Drug Authorization Specialist Job at Daley and Associates (Boston)

Drug Authorization Specialist

Drug Authorization Specialist – Boston, MA. We are seeking candidates for a Drug...

Location

United States , Boston

Salary:

20.00 - 22.00 USD / Hour

Daley and Associates

Expiration Date

Until further notice

Requirements

BS in Health Science / Healthcare-related field of study (Preferred)
0-2 years of relevant work experience, including medical billing, denials, healthcare/business administration, health insurance, medical policy/chart review, nursing, and/or other allied health fields
Strong communication skills
Strong Microsoft Office suite experience
Need to be in the New England area

Job Responsibility

Perform pre-registration of new patients by making/receiving patient calls, collecting and documenting patient demographics, financial, and other relevant personal information
Verify patient identification
Update changes to patient insurance and/or demographic information as needed
Manage referral and authorization information as assigned
Communicate regularly with physicians and other medical providers regarding clinical clarifications
Document daily activities in a timely and accurate manner in the hospital information system

Fulltime

Drug Authorization Specialist

We are currently seeking candidates for a Drug Authorization Specialist position...

Location

United States , Boston

Salary:

20.00 - 21.00 USD / Hour

Daley and Associates

Expiration Date

Until further notice

Requirements

Bachelor’s degree in Health Science, Healthcare Administration, or a related field (preferred)
0–2 years of relevant experience in healthcare administration, health insurance, medical policy review, nursing, or allied health
Proficiency with the Microsoft Office suite
Experience with Epic is a plus
Strong written and verbal communication skills
Detail-oriented, organized, and capable of handling confidential patient information with professionalism

Job Responsibility

Perform pre-registration of new patients by making and receiving calls to collect and document patient demographics, financial details, and other personal information
Verify patient identification and update insurance or demographic data as needed
Manage referral and authorization information for assigned patients
Communicate with physicians and medical providers to clarify clinical details
Maintain accurate and timely documentation of all daily activities in the hospital information system
Support departmental operations and contribute to a positive patient experience through effective communication and attention to detail

Fulltime

Drug Authorization Specialist

Drug Authorization Specialist – Boston, MA. We are seeking candidates for a Drug...

Location

United States , Boston

Salary:

20.00 - 22.00 USD / Hour

Daley and Associates

Expiration Date

Until further notice

Requirements

BS in Health Science / Healthcare-related field of study (Preferred)
0-2 years of relevant work experience, including medical billing, denials, healthcare/business administration, health insurance, medical policy/chart review, nursing, and/or other allied health fields
Strong communication skills
Strong Microsoft Office suite experience
Need to be in the New England area

Job Responsibility

Perform pre-registration of new patients by making/receiving patient calls, collecting and documenting patient demographics, financial, and other relevant personal information
Verify patient identification
Update changes to patient insurance and/or demographic information as needed
Manage referral and authorization information as assigned
Communicate regularly with physicians and other medical providers regarding clinical clarifications
Document daily activities in a timely and accurate manner in the hospital information system

Fulltime

Prior Authorization Specialist

PHIL is looking for a full-time Prior Authorization Specialist - with a focus on...

Location

United States

Salary:

21.00 - 25.00 USD / Hour

PHIL

Expiration Date

Until further notice

Requirements

Proven team player, but can solve problems independently as well
Exceptional written and verbal communication skills
Easily adapt to new system and workflow changes
Demonstrate experience working in prior authorizations, medical insurance billing, and/or health insurance (required)
Working knowledge of ICD-10 codes and prescription drug names (preferred, but not required)
Ability to successfully navigate between multiple systems throughout the course of the workday, this includes but is not limited to operational software and vendor portals
Demonstrate flexibility to perform duties wherever volume deems it necessary
Customer service experience (preferred)
Access to reliable, high-speed internet to meet the needs of remote processing (required)

