Remote Behavioral Health Prior Authorization Specialist

Job description

Gainwell Technologies seeks a Behavioral Treatment Services Prior Authorization Reviewer to adjudicate Medicaid behavioral treatment requests and determine medical necessity in a fully remote role. You will collaborate with providers and internal teams to ensure timely access to care, and support education on submission requirements.

The role emphasizes clinical expertise, policy interpretation, and cross-functional collaboration within a fast-paced healthcare environment.

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Who can apply

Review the original listing for work authorization, qualifications and employer requirements.