Prior-Authorization Coordinator Job at Robert Half (Englishtown)

New

Prior-Authorization Coordinator

Location

United States , Englishtown

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Knowledge of medical terminology and insurance requirements

Job Responsibility

Obtain prior authorizations for procedures, medications, and diagnostic services
Verify patient insurance coverage, benefits, and eligibility
Communicate with insurance companies to submit and follow up on authorization requests
Review clinical documentation for completeness and accuracy prior to submission
Track authorization status and ensure approvals are received prior to scheduled services

What we offer

paid time off
medical health insurance
dental
vision
life insurance
401(k) plan

Behavioral Health Medical Director

The Behavioral Health (BH) Medical Director leverages clinical expertise to prov...

Location

United States

Salary:

189600.00 - 237000.00 USD / Year

Personify Health

Expiration Date

Until further notice

Requirements

MD or DO degree and 5+ years of direct clinical patient care experience post residency or fellowship including behavioral health environments
Current and ongoing Board Certification in psychiatry by the American Board of Psychiatry and Neurology (ABPN) required
Additional Board Certification in Child and Adolescent Psychiatry or Addiction Medicine
A current and unrestricted license in the state of California and willing to obtain additional license(s)
No current sanction from Federal or State Governmental organizations, and able to pass credentialing requirements
Minimum 5 years of Utilization Review or Hospital experience required
Minimum 3 years of compliance related experience preferred
Managed Care experience preferred in utilization review and case management
Expertise in behavioral health case management, utilization review and telehealth delivery
Ability to design and evaluate behavioral health programs, integrating evidence-based practices and holistic wellbeing approaches

Job Responsibility

Oversee and participate in behavioral health case management, including utilization review, telephonic care, and urgent response coordination for behavioral health and substance use disorder needs
Conduct reviews for medical necessity for prior authorization, continued stay, and post-service claims, applying medical policy, guidelines, and current research
Integrate behavioral health screening and interventions within physical health case management programs, utilizing standardized tools (e.g., PHQ2, PHQ9) and ensuring appropriate referrals
Support and monitor virtual behavioral health services, ensuring access, privacy, and continuity of care for all age groups, including children, teens, and adults
Supervise and provide clinical oversight for residential and outpatient behavioral health programs, including partial hospitalization and intensive outpatient services, with an emphasis on family engagement and comprehensive discharge planning
Lead the development and implementation of comprehensive behavioral health strategies, including program design, staff education, and quality improvement initiatives
Maintain compliance with national guidelines (e.g., MCG, InterQual, specialty college recommendations) and regulatory requirements (federal, state, ERISA) specific to behavioral health
Oversee the negotiation and implementation of cost management strategies to affect quality outcomes, reflecting data in monthly case management reviews
Participate in grievance and appeals processes, including escalated behavioral health issues
Collaborate with the VP of Care Management to establish work procedures and processes that support company and departmental standards, procedures, and strategic directives

What we offer

Comprehensive medical and dental coverage through our own health solutions
Mental health support and wellness programs designed by experts who get it
Flexible work arrangements that fit your life
Retirement planning support to help you build real wealth for the future
Basic Life and AD&D Insurance plus Short-Term and Long-Term Disability protection
Employee savings programs and voluntary benefits like Critical Illness and Hospital Indemnity coverage
Professional development opportunities and clear career progression paths
Mentorship from industry leaders who want to see you succeed
Learning budget to invest in skills that matter to your future
Unlimited PTO policy

Parttime

New

Kitchen Porter

The Ashling Hotel has an exciting opportunity to join our Kitchen team

Location

Ireland , Dublin

Salary:

Not provided

Ashling Hotel

Expiration Date

Until further notice

Requirements

Ability to work on own initiative and as a team
Fluent English and excellent communication skills
Ability to work under pressure
Knowledge of HACCP

Job Responsibility

To support the function of the kitchen by upholding cleanliness and hygiene in accordance with legislation
Adhering to cleaning schedules
To support and lead the team in carrying out duties as required
Adhere to HACCP

What we offer

meals on duty

New

Financial Analyst - BGS Distribution Finance (Experienced or Subject Matter Expert)

Boeing Global Services (BGS) Distribution Finance is seeking an Experienced or S...

