ...
Home, WA · On-site +1
$150K - $190K/yr
The team is open to discussing hybrid or remote options in Minneapolis, Chicago, and St. Louis ... Solicits and reviews new and renewal account information required to evaluate a risk. * Identifies ...
Home, WA · On-site +1
$150K - $190K/yr
The team is open to discussing hybrid or remote options in Minneapolis, Chicago, and St. Louis ... Solicits and reviews new and renewal account information required to evaluate a risk. * Identifies ...
Seattle, WA · On-site +1
Remote Work Eligibility: For employees residing outside of the Seattle metropolitan area, remote ... Final approval is determined through a management review process. Category: Full-Time, FLSA Exempt ...
Seattle, WA · On-site +1
Remote Work Eligibility: For employees residing outside of the Seattle metropolitan area, remote ... Final approval is determined through a management review process. Category: Full-Time, FLSA Exempt ...
Woodinville, WA · On-site +1
$95K - $120K/yr
Establish and manage inventory level targets, review line of balances, align demand supply signals ... weekends as needed * This position is based in Woodinville, WA and requires being onsite, remote ...
Woodinville, WA · On-site +1
$95K - $120K/yr
Establish and manage inventory level targets, review line of balances, align demand supply signals ... weekends as needed * This position is based in Woodinville, WA and requires being onsite, remote ...
Seattle, WA · On-site +1
Remote Work Eligibility: For employees residing outside of the Seattle metropolitan area, remote ... Final approval is determined through a management review process. Category: Full-Time, FLSA Exempt ...
Seattle, WA · On-site +1
Remote Work Eligibility: For employees residing outside of the Seattle metropolitan area, remote ... Final approval is determined through a management review process. Category: Full-Time, FLSA Exempt ...
Seattle, WA · Remote
... review Operational Leadership * Oversee day-to-day operations across multiple clinic locations and ... Build and maintain the meeting cadences, documentation systems, SOPs, and remote management ...
Quick apply
Seattle, WA · Remote
... review Operational Leadership * Oversee day-to-day operations across multiple clinic locations and ... Build and maintain the meeting cadences, documentation systems, SOPs, and remote management ...
Seattle, WA · On-site +1
Remote Work Eligibility: For employees residing outside of the Seattle metropolitan area, remote ... Final approval is determined through a management review process. Category: Full-Time, FLSA Exempt ...
Seattle, WA · On-site +1
Remote Work Eligibility: For employees residing outside of the Seattle metropolitan area, remote ... Final approval is determined through a management review process. Category: Full-Time, FLSA Exempt ...
Seattle, WA · Remote
$66K - $77K/yr
Responsible for review and follow-up on completed surveys within their territory, to ensure ... occurs on weekends when necessary. * Frequently interacts with all functional departments.
Seattle, WA · Remote
$66K - $77K/yr
Responsible for review and follow-up on completed surveys within their territory, to ensure ... occurs on weekends when necessary. * Frequently interacts with all functional departments.
Tacoma, WA · Remote
$66K - $77K/yr
Responsible for review and follow-up on completed surveys within their territory, to ensure ... occurs on weekends when necessary. * Frequently interacts with all functional departments.
Tacoma, WA · Remote
$66K - $77K/yr
Responsible for review and follow-up on completed surveys within their territory, to ensure ... occurs on weekends when necessary. * Frequently interacts with all functional departments.
Review intelligence reports for accuracy, completeness, and adherence to client tradecraft ... Ability to meet the client needs, including working nights and/or weekends to accommodate event ...
Review intelligence reports for accuracy, completeness, and adherence to client tradecraft ... Ability to meet the client needs, including working nights and/or weekends to accommodate event ...
Home, WA · Remote
$164K - $279K/yr
... pricing, utilization management rules, and clinical programs within claims processing systems ... To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click ...
Home, WA · Remote
$164K - $279K/yr
... pricing, utilization management rules, and clinical programs within claims processing systems ... To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click ...
Home, WA · Remote
$164K - $279K/yr
... pricing, utilization management rules, and clinical programs within claims processing systems ... To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click ...
Home, WA · Remote
$164K - $279K/yr
... pricing, utilization management rules, and clinical programs within claims processing systems ... To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click ...
Gig Harbor, WA · On-site +1
$27 - $31/hr
Coordinate project staffing by reviewing project scopes, assigning technical and field personnel ... Flexible work schedules and remote/hybrid possibilities for most roles. * Multidisciplinary ...
