Seeking experienced prior authorization leaders with clinical and utilization management expertise to evaluate healthcare AI systems, review medical necessity determinations, and improve authorization workflows across healthcare organizations.
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2 remote jobs found
Prior Authorization
Utilization Management
Medical Necessity Review
+12
InterQual
MCG
Clinical Documentation Review
Healthcare Revenue Cycle
Epic
Cerner
Medicare Advantage
Medicaid
Appeals Management
cms-compliance
AI Evaluation
Healthcare Operations
AI & Data Training
Contractor
Insurance Verification
Eligibility & Benefits Management
Revenue Cycle Management
+12
EDI 270/271
Medicare
Medicaid
Commercial Insurance
Epic
Cerner
Meditech
Availity
Change Healthcare
HIPAA Compliance
cms-regulations
AI Evaluation
- United States
- $105/hour
- Jun 24, 2026
Seeking experienced insurance verification and eligibility managers to evaluate healthcare AI systems, improve benefits workflows, reduce claim denials, and provide expertise in payer eligibility, EDI transactions, and revenue cycle operations.
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