Authorization jobs in new jersey

Provider Enablement- Pre Authorization Specialist

Remote

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3d ago

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

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Contract

$15 - $17

Authorization Specialist - II

Remote

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6d ago

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

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Contract

$17 - $19

Prior Authorization Technician

Remote

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10d ago

Duties Reporting directly to the Supervisor, Prior Authorization Technicians, the Prior Authorization Technician I processes prior authorization requests received from providers, members, and pharmacies, including requests for high cost and specialty medications. Essential Functions Interprets and applies clinical criteria during the prior authorization review process and approves requests if applicable.Utilizes member claims history during the prior authorization review process.Makes outbound c

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Contract

25 - 28

Engineering Manager - Consumer Authorization Systems

Remote

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Today

At Netflix, our mission is to entertain the world. Together, we are writing the next episode - pushing the boundaries of storytelling, global fandom and making the unimaginable a reality. We are a dream team obsessed with the uncomfortable excitement of discovering what happens when you merge creativity, intuition and cutting-edge technology. Come be a part of what's next. As part of the Identity Engineering organization, the Consumer Authorization team builds platforms and services for access

Full-time

USD 436,000.00 - 710,000.00 per year

Pharmacy Technician

Remote

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6d ago

Duties The pharmacy technician supports the organizations mission and purpose by providing front-line customer support for a diverse portfolio of customers.This individual will be responsible for handling inbound telephone inquiries from members, pharmacies, and prescribers in our National Customer Care Center. Consistently meet established productivity, schedule adherence, and quality standards.Responsibilities Provide real-time support to pharmacies with point of service inquiries.Educate pres

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Contract

21 - 22

Senior Software Engineer Kafka, Flink & Spring Boot

Remote

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11d ago

Job Title:Senior Software Engineer Kafka, Flink & Spring Boot Location: Remote Duration: 10 Months + Extension Bill Rate: $80-90/hour Job Type: C2C/1099 Contract Client: To Be Discussed Later Work Authorization: USCGCH-1BOPT-EADGC-EAD Job Description We are looking for a Senior Software Engineer with strong experience in Java, Apache Flink, Apache Kafka, and Spring Boot to develop and support real-time streaming applications and cloud-native microservices. The ideal candidate will have experie

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Contract

$70 - $80

Senior ISSO Security Analyst

Remote

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Today

Experience analyzing authorization documents and associated artifacts against authorization requirements to identify gaps, establish a schedule to address outstanding authorization requirements, and coordinate directly with system stakeholders to address identified gaps in accordance with required deadlines Experience creating plans and approaches for executing product installation securely in accordance with agency authorization policy requirements for system major changes and development lifec

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Contract

Depends on Experience

Business Systems Analyst - Remote / Telecommute

Florham Park, New Jersey

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3d ago

We are looking for Business Systems Analyst - Remote / Telecommute for our client in Florham Park, NJ. Job Title: Business Systems Analyst - Remote / Telecommute Job Location: Florham Park, NJ Job Type: Contract Job Overview: Pay Range: $40.00hr - $45.00hr Requirement/Must Have: PBM Domain Expertise & Claims Processing.FDB Drug Nomenclature, Formulary & Preferred Drug List Design.Drug Coverage Configuration: Inclusions, Exclusions & Prior Authorization Criteria.NCPDP D.0 Standards & ProDUR Busin

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Third Party, Contract

Depends on Experience

QA(FHIR)-Remote

Remote

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19d ago

Role: QA (FHIR) Location: Remote Requirements: Currently, this revolves around CMS-0057-F and, now, CMS-0062-P rules for prior authorization. Documents and Rules Read full CMS rules and extract technical detail Master Da Vinci Implementation Guides (IGs) for Prior Auth CRD, DTR, and PAS APIs Documentation Write documentation from CMS rules Write documentation from IGs Derive Business Rules/Technical Specs from IGs for Architects/Developers and publish in Excel Conduct presentations for all API

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Contract

Depends on Experience

Principle Architect || W2 & C2C

Remote

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13d ago

Title: Principle ArchitectLocation: RemoteDuration: Long TermKey ResponsibilitiesAPI ModernizationLead modernization of legacy APIs and applications towardRESTful, event-driven, and cloud-native architectures.Design and implement scalable, secure, and resilient APIs and microservices.Define API lifecycle management, versioning, security, governance, and standards.Support migration from legacy platforms to modern cloud-native technologies.Implement API gateways, service integration, authenticatio

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Contract

Depends on Experience

Applied Behavior Analysis / ABA (Utilization Management)

Remote

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6d ago

Active BCBA (Board Certified Behavior Analyst) certification and state licensure (3+ years of ABA (Applied Behavior Analysis) clinical experience - Required Experience creating and supervising ABA (Applied Behavior Analysis) treatment plans Direct patient care background (dealing with children with Behavior / Autism issues) Utilization Management or insurance review experience strongly preferred Comfortable reviewing medical necessity and authorization requests Familiar with managed care and pay

