Utilization Management / Prior Authorization (Guidingcare)

Immediate need for a talented Authorization Specialist - II. This is a 06+ Months Contract opportunity with long-term potential and is located in Texas (Remote). Please review the job description below and contact me ASAP if you are interested. Job ID:26-25422 Pay Range: $17 - $19/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location). Key Responsibilities: Authorization Specialist II t

This is 3 months contract with possibility of extention. You can work part time as well (20 hours/week)Position SummaryWe are seeking an experienced Epic Tapestry Utilization Management Analyst to support the design, configuration, build, testing, and implementation of Appeals and Grievances workflows within a healthcare insurance environment. The consultant will work closely with utilization management, appeals and grievances operations, compliance, business, and technical stakeholders to trans

Role : FHIR Integration Engineer Location : Remote Job Description Design, develop, and implement Da Vinci FHIR solutions supporting CMS-0057-F compliance, including Coverage Requirements Discovery (CRD), Documentation Templates & Rules (DTR), and Prior Authorization Support (PAS) APIs.Build and deploy production-ready APIs leveraging FHIR R4 standards and best practices for healthcare interoperability.Design and implement integrations between payer systems, utilization management platforms, pro

Immediate need for a talented Provider Enablement- Pre Authorization Specialist. This is a 06+ months contract opportunity with long-term potential and is located in US (Remote). Please review the job description below and contact me ASAP if you are interested. Job ID: 26-23458 Pay Range: $15 - $17/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location). Key Responsibilities: Manage pre-au