Gig Harbor, WA · On-site +1
$27 - $31/hr
Coordinate project staffing by reviewing project scopes, assigning technical and field personnel ... Flexible work schedules and remote/hybrid possibilities for most roles. * Multidisciplinary ...
Home, WA · Remote
$81K - $138K/yr
Evaluates the utilization and financial experience of customers and prospects, many of which are ... To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click ...
Home, WA · Remote
$81K - $138K/yr
Evaluates the utilization and financial experience of customers and prospects, many of which are ... To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click ...
Home, WA · Remote
$81K - $138K/yr
Evaluates the utilization and financial experience of customers and prospects, many of which are ... To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click ...
Home, WA · Remote
$81K - $138K/yr
Evaluates the utilization and financial experience of customers and prospects, many of which are ... To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click ...
This is a paid freelance, remote position MovieWeb is a top destination for fans of television and ... EST (weekend availability is a plus) * Available during Pacific Standard Time evening hours for ...
This is a paid freelance, remote position MovieWeb is a top destination for fans of television and ... EST (weekend availability is a plus) * Available during Pacific Standard Time evening hours for ...
This is a paid freelance, remote position MovieWeb is a top destination for fans of television and ... EST (weekend availability is a plus) * Available during Pacific Standard Time evening hours for ...
This is a paid freelance, remote position MovieWeb is a top destination for fans of television and ... EST (weekend availability is a plus) * Available during Pacific Standard Time evening hours for ...
$24.35 - $29.27
2% of jobs
$29.27 - $34.20
9% of jobs
$37.56 is the 25th percentile. Wages below this are outliers.
$34.20 - $39.12
21% of jobs
The median wage is $43.11 / hr.
$39.12 - $44.04
23% of jobs
$44.04 - $48.97
13% of jobs
$52.80 is the 75th percentile. Wages above this are outliers.
$48.97 - $53.89
10% of jobs
$53.89 - $58.82
8% of jobs
$58.82 - $63.74
5% of jobs
$63.74 - $68.67
5% of jobs
$68.67 - $73.59
2% of jobs
$73.59 - $78.51
2% of jobs
$24
$48
$78
| 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.
The most popular types of Weekend Utilization Review jobs in Seattle, WA are:
For Remote Weekend Utilization Review jobs in Seattle, WA, the most frequently searched job titles are:
The top searched job categories for Remote Weekend Utilization Review jobs in Seattle, WA are:
$143K - $243K/yr
Full-time
Posted 8 days ago
7.9
Based on 48 frontline employees who took The Breakroom Quiz
16th of 113 rated pharmacies
At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us.
Job Posting TitleSr. Dir. Clinical Acct Services - RemoteJob DescriptionManages the overall clinical services delivered to customers and various pharmacy benefit programs, including all activities associated with clinical account management in support of innovative Medicaid pharmacy benefit management. This includes clinical and utilization management, mac operations, analysis, financial management, quality assurance, and regulatory compliance, ensuring customers reduce expenses and improve care.Responsibilities
Minimum Qualifications
Must be eligible to work in the United States without the need for work visa or residency sponsorship
Additional Qualifications
Preferred Qualifications
Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures
Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job.
Potential pay for this position ranges from $143,000.00 - $243,000.00 based on experience and skills.To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits at a glance" button for more detail (https://www.primetherapeutics.com/benefits).
Prime Therapeutics LLCis proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law.
We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.
Prime Therapeutics LLC is a Tobacco-Free Workplace employer.
Positions will be posted for a minimum of five consecutive workdays.
Get the full story on Breakroom
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Prime Therapeutics, located in Eagan, MN, is a pharmacy benefits management company that has been serving the healthcare industry since its foundation. They are an integral participant in the medical sector, specifically in the realm of health insurance. They focus on providing innovative pharmacy benefits and services to more than 30 million members nationwide. Besides their main pharmacy benefit management, they offer mail service pharmacy, specialty pharmacy, benefits management, and consultative engagement services to ensure individuals have continuous access to affordable prescription drugs. Prime Therapeutics, founded around three decades ago, has grown to stand out as a leader in its industry, thanks to its commitment to improving the health of its clients.
Insurance services
1,001 - 5,000 Employees
Eagan, MN, US
1987
