Process engineer • menifee ca
Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Medication and Pharmacy Prior Authorisation specialists with ex... Show more
Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Medication and Pharmacy Prior Authorisation specialists with ex... Show more
Ventura MedStaff is seeking an experienced Speech Language Pathologist for an exciting Travel Allied job in Perris, CA.Shift: 5x8 hr days Start Date: ASAP Duration: 13 weeks Pay: $2340 / Week.Found... Show more
Work when you want – Earn what you need!.Delivering Legal Documents in your area with ABC Legal Services allows you to have a flexible schedule and take on as much or as little work as you want.We ... Show more
We are looking for engineers who build and operate LLM agents in production, and who have real visibility into how agents are actually used inside a company.You have probably: - Shipped an agent th... Show more
Municipality in Perris is looking for someone to assist in their Risk Management department.Long term contract role to start, with possibility of permanent hire.Processes and assists in the City’s ... Show more
Attalon develops and manufactures advanced thin‑film coatings for aerospace and infrared electro‑optic systems.Our Murrieta facility supports high‑mix, precision coating production with growing vol... Show more
At GXO, we're constantly looking for talented individuals at all levels who can deliver the caliber of service our company requires.You know that a positive work environment creates happy employees... Show more
Role Overview** - Mercor is seeking senior product design and AI-assisted development professionals to build evaluation tasks for AI systems operating in rapid prototyping, product design, and huma... Show more
Mercor is seeking experts in Atomic Layer Deposition (ALD) and thin-film processes to support a frontier AI research lab building models for semiconductors and the physical sciences.This is hands-o... Show more
Windsor Healthcare Recruitment Group, Inc.AlliedTravelCareers is working with Windsor Healthcare Recruitment Group, Inc.Physical Therapist (PT) in Perris, California, 92571!.Windsor Healthcare Recr... Show more
About the role We are hiring expert Evaluators in **Process improvement / SOPs** to review and assess AI-generated work products (documents, spreadsheets, and slide decks) for accuracy, rigor, and ... Show more
Production Manager (Cannabis Industry).We are Claybourne, one of the fastest growing cannabis flower brands in California.Our team is known for being highly dedicated to our retail partners and con... Show more
Reports To: Manager, Admitting.Position Summary: Ability to communicate effectively, both verbally and non-verbally.Demonstrate strong interpersonal skills, ability to interact diplomatically and t... Show more
About Us: Accelerated Urgent Care aims to provide quality care when you need it.We foster a supportive environment where our team members can develop their careers.Our core values are friendliness,... Show more
Ventura MedStaff is seeking an experienced Speech Language Pathologist for an exciting Travel Allied job in Perris, CA.Shift: 5x8 hr days Start Date: ASAP Duration: 13 weeks Pay: $2340 / Week.Found... Show more
Class A CDL Driver - Local Routes - Home Daily - 13-Hour Shifts.No-Touch Freight - Fontana, CA.We are currently hiring experienced Class A CDL drivers for local, home-daily routes.We offer consiste... Show more
Mercor is seeking experts in Atomic Layer Deposition (ALD) and thin-film processes to support a frontier AI research lab building models for semiconductors and the physical sciences.This is hands-o... Show more
Our WW Operations network delivers millions of packages and smiles to Amazon customers every day.We are looking for motivated, customer-focused individuals who want to join our team as an Operation... Show more
Contech Engineered Solutions is seeking a dedicated and experienced.Precast Manufacturing Quality Manager.As a key player, you will collaborate with Project Coordinators, Field Operations, Engineer... Show more
The average salary range is between $ 77,506 and $ 125,000 year , with the average salary hovering around $ 92,532 year .
Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems. We are seeking experienced Medication and Pharmacy Prior Authorisation specialists with expertise in speciality medication access to evaluate AI tools designed to automate pharmacy benefit management and speciality drug authorisation workflows. Your deep knowledge of drug formularies, step therapy, and payer PA criteria will directly shape AI systems that improve patient access to critical therapies. **Responsibilities** - Process and manage prior authorisation requests for speciality medications, biologics, and high-cost pharmaceuticals across commercial, Medicare Part D, and Medicaid payers. - Review clinical documentation and pharmacy benefit criteria to determine medical necessity for speciality drug authorisations. - Evaluate AI-generated pharmacy prior authorisation recommendations for accuracy, completeness, and payer compliance. - Coordinate with prescribers, speciality pharmacies, and payers to obtain timely medication authorisations. - Manage appeals for denied pharmacy authorisations, including peer-to-peer requests and exception processes. - Navigate payer formularies, step therapy requirements, and speciality drug coverage policies. - Track authorisation status, approval rates, and denial trends to identify process improvement opportunities. - Ensure compliance with payer-specific pharmacy benefit requirements and CMS Part D guidelines. - Annotate AI outputs and provide structured feedback to support AI training datasets. **Requirements** - 5+ years of experience in pharmacy prior authorisation, speciality medication access, or pharmacy benefit management. - Deep knowledge of speciality drug formularies, step therapy protocols, and payer PA criteria across commercial and government payers. - Experience with speciality pharmacy platforms and pharmacy benefit management (PBM) systems. - Familiarity with Medicare Part D coverage determination and exception processes. - Exceptional written and verbal English communication skills. - High attention to detail with the ability to evaluate clinical documentation and AI-generated outputs. **Preferred Qualifications** - Certified Pharmacy Technician (CPhT) or Certified Prior Authorisation Professional (CPAP) credential. - Experience with hub services and patient assistance programs for speciality medications. - Background in speciality pharmacy, infusion services, or oncology/rheumatology drug access. - Familiarity with AI tools and comfort evaluating AI-generated pharmacy content. - Experience with manufacturer copay assistance and patient access programs. **Why Join?** - Contribute to the development of frontier AI systems in healthcare. - Collaborate with a world-class AI research organisation. - Gain exposure to cutting-edge AI workflows in healthcare revenue cycle management. - Opportunity to work on high-impact projects shaping the future of healthcare AI.
