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Prior Authorization & Utilization Specialist (100% Remote)

Description

Are you an experienced healthcare professional with a sharp eye for detail and a strong background in prior authorizations?

We are seeking a highly organized, detail-oriented Prior Authorization Specialist to join our national Utilization Management team.

In this role, you will serve as a vital link in the member care pipeline by managing authorization request queues, verifying member eligibility, gathering medical documentation, and routing requests to clinical reviewers.

You will directly sup…

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