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Contract

Depends on Experience

Principal Product and Application Security Engineer / Founding Engineer

Remote

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Today

A GPU cloud computing startup, revolutionizing the computing landscape, is looking to hire a Principal Product and Application Security Engineer to join their team as a founding engineer. This startup has hit a $1B valuation, closed their Series A funding, and has been around for 4 years. They're looking to bring on their first AppSec hire to build out their security environment from the ground up. Candidates must hve strong appsec and leadership experience, a desire to work in a fast-paced star

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Full-time

$160000 - $225000

Entry Level Scrum Master (W2 Remote Role Only) USA

Remote

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Today

Job Title: Entry Level Scrum Master Employment Type: W2 Only Location: Remote / Hybrid / Onsite (Based on Client Requirements) Job Type: Full-Time / Contract. Job Overview We are seeking motivated and career-oriented individuals interested in starting their careers as Scrum Masters. This opportunity is ideal for candidates who have a passion for Agile methodologies, project coordination, team collaboration, and continuous improvement. Candidates should possess strong communication, organization

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Contract

$80,000 - $100,000

Field Service Technician

Union, New Jersey

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Today

Field Service Technician Needed For Leading Manufacturer This Jobot Job is hosted by: Kevin Finlay Are you a fit? Easy Apply now by clicking the "Apply Now" button and sending us your resume. Salary: $25 - $40 per hour A bit about us: My client is a leading manufacturer and as they grow are in the market for a Field Service Technician to join their team. Why join us? Competitive Pay Rate $25-$40 an hour depending on Experience 90% Travel - All Local Travel Great Benefits Job Details Respo

Full-time

USD 25.00 - 40.00 per hour

Pre-K Assistant Teacher

Moorestown, New Jersey

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Today

Spring Education Group?s Early Childhood Education Divisionincludes nearly 150 schools offering services from infant care through Pre-K/K programs, as well as summer camp and after-school programs. Our locations span a nationwide geographic footprint and a diverse array of pedagogical approaches ? including our proprietarythat draws from the collective expertise of renowned early-age educators such as Dewey, Piaget and Vygotsky; Montessori schools that embrace both accredited Montessori methods

Full-time

Senior Privilege Access Monitoring Implementation Specialist

Remote

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5d ago

Job Title: Senior Privilege Access Monitoring Implementation Specialist Job ID:26-04094 Location: Remote Duration: 04 months on W2 contract Must haves: 4-5 years Splunk experience,4-5 years IAM experience,monitoring-preferred (previous analyst work)-PLEASE SHOW ON RESUME Job Summary Seeking a Senior Privilege Access Monitoring Implementation Specialist to design, implement, test, and document privileged access monitoring within a security operations environment. The role focuses on improving pr

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Contract

Up to $55

Senior Mobile Developer

Remote

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12d ago

Senior Mobile EngineerIntroductionThe Senior Mobile Engineer will be responsible for designing, developing, and maintaining mobile applications for iOS and Android platforms. They will work closely with the development team to ensure the smooth operation of mobile applications and provide technical leadership in mobile development projects. ResponsibilitiesDesign, develop, and test mobile applications for iOS and Android platformsParticipate in architecture and technical design decisionsWork in

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Full-time

50+

Project Manager / Engagement Lead

Remote

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Today

Job title: Project Manager / Engagement Lead Location: Remote Work authorization: Role summary Manages the full engagement lifecycle, coordinates with OCIG, oversees deliverables, and ensures compliance with RFQ requirements, timelines, and reporting standards. Key Responsibilities: Manage schedule, staffing, deliverables, risks, and quality.Coordinate activities with OCIG, agency OIGs, and other state stakeholders.Manage the seven RFQ deliverables and associated deadlines.Provide monthly prog

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Contract

Depends on Experience

Nuclear Licensing Engineer III

Camden, New Jersey

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Today

The Nuclear Licensing Engineer is responsible for applying engineering and nuclear regulatory knowledge and experience in support of developing power plant systems and programs in accordance with US licensing requirements. This requires a demonstrated understanding of 10 CFR Parts 50 and 52, along with associated regulatory and industry guidance. The Nuclear Licensing Engineer will be part of the SMR 300 Nuclear Licensing group, which is responsible for understanding, interpreting and informing

Full-time

USD 125,000.00 per year

IT Security Administrator

Remote

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5d ago

Job Title: IT Security Administrator Job ID:26-04004 Location: Remote Duration: 06 months on W2 contract Must Haves We are not looking for a seasoned veteran.1-3 years identity management experience is the ideal profileITIL certification is mandatory. Job Summary The IT Security Administrator will be responsible for day to day activities surrounding general user id administration and access controls/resource authorization requests across multiple environments/systems. The successful candidate

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Contract

$46 - $54

Authorization jobs in New Jersey, USA