Find out about our Benefits, Industries, Referrals, Culture & more
Posted (Oct 20, 2026)
Preference for candidates located in Eastern or Central Time Zones; Candidates must be available to work 8:30 AM - 5:00 PM EST The ServiceNow Implementation Contractor will support a large-scale ...
The ServiceNow Implementation Contractor will support a large-scale
Posted (Oct 16, 2026)
Fully remote (never coming onsite) HEDIS Medical Record Review (MRR) Abstractor II Position Summary Participates in the collection and review of medical records to abstract clinical information ...
HEDIS Medical Record Review (MRR) Abstractor II Position Summary Participates in the collection and review of medical records to abstract clinical information
Posted (Oct 15, 2026)
This is a remote position and requires the ability to effectively support a work from home environment. Responsibilities include answering inbound phone calls, processing cases and electronic ...
Responsibilities include answering inbound phone calls, processing cases and electronic
Posted (Oct 14, 2026)
Remote with future possibility of onsite HEDIS This position interprets relevant clinical criteria through review of medical records, annotates via Adobe PDF and populates a data collection tool ...
HEDIS This position interprets relevant clinical criteria through review of medical records, annotates via Adobe PDF and populates a data collection tool
Fully remote (never coming onsite) Position Summary This position is responsible for resolving coverage determination/redetermination reviews in a timely manner. There may be some interaction with the ...
Position Summary This position is responsible for resolving coverage determination/redetermination reviews in a timely manner. There may be some interaction with the
Primarily onsite in Providence, Rhode Island. American Sign Language (ASL) Medical Interpreter Key Responsibilities Provide accurate and professional ASL interpretation services between ...
American Sign Language (ASL) Medical Interpreter Key Responsibilities Provide accurate and professional ASL interpretation services between
Posted (Oct 12, 2026)
Fully remote (never coming onsite) The Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN) will provide processing and communication of Commercial Prior Authorizations (PA) and Appeals ...
The Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN) will provide processing and communication of Commercial Prior Authorizations (PA) and Appeals
Posted (Sep 30, 2026)
5 days a week onsite M-F Data entry; accounting and disclosure application (internal system) - candidate will trained on the internal system, hands on training Opening mail Organizing ...
Data entry; accounting and disclosure application (internal system) - candidate will trained on the internal system, hands on training Opening mail Organizing
Posted (Sep 29, 2026)
Fully remote (never coming onsite) Position Summary The Tech I Prior Auth takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous phone assistance to all ...
Position Summary The Tech I Prior Auth takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous phone assistance to all
Fully remote (never coming onsite) Position Summary This position takes in-coming calls from members, providers, etc providing professional phone assistance to all callers through the criteria based ...
Position Summary This position takes in-coming calls from members, providers, etc providing professional phone assistance to all callers through the criteria based
Posted (Sep 25, 2026)
Onsite: 2-3 days per week Position Summary: The Coordinator is a key resource in planning and coordinating the execution of various administrative and operational efforts. The activities of this ...
Position Summary: The Coordinator is a key resource in planning and coordinating the execution of various administrative and operational efforts. The activities of this
Fully remote (never coming onsite) Position Summary The basic function of the pharmacist is Review and complete criteria based on prior authorization as per policy and ...
Position Summary The basic function of the pharmacist is Review and complete criteria based on prior authorization as per policy and
Fully remote (never coming onsite) Position Summary This position takes in-coming calls from members, providers, etc providing professional phone assistance to all callers through the ...
Position Summary This position takes in-coming calls from members, providers, etc providing professional phone assistance to all callers through the
Fully remote (never coming onsite) The Tech I Prior Auth takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous phone assistance to all callers through the ...
The Tech I Prior Auth takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous phone assistance to all callers through the
Fully remote (never coming onsite) Position Summary This position is responsible for dispensing prescriptions and coordinating clinical services for specialty drugs serviced at ...
Posted (Sep 18, 2026)
This is a remote position but does require a BH licenses, those have to be active in Arizona. They can live anywhere in AZ doesn't have to be close to the office. Position Summary The Utilization ...
Position Summary The Utilization
Fully remote (never coming onsite) Position Summary This position takes in-coming calls from members, providers, etc. providing professional phone assistance to all callers through the criteria based ...
Position Summary This position takes in-coming calls from members, providers, etc. providing professional phone assistance to all callers through the criteria based
100% Remote (Work From Home) Position Summary The Tech I Prior Auth takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous phone assistance to all ...
Posted (Sep 14, 2026)
Fully remote (never coming onsite) Position Summary The Pharmacist/Clinician is an operation-based role that conducts criteria based & clinical review of medical data collected to perform prior ...
Position Summary The Pharmacist/Clinician is an operation-based role that conducts criteria based & clinical review of medical data collected to perform prior
Fully remote (never coming onsite) Duties The role involves ensuring the accuracy of case setup and clinical review of Medicare appeals cases by thoroughly reviewing internal notes or ...
Duties The role involves ensuring the accuracy of case setup and clinical review of Medicare appeals cases by thoroughly reviewing internal notes or
Posted (Sep 11, 2026)
Fully remote Position Summary This position is responsible for reviewing and completing criteria based on prior authorization as per policy and procedure. Duties This individual must have ...
Position Summary This position is responsible for reviewing and completing criteria based on prior authorization as per policy and procedure. Duties This individual must have
Posted (Jan 14, 2026)
Fully remote (never coming onsite) Description: The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to ...
Description: The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to
