Prior Authorization Pharmacist 100% Remote | Entry-Level | Contract-to-Hire This position involves reviewing Utilization Management requests such as formulary exceptions, prior authorizations, step therapy, and quantity limit exceptions for Medicare members. The role requires detailed clinical evaluation
Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well
Lucid Software is the leader in visual collaboration and work acceleration, helping teams see and build the future by turning ideas into reality. Our products include the Visual Collaboration Suite (Lucidchart and Lucidspark) and airfocus. We
Manager, Utilization Review - (260003IX) Description Under the administrative supervision of the Director of Utilization Management, manages the daily activities of the Utilization Review Nurses and Case Management Extenders to ensure effective processes and successful completion
Anticipated End Date:2026-10-19 Position Title:Utilization Managment Representative I-2 Job Description: Utilization Management Representative I Location: Virtual: Must live within a 30-40 mile proximity to our office in Indianapolis, IN OR Midland, GA. This role enables associates
Assesses member needs and identifies solutions that promote high quality and cost-effective health care services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical determinations in accordance with healthcare policies
Anticipated End Date:2026-10-26 Position Title:Utilization Management Rep I (US) Job Description: Utilization Management Representative I Shift: Monday-Friday Location: Virtual: This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility
Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well
Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well
Who We Are Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health
AHCCCS Arizona Health Care Cost Containment System Accountability, Community, Innovation, Leadership, Passion, Quality, Respect, Courage, Teamwork The Arizona Health Care Cost Containment System (AHCCCS), Arizona’s Medicaid agency, is driven by its mission to deliver comprehensive, cost-effective
Prior Authorization Pharmacist 100% Remote | TN License Required | Entry-Level | Contract-to-Hire This position involves reviewing Utilization Management requests such as formulary exceptions, prior authorizations, step therapy, and quantity limit exceptions for commercial members. The role
National Medical Director- REMOTE- 50% Travel The National Medical Director is a key leader on the Catasys medical team, reporting to the SVP and Chief Medical Officer. This exciting position is primarily an externally facing role,
Prior Authorization Pharmacist 100% Remote | TN License Required | Entry-Level | Contract-to-Hire This position involves reviewing Utilization Management requests such as formulary exceptions, prior authorizations, step therapy, and quantity limit exceptions for commercial members. The role