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Posted (Oct 14, 2026)
Remote-candidates must be in Austin TX. This position is responsible for supporting Medicare and Medicaid provider services, provider operations of individual Medicare and Medicaid providers. This ...
This position is responsible for supporting Medicare and Medicaid provider services, provider operations of individual Medicare and Medicaid providers. This
Posted (Oct 13, 2026)
Remote Description: Job SummaryDocuments and manages fiber optic network assets for inside and outside plant network. Edits and modifies network data, studies project objectives, ...
Description:
Job Summary
Documents and manages fiber optic network assets for inside and outside plant network. Edits and modifies network data, studies project objectives,
candidates cannot be in CA,NY,HI,AK put city and state on resume Enrollment/Billing Representative Strong Organizational skills, attention to detail, and results orientedData ...
Enrollment/Billing Representative
Strong Organizational skills, attention to detail, and results oriented
Data
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
Remote in any state Intake Care Senior Representative Delivers specific delegated Utilization Management tasks assigned by a supervisor. Assigns client to appropriate staff member or behavioral ...
Intake Care Senior Representative Delivers specific delegated Utilization Management tasks assigned by a supervisor. Assigns client to appropriate staff member or behavioral
Posted (Oct 07, 2026)
Remote The Data Entry Associate Representative is responsible for performing analytical and administrative functions to support Medicare Billing processes. This position is data-driven and transactional ...
The Data Entry Associate Representative is responsible for performing analytical and administrative functions to support Medicare Billing processes. This position is data-driven and transactional
Posted (Oct 01, 2026)
Work from Home Pharmacy Technician Senior Representative The Pharmacy Technician in the Pharmacy Call Center will work within the Part D – Star Operations Group. This call center role performs ...
Pharmacy Technician Senior Representative The Pharmacy Technician in the Pharmacy Call Center will work within the Part D – Star Operations Group. This call center role performs
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
Posted (Sep 25, 2026)
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) 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 24, 2026)
Remote in any state except NY, CA, HI or AK Evaluates clinical service requests made by an organization's members and providers. Uses clinical judgment in conjunction with organization's criteria to ...
Evaluates clinical service requests made by an organization's members and providers. Uses clinical judgment in conjunction with organization's criteria to
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 (Sep 09, 2026)
Remote Clinical Reporting SupportSystems Analysis Specialist Position Overview: The Systems Analysis Specialist serves as a critical liaison between business and technology teams, ...
Clinical Reporting Support
Systems Analysis Specialist
Position Overview: The Systems Analysis Specialist serves as a critical liaison between business and technology teams,
Posted (Aug 31, 2026)
Remote Review Nurse SUMMARY DESCRIPTION: The review nurse is responsible for medical record abstractions and overreads during the annual Healthcare ...
Review Nurse SUMMARY DESCRIPTION: The review nurse is responsible for medical record abstractions and overreads during the annual Healthcare
Remote Clerk III SUMMARY DESCRIPTION: The Clerk III staff will work under the supervision of the Senior Director or department designee and serve as a ...
Clerk III SUMMARY DESCRIPTION: The Clerk III staff will work under the supervision of the Senior Director or department designee and serve as a
Work At Home Position Overview: The pharmacist will be responsible for medication therapy management (MTM) services, including outbound calls for comprehensive medication reviews (CMR) and delivering ...
Position Overview: The pharmacist will be responsible for medication therapy management (MTM) services, including outbound calls for comprehensive medication reviews (CMR) and delivering
Posted (Aug 19, 2026)
Fully remote Position Summary The Credentialing Specialist ensures clinicians successfully pass the client credentialing process. This role is responsible for assisting ...
Position Summary The Credentialing Specialist ensures clinicians successfully pass the client credentialing process. This role is responsible for assisting
Posted (Apr 09, 2026)
Remote Description: Evaluates clinical service requests made by an organization's members and providers. Uses clinical judgment in conjunction with organization's criteria to adjudicate ...
Evaluates clinical service requests made by an organization's members and providers. Uses clinical judgment in conjunction with organization's criteria to adjudicate
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