management solutions. Our rapid growth and market leading presence has created opportunities throughout the state... hardship on the operation of our business. TO EXECUTIVE SEARCH FIRMS AND STAFFING AGENCIES: World does not accept...
management solutions. Our rapid growth and market leading presence has created opportunities throughout the state... hardship on the operation of our business. TO EXECUTIVE SEARCH FIRMS AND STAFFING AGENCIES: World does not accept...
Job Title: Coverage Determination Rep II - Fax Tech Address: RI, US Job Description Utilize multiple software systems to complete Medicare Prior Authorization case reviews. Meet or exceed government mandated timelines. Ensure compli...
Job Title: Pharmacist - Specialty Prior Auth Address: US Job Description Conduct clinical reviews of medical data to approve or deny prior authorization requests for specialty medications. Collaborate with technicians and nurses to p...
Job Title: Pharmacist - Advisor - Specialty Prior Auth Address: Working Offsite from Caremark Location anywhere in US. Please note: Actual location may vary. RI ... Job Description Coordinate prior authorization requests for specialty...
Job Title: Healthcare Consultant I - Miami Dade Address: Miami, FL Job Description Coordinate case management activities for Medicaid Long Term Care/Comprehensive Program enrollees. Conduct comprehensive evaluation of members using c...
Job Title: Pharmacist - Remote Address: US Job Description This position is responsible for reviewing and completing criteria based prior authorizations as per policy and procedure. Prior experience with prior authorization (PA) revi...
Job Title: Remote Pharmacy Technician Pay Rate: $20.00/hour Start Date: November 10th, 2025 Location: Remote (U.S.-based only) Schedule: Full-time | 8.5-hour workday (includes two 15-minute breaks and one 30-minute lunch) Position Over...
Job Title: Pharmacy Tech I - Prior Authorization Address: RI, US Job Description Handle a high volume of incoming calls from members, providers, and healthcare professionals. Deliver exceptional customer service while guiding callers...
Job Title: Licensed Vocational Nurse Address: RI, US Job Description Support specialty medication prior authorization requests by reviewing, processing, and communicating with physician offices, pharmacies, and members. Manage inboun...