Location

United States , Dallas

Salary:

80000.00 - 144000.00 USD / Year

Boeing

Expiration Date

Until further notice

Requirements

Bachelor’s Degree in accounting, finance, business or a related field
4+ total years of related experience
3+ years of experience in a Finance, Accounting, Business or related role
3+ years of experience with the Microsoft Excel application using: formulas, VLookups, pivot tables, charts, filters, and linking worksheets
3+ years of experience in budgeting and forecasting
This position must meet U.S. export control compliance requirements, a “U.S. Person” as defined by 22 C.F.R. §120.62 is required

Job Responsibility

Leads integration of the financial statement & balance sheet forecasts for Distribution Services
Analyzes integrated financial statement & balance sheet forecasts
Compiles data from multiple sources (including assumptions and forecast basis of estimates) and develops performance reports
Leads and performs variance analyses and provides understanding of financial performance to management
Makes recommendations to senior management on financial performance projections using financial and business knowledge and experience
Leads development of strategic and operating plans as it relates to integrated financial statements
Lead development of processes including forecasting and reporting, and creation of key metrics
Working Capital focal for Distribution Services
Special Projects supporting the business / long range business plan goals

What we offer

Generous company match to your 401(k)
Industry-leading tuition assistance program pays your institution directly
Fertility, adoption, and surrogacy benefits
Up to $10,000 gift match when you support your favorite nonprofit organizations

Fulltime

New

Accommodation Revenue Coordinator

We're looking for an Accommodation Revenue Coordinator to join our team and help...

Location

Spain , Palma; Málaga

Salary:

Not provided

TUI

Expiration Date

June 10, 2026

Requirements

You bring proven commercial acumen and highly analytical thinking to the table
Proven numerical reasoning skills help you make data-driven decisions
Your effective negotiation, persuasion, and feedback skills enable successful partnerships
Strong written and verbal communication skills come naturally to you
A service-oriented mindset with strong customer focus drives your approach
You're skilled at time management and process orientation, with the ability to work under pressure and deliver to tight deadlines
Proficiency in Microsoft Office applications and the ability to learn new systems and technologies quickly are essential
Excellent written and verbal English language skills are essential, with local language skills being desirable

Job Responsibility

You'll source special offers and discounts across relevant destinations and regions, working with various sourcing methodologies including wholesale and channel managers
Managing availability initiatives is key—you'll ensure optimal inventory control and distribution to maximize revenue by challenging stop sales, requesting extra allocation, and reducing release periods
Supporting regional trading performance means monitoring market trends, competitor activities, and booking patterns to implement strategic pricing and availability decisions
Building and maintaining strong hotelier relationships is at the heart of this role, providing dedicated support on availability management, pricing strategies, and offer implementation for mutual commercial success
You'll implement systematic tracking of availability, bed to seat ratios, and offers activity, providing regular updates and insights to stakeholders for data-informed decision making
Monitoring and overseeing hotel partner actions within our sourcing systems ensures minimum impact on sales, while you'll communicate shortfall risks and work with sourcing and yield teams to maximize revenue opportunities

What we offer

Attractive remuneration
generous travel benefits
extensive health & well-being support
flexible working
dynamic working environment
access the TUI Learning Hub to level-up and reach your ambitions
intercultural collaboration
opportunities to work on global projects and teams
community involvement with local charity and sustainability initiatives like the TUI Care Foundation

New

Tax Manager

Location

United States , Yankton

Salary:

100000.00 - 125000.00 USD / Year

ELO CPAs & Advisors

Expiration Date

Until further notice

Requirements

A bachelor's degree in Accounting, Finance, or a related field is required
a master's degree in professional accountancy or taxation is preferred
An active Certified Public Accountant (CPA) license is mandatory
A minimum of 7 to 10 years of progressive experience in public accounting is required, with at least two years in a supervisory role
Experience serving clients in agriculture, agribusiness, or related industries is a plus
Strong leadership skills with prior experience in supervising and mentoring tax staff, contributing to team development
Strong technical knowledge of federal, state, and local tax laws and regulations
Demonstrated experience preparing and reviewing complex tax returns
Proven leadership and mentoring experience within a tax team environment
Proficiency in Microsoft Office Suite

Job Responsibility

Oversee and manage complex tax returns, ensuring accuracy and adherence to tax laws, while providing strategic tax planning and advisory services to clients
Mentor and manage a team of tax professionals, guiding them in their development, overseeing their work, and ensuring the delivery of high-quality results
Assess and research complex tax issues to identify solutions for clients. Keep up to date with changes in tax laws and regulations, ensuring clients receive the most relevant and timely advice
Educate and train the staff to ensure the various requirements of the tax process are performed including tax planning, client interaction and performing special tax analysis
Oversee multiple client engagements simultaneously, managing timelines, deliverables, and client expectations to ensure efficient, on-time service

