Utilization review, prior authorization, or managed care experience preferred. * Active OH RN Licensure * Experienced with either Interqual or Milliman Licenses/Certifications: Current RN, required.
Utilization review, prior authorization, or managed care experience preferred. * Active OH RN Licensure * Experienced with either Interqual or Milliman Licenses/Certifications: Current RN, required.
Prior Authorization Specialist
$18.13 - $21.78/hr
The Prior Authorization Specialist handles all prior authorizations, third party appeals, and ... Collaborate with providers to manage appeals and/or peer-to-peer discussion with third party ...
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Prior Authorization Specialist
$18.13 - $21.78/hr
The Prior Authorization Specialist handles all prior authorizations, third party appeals, and ... Collaborate with providers to manage appeals and/or peer-to-peer discussion with third party ...
Prior Authorization Specialist
Columbus, OH · On-site
$18.13 - $21.78/hr
Prior Authorization Specialist Established in 1984, Equitas Health is a regional not-for-profit ... Collaborate with providers to manage appeals and/or peer-to-peer discussion with third party ...
Prior Authorization Specialist
Columbus, OH · On-site
$18.13 - $21.78/hr
Prior Authorization Specialist Established in 1984, Equitas Health is a regional not-for-profit ... Collaborate with providers to manage appeals and/or peer-to-peer discussion with third party ...
Prior Authorization Specialist
Columbus, OH · On-site
$18.13 - $21.78/hr
The Prior Authorization Specialist handles all prior authorizations, third party appeals, and ... Collaborate with providers to manage appeals and/or peer-to-peer discussion with third party ...
Prior Authorization Specialist
Columbus, OH · On-site
$18.13 - $21.78/hr
The Prior Authorization Specialist handles all prior authorizations, third party appeals, and ... Collaborate with providers to manage appeals and/or peer-to-peer discussion with third party ...
The Senior Account Operations Manager - PA Network plays a key role in managing complex customer relationships for CoverMyMeds solutions that support pharmacy clients and prior authorization services.
New
The Senior Account Operations Manager - PA Network plays a key role in managing complex customer relationships for CoverMyMeds solutions that support pharmacy clients and prior authorization services.
New
The Senior Account Operations Manager - PA Network plays a key role in managing complex customer relationships for CoverMyMeds solutions that support pharmacy clients and prior authorization services.
New
The Senior Account Operations Manager - PA Network plays a key role in managing complex customer relationships for CoverMyMeds solutions that support pharmacy clients and prior authorization services.
New
The Senior Account Operations Manager - PA Network plays a key role in managing complex customer relationships for CoverMyMeds solutions that support pharmacy clients and prior authorization services.
New
The Senior Account Operations Manager - PA Network plays a key role in managing complex customer relationships for CoverMyMeds solutions that support pharmacy clients and prior authorization services.
New
The Senior Account Operations Manager - PA Network plays a key role in managing complex customer relationships for CoverMyMeds solutions that support pharmacy clients and prior authorization services.
New
The Senior Account Operations Manager - PA Network plays a key role in managing complex customer relationships for CoverMyMeds solutions that support pharmacy clients and prior authorization services.
New
The Prior Authorization Review Nurse works closely with healthcare providers, interdisciplinary ... Certification in Case Management (CCM) or Utilization Review (UR). * Experience with Medicaid and ...
The Prior Authorization Review Nurse works closely with healthcare providers, interdisciplinary ... Certification in Case Management (CCM) or Utilization Review (UR). * Experience with Medicaid and ...
REMOTE Prior Authorization Pharmacy Technician
Columbus, OH · On-site
$18 - $22/hr
Remote Pharmacy Technician (prior authorization review) As a Remote Prior Authorization Review ... Experience with managed care and claims. * Proficiency in data entry. Additional Skills ...
New
REMOTE Prior Authorization Pharmacy Technician
Columbus, OH · On-site
$18 - $22/hr
Remote Pharmacy Technician (prior authorization review) As a Remote Prior Authorization Review ... Experience with managed care and claims. * Proficiency in data entry. Additional Skills ...
New
CoverMyMeds is seeking a Sr Manager, Account Operations - PA Network to lead a specialized account operations team supporting pharmacy clients across the Prior Authorization Network. This leader will ...
New
CoverMyMeds is seeking a Sr Manager, Account Operations - PA Network to lead a specialized account operations team supporting pharmacy clients across the Prior Authorization Network. This leader will ...
New
CoverMyMeds is seeking a Sr Manager, Account Operations - PA Network to lead a specialized account operations team supporting pharmacy clients across the Prior Authorization Network. This leader will ...
New
CoverMyMeds is seeking a Sr Manager, Account Operations - PA Network to lead a specialized account operations team supporting pharmacy clients across the Prior Authorization Network. This leader will ...
New
CoverMyMeds is seeking a Sr Manager, Account Operations - PA Network to lead a specialized account operations team supporting pharmacy clients across the Prior Authorization Network. This leader will ...
New
CoverMyMeds is seeking a Sr Manager, Account Operations - PA Network to lead a specialized account operations team supporting pharmacy clients across the Prior Authorization Network. This leader will ...