Job Responsibility

Verifies patient insurance coverage utilizing phone or online resources
Submit prior authorizations to insurance plans in a timely manner via electronic portal
Troubleshoots prior authorization submissions and prescription processing with health care providers utilizing phone or online resources
Verbally assist providers in navigating appeals processing
Ensures all pertinent medical documentation is accurate and present prior to authorization submission
Compiles trends in authorization determinations for client and prescriber education
Document activities appropriately in process notes using our operating system
Work closely with our Customer Support team to ensure the success of patients that are recommended to us by their physician's office

What we offer

Ground floor opportunity with one of the fastest-growing startups in health-tech
Solve a problem that matters: be part of a company that uniquely leverages technology to bring wellness to all of its stakeholders

Parttime

Specialist Manufacturing - Drug Product Operations

Join Amgen’s Mission of Serving Patients. At Amgen, our mission—to serve patient...

Location

United States , Thousand Oaks

Salary:

114990.00 - 139433.00 USD / Year

Amgen

Expiration Date

Until further notice

Requirements

Doctorate degree
Master’s degree and 2 years of Manufacturing support experience
Bachelor’s degree and 4 years of Manufacturing support experience
Associate’s degree and 8 years of Manufacturing support experience
High school diploma / GED and 10 years of Manufacturing support experience

Job Responsibility

Initiate, revise, and approve controlled manufacturing documents within Amgen’s electronic document management system (CDOCs)
Serve as document author, owner, reviewer, or data verifier
Maintain documentation to accurately reflect operational practices and regulatory requirements
Support implementation of new processes, equipment, and major initiatives within Drug Product operations
Collaborate with Capital, Engineering, Process Development, Quality, and other functions to define requirements and achieve operational readiness
Assist in developing and implementing SOPs, batch records, training, validation, and automation configurations
Analyze manufacturing data and performance metrics to identify trends, deviations, and opportunities for improvement
Develop and implement data-driven solutions to improve yield, reliability, and compliance
Support data monitoring using analytical tools such as Enterprise Data Lake and Spotfire
Support timely investigation and resolution of manufacturing deviations

What we offer

A comprehensive employee benefits package, including a Retirement and Savings Plan with generous company contributions, group medical, dental and vision coverage, life and disability insurance, and flexible spending accounts
A discretionary annual bonus program
Stock-based long-term incentives
Award-winning time-off plans
Flexible work models where possible

Fulltime

New

Drug Substance Quality Assurance Specialist

In this vital role within the Plant Quality Assurance organization, the Drug Sub...

Location

United States , Thousand Oaks

Salary:

104287.35 - 141094.65 USD / Year

Amgen

Expiration Date

Until further notice

Requirements

Doctorate degree OR Master's degree and 2 years of quality experience OR Bachelor's degree and 4 years of quality experience OR Associate's degree and 8 years of quality experience OR High school diploma / GED and 10 years of quality experience

Job Responsibility

Provides Quality oversight, review, and approval of major deviation investigations, ensuring events are thoroughly investigated, appropriately documented, and resolved in accordance with regulatory requirements and site procedures
Partners with Manufacturing, Facilities & Engineering, Quality Control, and other cross-functional stakeholders to facilitate root cause analyses, risk assessments, corrective and preventive actions (CAPAs), and effectiveness verification activities
Maintains the safety of self and others, actively engages with the Amgen EHSS safety program by reporting unsafe conditions if seen and driving improvements
Observes GMP operations within a clean room environment and providing constructive feedback to staff and managers
Reviews and provides Quality approval for GMP documentation such as revisions to procedures and GMP documents, investigation reports for major deviations, change control records, corrective action / preventive action records, and other GMP records
Identifies and escalates significant quality, compliance, supply, and safety risks to management and supports risk-based decision making
Contribute to and drive digital innovation solutions and applications in cross-functional collaboration
Participates as a QA team member process during regulatory inspections, third party audits, and internal audits
Makes certain the Quality Management System processes are executed in accordance with established procedures
May author and own cGMP documents and reports

What we offer

A comprehensive employee benefits package, including a Retirement and Savings Plan with generous company contributions, group medical, dental and vision coverage, life and disability insurance, and flexible spending accounts
A discretionary annual bonus program, or for field sales representatives, a sales-based incentive plan
Stock-based long-term incentives
Award-winning time-off plans
Flexible work models where possible

Fulltime

New

Remote Bilingual Patient Caseworker

Are you looking for the chance to work 100% from home while utilizing your organ...

