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Remote Optum Prior Authorization Jobs Near Me

Addison Group

Prior Authorizations Specialist

Columbus, OH · On-site

$20 - $22/hr

Prior Authorization Representative Location: Remote (Columbus, OH) Compensation: $20-22/HR Benefits: This position is eligible for medical, dental, vision, and 401(k). Work Schedule: Monday-Friday ...

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Pharmacy Careers

Formulary Management Pharmacist

Columbus, OH · On-site

$54.50 - $65.50/hr

Provide clinical support for utilization management, prior-authorization criteria, and step-therapy ... Many positions are hybrid or remote-friendly. * Competitive pay, benefits, and professional ...

Gifthealth Inc

Lead Reimbursement Analyst

Columbus, OH · Remote

$31.47 - $39.34/hr

... prior authorizations, appeals, and patient assistance programs; manage and resolve escalated cases ... Remote; desk-based role with frequent phone and computer use and minimal physical requirements

RXinsider LTD.

Field Reimbursement Manager

Columbus, OH · On-site

$80 - $134/hr

... 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 ...

Gifthealth Inc

Digihub Senior Product Manager

Columbus, OH · Remote

$125K - $160K/yr

... with prior authorization, benefits investigation, formulary, step therapy, hub programs, or ... Remote (US) * Schedule : Full-time * May require occasional flexibility outside core hours to ...

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A map of the United States highlighting the number of Remote Optum Prior Authorization job openings by state according to ZipRecruiter. The image is accompanied by a detailed chart listing the number of Remote Optum Prior Authorization job openings in each state, with California having the most at 2 and Hawaii the least at 0.

Prior Authorizations Specialist

Addison Group

Columbus, OH • On-site

$20 - $22/hr

Other

Medical, Dental, Vision, Retirement

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

Job description

Job Title: Prior Authorization Representative

Location: Remote (Columbus, OH)

Compensation: $20-22/HR

Benefits: This position is eligible for medical, dental, vision, and 401(k).

Work Schedule: Monday–Friday, shift between 7:00 AM and 6:00 PM (8-hours).


About Our Client

Addison Group is partnering with a rapidly growing healthcare organization that is expanding its operations to support increased patient demand. Our client is seeking motivated professionals to join a collaborative team focused on navigating insurance processes and supporting patients throughout the prior authorization process. This is an excellent contract-to-hire opportunity with long-term career potential.


Job Description

We are seeking experienced Prior Authorization Representatives who thrive in a fast-paced healthcare environment. In this role, you will manage insurance authorization requests, work within payer systems, maintain accurate documentation, and collaborate with internal teams to ensure timely processing of medication approvals. Ideal candidates are detail-oriented, self-motivated, and comfortable meeting productivity goals while delivering high-quality work.


Qualifications

  • Previous prior authorization experience strongly preferred.
  • Candidates with retail pharmacy, pharmacy technician, medical office, or healthcare insurance experience will also be considered.
  • Familiarity with insurance portals and healthcare documentation.
  • Understanding of pharmacy and medical insurance terminology.
  • Ability to perform basic math calculations related to medication processing.
  • Strong organizational skills with excellent attention to detail.
  • Self-starter who is coachable, dependable, and able to work independently.


Key Responsibilities

  • Process and manage prior authorization requests through insurance carrier portals.
  • Review documentation for accuracy and completeness before submission.
  • Support medication conversion and insurance approval workflows.
  • Maintain accurate electronic records and ensure timely follow-up on outstanding requests.
  • Communicate effectively with internal team members to resolve authorization issues.
  • Participate in daily team meetings and maintain established productivity and quality standards.
  • Adhere to company policies and healthcare compliance requirements.


Perks

  • Contract-to-hire opportunity with long-term career growth.
  • Multiple openings available with opportunities for advancement.
  • Comprehensive onboarding and structured training program.
  • Supportive leadership team focused on coaching and professional development.
  • Opportunity to work remotely while remaining connected to a collaborative local team.
  • Join an organization experiencing significant growth and expansion.



Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state, and local laws. Addison Group complies with applicable state and local laws governing non-discrimination in every location in which the company has facilities. Reasonable accommodation is available for qualified individuals with disabilities upon request.

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