Remote Prior Authorization Specialist; Medicare/Medicaid
North Providence, Providence County, Rhode Island, 02911, USA
Listed on 2026-10-04
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Healthcare
Healthcare Administration, Medical Billing and Coding, Healthcare Compliance
US Tech Solutions is seeking a Prior Authorization Specialist for a fully remote role. You will handle inbound and outbound calls from providers, members and pharmacies, document reviews, and coordinate with pharmacists to resolve coverage requests.
The position requires researching Medicare Part D guidelines, using multiple systems to process PA requests, and ensuring CMS compliance. A proactive, detail-oriented communicator with PBM/pharma exposure is preferred.
This role, Remote Prior Authorization Specialist (Medicare/Medicaid) at Talentify, could be your next opportunity.
Are you ready to take on the Remote Prior Authorization Specialist (Medicare/Medicaid) role at Talentify?
We would love to welcome a new Remote Prior Authorization Specialist (Medicare/Medicaid) to our team in RI, United States.
For the Remote Prior Authorization Specialist (Medicare/Medicaid) position at Talentify, we are reviewing applications now.
Step into the Remote Prior Authorization Specialist (Medicare/Medicaid) role at Talentify in RI, United States and grow with us.
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