Remote Clinical Prior Authorization Reviewer
Hillsboro, Washington County, Oregon, 97123, USA
Listed on 2026-10-26
-
Nursing
RN Nurse
Actalent seeks a Clinical Prior Authorization Reviewer to assess medical necessity and determine the appropriate level of care for requests. You will support complex cases with evidence-based recommendations and collaborate with the care team to ensure compliant, cost-effective decisions.
The role emphasizes utilization management, adherence to Inter Qual/Milliman criteria, and timely documentation in One Note within a fully remote, contract-based environment across Pacific/central time zones.
We invite applications for the Remote Clinical Prior Authorization Reviewer position located in Portland, OR, United States.
All applications are reviewed carefully by our team.
The position is based in Portland, OR, United States.
This opportunity is part of our work in Legal, Bio & Pharmacology & Health.
The advertised compensation is 48.000 - 55.000.
This role offers the option to work remotely.
We aim to respond to suitable candidates as soon as possible.
(If this job is in fact in your jurisdiction, then you may be using a Proxy or VPN to access this site, and to progress further, you should change your connectivity to another mobile device or PC).