New
CoverMyMeds is seeking a Sr Manager, Account Operations - PA Network to lead a specialized account operations team supporting pharmacy clients across the Prior Authorization Network. This leader will ...
New
CoverMyMeds is seeking a Sr Manager, Account Operations - PA Network to lead a specialized account operations team supporting pharmacy clients across the Prior Authorization Network. This leader will ...
New
Homecare Prior Authorization Supervisor
Columbus, OH · On-site
$16.75 - $23/hr
Oversees the operations of the Referral/Service center of Homecare, managing a team to facilitate patient referrals, service needs, and transitions to home care. Directs centralized intake and client ...
Homecare Prior Authorization Supervisor
Columbus, OH · On-site
$16.75 - $23/hr
Oversees the operations of the Referral/Service center of Homecare, managing a team to facilitate patient referrals, service needs, and transitions to home care. Directs centralized intake and client ...
Homecare Prior Authorization Supervisor
Columbus, OH · On-site
$16 - $22.25/hr
Oversees the operations of the Referral/Service center of Homecare, managing a team to facilitate patient referrals, service needs, and transitions to home care. Directs centralized intake and client ...
Homecare Prior Authorization Supervisor
Columbus, OH · On-site
$16 - $22.25/hr
Oversees the operations of the Referral/Service center of Homecare, managing a team to facilitate patient referrals, service needs, and transitions to home care. Directs centralized intake and client ...
Homecare Prior Authorization Supervisor
Columbus, OH · Hybrid
$16.75 - $23/hr
Oversees the operations of the Referral/Service center of Homecare, managing a team to facilitate patient referrals, service needs, and transitions to home care. Directs centralized intake and client ...
Homecare Prior Authorization Supervisor
Columbus, OH · Hybrid
$16.75 - $23/hr
Oversees the operations of the Referral/Service center of Homecare, managing a team to facilitate patient referrals, service needs, and transitions to home care. Directs centralized intake and client ...
Vice President - Patient Access
Columbus, OH · On-site
$150 - $210/hr
Experience managing prior authorization operations across multiple payer types and therapeutic areas (Required) * Experience in benefits verification, coverage determination, and reimbursement ...
Vice President - Patient Access
Columbus, OH · On-site
$150 - $210/hr
Experience managing prior authorization operations across multiple payer types and therapeutic areas (Required) * Experience in benefits verification, coverage determination, and reimbursement ...
Summary The Care Management Coordinator serves as a cross functional team member providing pathology and prior authorization support to ensure effective treatment, monitoring, and communication ...
Summary The Care Management Coordinator serves as a cross functional team member providing pathology and prior authorization support to ensure effective treatment, monitoring, and communication ...
Care Management Coordinator
Dublin, OH · On-site
Summary The Care Management Coordinator serves as a cross functional team member providing pathology and prior authorization support to ensure effective treatment, monitoring, and communication ...
Care Management Coordinator
Dublin, OH · On-site
Summary The Care Management Coordinator serves as a cross functional team member providing pathology and prior authorization support to ensure effective treatment, monitoring, and communication ...
Manager Prior Authorization information
See salary details
$31.5K - $42.3K
9% of jobs
$42.3K - $53K
13% of jobs
$57.3K is the 25th percentile. Wages below this are outliers.
$53K - $63.8K
7% of jobs
$63.8K - $74.6K
17% of jobs
The median wage is $76.8K / yr.
$74.6K - $85.4K
18% of jobs
$85.4K - $96.1K
7% of jobs
$99.6K is the 75th percentile. Wages above this are outliers.
$96.1K - $106.9K
11% of jobs
$106.9K - $117.7K
5% of jobs
$117.7K - $128.5K
5% of jobs
$128.5K - $139.2K
3% of jobs
$139.2K - $150K
4% of jobs
$31.5K
$83.5K
$150K
How much do manager prior authorization jobs pay per year?

$30/hr
Contractor
Re-posted 15 days ago
Job description
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
Position Purpose: Review requests for contract specific prior authorization of services within a centralized unit
- Review provider request for contract specific prior authorization through fax or telephone with application of evidence based criteria to ensure medical necessity for services
- Act as clinical resource to unit referral specialist staff and make appropriate referrals
- Provide provider education as directed
- Â Data entry and inquiry using both claims and clinical system software for performance of the authorization review process with documentation into the appropriate systems
- Active OH RN Licensure
- Experienced with either Interqual or Milliman
Advantages of this Opportunity:
Hours for this Position: Monday- Friday 8a-5p
Pay $30.00 per hour
Start date: 7/6
If you are interested, please call, Lovely 321-574-6539Â and email your resume to me.
The greatest compliment to our business is a referral.
If you know of someone looking for a new opportunity, please pass along my contact information! We offer referral bonuses of up to $100.00 for each placement.
About Healthcare Support
Sourced by ZipRecruiter
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
Industry
Recruiting and staffing services
Company size
201 - 500 Employees
Headquarters location
Maitland, FL, US
Year founded
2003