Location

Canada , Montreal

Salary:

52000.00 - 55000.00 CAD / Year ▼

Randstad

Expiration Date

Until further notice

Requirements

2+ years of recent experience (within last 7 years) as Patient Caseworker, Pharma Reimbursement Specialist, Patient Coordinator, or Patient Care Specialist
5/5 bilingual proficiency in French and English (oral and written)
Legal eligibility to work full-time in Canada
Reside in Quebec (QC) or New Brunswick (NB)
Experience with CRM systems (e.g., Salesforce) and Microsoft Office
Able to undergo and clear criminal and credit background checks
Available Monday-Friday, 8:00 am to 8:00 pm EST
No pre-booked vacations in next 3 months
Dedicated quiet workspace and stable internet

Job Responsibility

Coordinate and manage all aspects required to obtain prescription drug coverage for patients
Navigate complex lobbying processes, investigate financial options, manage benefit investigations, and handle special authorizations and appeal requests
Implement call-centre programs providing telephone support to patients, healthcare professionals, and funding bodies
Act as a critical liaison between patients, pharmacies, insurance companies, and physicians' offices
Administer case-management protocols including data collection, ongoing patient follow-up, therapy disruption monitoring, and mandatory adverse event reporting
Accurately document every activity and interaction in CRM database and coordinate related paperwork

What we offer

100% Work-From-Home permanent opportunity
Competitive Salary $52,000 – $55,000 annualized (hourly equivalent of $26.67 to $28.21/hr based on 37.5-hour paid work week)
Day-1 Registered Savings Plan (RSP) with immediate company match and stock purchase program
Day-1 full medical, dental, and vision care
3 weeks paid vacation plus paid sick and wellness days
Annual performance bonus and annual merit review
Wellness & Family Support programs
Home office equipment provided
Monday-Friday schedules, shifts between 8:00 am and 8:00 pm EST

Fulltime

New

Physician Assistant - ICU and RRT

The Adult Critical Care Unit at Tucson Medical Center is a 28 bed unit that was ...

Location

United States , Tucson

Salary:

Not provided

Tucson Medical Center

Expiration Date

Until further notice

Requirements

Master’s degree in Physician Assistant Studies (MPAS), Health Science, or Medical Science
Two years of related experience in critical care setting preferred. Highly qualified new graduates may be considered
National certification as a Physician Assistant (or eligible for certification with written plan to take board examination)
Maintain a current Arizona state license as a Physician Assistant including prescriptive authority
Maintain a current Federal Drug Enforcement Agency License for prescribing controlled substances
Maintain current certification in Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS)
Complete credentialing process via TMC Professional Staffing Office prior to appointment

Job Responsibility

Assess, diagnose, and treat critically ill patients in collaboration with intensivists, consultants, multidisciplinary team and hospitalists
Manage acutely deteriorating, unstable, and critically ill patients
Perform daily rounds on assigned ICU patients
Initiate disposition plan for assigned stable ICU patients including transfer to lower level of care or discharge
Initiate specialist consultation requests when indicated
Provide timely documentation of pertinent health evaluations (i.e. admission HPI, consultation note, progress note, discharge summary, procedure note)
Perform procedures within scope of practice (e.g., intubation, central line placement, arterial line placement, chest tube thoracostomy)
Maintain ACLS and BLS certification to respond to cardiopulmonary arrests
Respond to inpatient cardiac arrests as integral member of Code Blue team
Collaborate in multidisciplinary rounds and coordinate with healthcare teams

Fulltime

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Drug Authorization Specialist

Job Description

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