What we offer

Be part of a highly regarded firm with a strong presence across eastern South Dakota, operating from seven convenient office locations to serve clients and team members
Enjoy a competitive salary that aligns with both public and industry accounting standards
Benefit from our Annual Bonus Program, where every team member shares in the success of our firm
Opportunities for professional growth through training and development programs
Secure your future with our 401(k) retirement plan, featuring an impressive dollar-for-dollar match of up to 5%
Comprehensive benefits include group health coverage with generous employer contributions, ELO-paid life insurance at 2x your salary, and other valuable fringe benefits
Take advantage of 10 paid holidays annually, plus our innovative Summer Fridays Program—a four-day workweek with 14 additional paid days off during the summer

Fulltime

New

Procurement Agent Manager-Contracts

At Boeing, we innovate and collaborate to make the world a better place. We’re c...

Location

United States , Everett

Salary:

122400.00 - 165600.00 USD / Year

Boeing

Expiration Date

June 11, 2026

Requirements

5+ years of experience in Supply Chain, Fulfillment, or Program Management
3+ years of experience in preparing and presenting executive level briefings
3+ years of experience demonstrating executive presence with exceptional written and oral communication skills
able to influence senior leaders, present complex technical/organizational matters clearly, and lead high-stakes discussions
Candidates must have at least one year of experience in a leadership role (team leader, temp manager, large scale cross functional project/program management, or formal manager experience) OR have completed Boeing internal course “Exploring Leadership.”
Ability to travel domestically and/or internationally

Job Responsibility

Manage, mentor and develop a team responsible for negotiating and enforcement of complex supplier agreements to ensure our production suppliers provide adequate aftermarket support to airline customers
Develop and maintain relationships and partnerships with suppliers, operators, stakeholders, peers, and direct reports
Ensure that our supply chain is positioned to support aftermarket demands
Support strategy definition and execution for our organization
Collaborate respectfully with great communication and experience working across multi-disciplined teams
Conduct formal training to airlines on their contractual rights with Boeing’s supplier
Maintain effectiveness and adjust when experiencing changes in work task, processes, and/or requirements
Conduct formal training to airlines on their contractual rights with Boeing’s suppliers

What we offer

Generous company match to your 401(k)
Industry-leading tuition assistance program pays your institution directly
Fertility, adoption, and surrogacy benefits
Up to $10,000 gift match when you support your favorite nonprofit organizations

Fulltime

New

Local Tours Executive

We're looking for a Local Tours Executive to join our Commercial Development tea...

Location

Morocco , Agadir; Marrakesh

Salary:

Not provided

TUI

Expiration Date

June 08, 2026

Requirements

You bring proven experience in the tours and activities industry, particularly in Product, Commercial or Operations roles
Your local tours product knowledge is strong, with an end-to-end understanding from supply to operations perspective
You're fluent in English (both verbal and written), and any additional languages would be a bonus. German would be advantageous
Building relationships comes naturally to you, and you're skilled at negotiating and managing stakeholders whilst balancing customers' and suppliers' needs
Your proactive, organised approach to task management, combined with great numerical and reasoning skills, helps you stay on top of multiple priorities

Job Responsibility

Prepare and deliver competitive tour quotations and tailored commercial proposals within agreed deadlines
Manage end-to-end tour operations, including bookings, allocations, supplier coordination, and service delivery
Monitor tour performance, margins, customer satisfaction, and operational risks, implementing corrective actions when needed
Support client growth and retention through account management, sales development, and digital platform integration
Coordinate internal processes related to bookings, prepayments, ecobills, and operational follow-up
Contribute to new product development, market analysis, and continuous improvement of the tours portfolio

What we offer

Attractive remuneration
generous travel benefits
extensive health & well-being support
flexible working
access to TUI Learning Hub
intercultural collaboration
opportunities to work on global projects and teams
get involved with incredible local charity and sustainability initiatives like the TUI Care Foundation

Fulltime

Select Country

Prior-Authorization Coordinator

Job Responsibility

Requirements

What we offer

Looking for more opportunities?

Prior-Authorization Coordinator

Prior-Authorization Coordinator

Behavioral Health Medical Director

Kitchen Porter

Financial Analyst - BGS Distribution Finance (Experienced or Subject Matter Expert)

Accommodation Revenue Coordinator

Tax Manager

Procurement Agent Manager-Contracts

Local Tours Executive

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