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Remote Prior Authorization Specialist; Medicare​/Medicaid

Remote / Online - Candidates ideally in
Warwick, Kent County, Rhode Island, 02886, USA
Listing for: Us Tech Solutions
Remote/Work from Home position
Listed on 2026-11-01
Job specializations:
  • Healthcare
    Healthcare Administration, Health Insurance
Salary/Wage Range or Industry Benchmark: 45000 - 65000 USD Yearly USD 45000.00 65000.00 YEAR
Job Description & How to Apply Below
Position: Remote Prior Authorization Specialist (Medicare/Medicaid)

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.

For the Remote Prior Authorization Specialist (Medicare/Medicaid) position at Us Tech Solutions, we are reviewing applications now.

Learn more about the Remote Prior Authorization Specialist (Medicare/Medicaid) role in the description above.

We appreciate your interest in this position.

Join Us Tech Solutions and contribute to our ongoing work.

Take a moment to read everything above and see whether this role is right for you.

This posting is for the Remote Prior Authorization Specialist (Medicare/Medicaid) role at Us Tech Solutions, based in RI, United States.

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