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St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of …
Nurse Practitioner or Physician Assistant - New Beginnings Pediatrics (Philipsburg, NJ)
Phillipsburg, New Jersey, United States · On-site
$94k–$136k/yr
Entry level
St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of …
Lawrence Township, New Jersey, United States · Hybrid
$25/hr–$27/hr
Mid level
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At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, treated, and cured, where treatments are smarter and less in…
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Cherry Hill Township, New Jersey, United States · On-site
$18/hr–$34/hr
Mid level
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East Greenwich Township, New Jersey, United States · On-site
Mid level$4M raised
If you want to make a living by making a difference, join Acenda as an Residential Counselor Job Title: Residential Counselor About Acenda Integrated Health Acenda Integrated Health provides 100+ behavioral health progra…
Associate Director, Quantitative Pharmacology and Pharmacometrics – Immuno-Oncology (QP2‑IO)
Rahway, New Jersey, United States · Hybrid
$157k–$247k/yr
SeniorVisa sponsorship
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Lawrenceville, New Jersey, United States · On-site
Mid level
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Old Bridge Township, New Jersey, United States · On-site
$20/hr–$30/hr
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L&D Surgical Technician - Labor And Delivery - F/T with Benefits Day
North Bergen, New Jersey, United States · On-site
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Monitor Technician - Intermediate Care - Per Diem Night
North Bergen, New Jersey, United States · On-site
Entry level$36M raised
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Skills: Cardiac Rhythm Monitoring, EKG Interpretation, Telemetry Unit Maintenance, Patient Education, Infection Control
Working with Us Challenging. Meaningful. Life-changing. Those aren’t words that are usually associated with a job. But working at Bristol Myers Squibb is anything but usual. Here, uniquely interesting work happens every …
Working with Us Challenging. Meaningful. Life-changing. Those aren’t words that are usually associated with a job. But working at Bristol Myers Squibb is anything but usual. Here, uniquely interesting work happens every …
Working with Us Challenging. Meaningful. Life-changing. Those aren’t words that are usually associated with a job. But working at Bristol Myers Squibb is anything but usual. Here, uniquely interesting work happens every …
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Skills: Clinical Data Standards, CDISC, SDTM, ADaM, CDASH
Working with Us Challenging. Meaningful. Life-changing. Those aren’t words that are usually associated with a job. But working at Bristol Myers Squibb is anything but usual. Here, uniquely interesting work happens every …
Skills: Mass Spectrometry, LC-MS, High-Resolution Mass Spectrometry, Structural Characterization, Peptide Mapping
Working with Us Challenging. Meaningful. Life-changing. Those aren’t words that are usually associated with a job. But working at Bristol Myers Squibb is anything but usual. Here, uniquely interesting work happens every …
Skills: Pharmaceutical Regulatory Law, Global Clinical Trials, Drug Development, Health Authority Submissions, Risk Assessment
Working with Us Challenging. Meaningful. Life-changing. Those aren’t words that are usually associated with a job. But working at Bristol Myers Squibb is anything but usual. Here, uniquely interesting work happens every …
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$23/hr–$25/hr
Full-time
high school
Medical Insurance, Dental Insurance, Vision Insurance, 401(k), Company Paid Life Insurance, Short-term Disability Insurance
Posted 15d ago
~40 hrs/week
Responsibilities
The specialist manages a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing. They are responsible for researching rejected claims, submitting prior authorization forms, and coordinating with insurance providers and facilities.
Requirements
A high school diploma is required, and experience as a pharmacy technician in a retail or long-term care environment is preferred. Candidates must be proficient in Microsoft Office and possess strong analytical and customer service skills.
Full job description
Job DetailsJob Location: Signio Specialty Pharmacy - Rockaway Township, NJ 07866Position Type: Full TimeSalary Range: $23.00 - $25.00 HourlyJob Category: PharmaceuticalWHO WE ARE At Polaris Pharmacy Services, we’re more than a pharmacy — we’re a dedicated partner in care, transforming how patients experience long-term, post-acute, correctional, PACE, and specialty pharmacy services. As industry leaders, we’re raising the bar for quality and coordination across all sites of care, ensuring every patient receives seamless, compassionate, and expert support.
Founded in 2015, Polaris is proud to be locally and independently owned, with a growing national footprint. Our team thrives in a mission-driven environment where innovation meets purpose, and every role contributes to making a real impact. We offer more than just a job — we provide competitive pay, robust benefits, and genuine opportunities for career advancement.
If you're passionate about shaping the future of pharmacy and making a difference in the lives of those who need it most, we invite you to grow with us.
JOB SUMMARY:
The Prior Authorization Specialist is responsible for managing and identifying a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks to Polaris and their customers. The Prior Authorization Specialist must be responsive and courteous when addressing our customers’ needs. Successful Specialists are dedicated to meeting the expectations and requirements of the position; understanding customer information and using it to improve products and services we deliver; talking and acting with customers in mind; establishing and maintaining effective relationships with co-workers and customers, thus gaining our customers’ trust and respect.
DUTIES/RESPONSIBILITIES:
Manage and identify a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks to Polaris and their customers Research, analyze and appropriately resolve rejected claims by working with national Medicare D plans, third party insurance companies, and all state Medicaid plans to ensure maximum payer reimbursement adhering to critical deadlines Ensure approval of claims by performing appropriate edits and/or reversals to ensure maximum payer reimbursement Contact providers and/or facility contacts as necessary to obtain additional information Monitor and resolve revenue at risk associated with payer set up, billing, rebilling, and reversal processes Work as a team to identify, document, communicate, and resolve payer/billing trends and issues Complete, communicate, and submit prior authorizations forms in a timely manner Support training needs Prepare and maintain reports and records for processing Perform other tasks as assigned. Follow all applicable government regulations, including HIPAA Comply with departmental policies regarding safety, attendance, and dress code Overtime, holidays, and weekends may be required and/or expected Conduct job responsibilities in accordance with the standards set out in the Company’s Code of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards Other duties as assigned; Job duties may vary depending on business needs
QualificationsQUALIFICATIONS/COMPETENCIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
REQUIRED SKILLS/ABILITIES:
Able to read, write, speak, and understand the English language Able to retain a large amount of information and apply that knowledge to related situations Able to work in a fast-paced environment Basic computer knowledge skills required Basic math and analytical skills Experience with alpha-numeric data entry Proficient in Microsoft Word, Excel, and Outlook required
Customer Service
Results-oriented Good organization/Attention to detail Reliable Problem solver Able to work various shifts and days Adaptability to an ever-changing environment
EDUCATION and/or EXPERIENCE
High School diploma or equivalent required Minimum of one (1) or more years working as a pharmacy technician in a retail environment preferred (long-term care pharmacy preferred) Framework LTC & General computer knowledge & 10-key Number Entry preferred
PHYSICAL DEMANDS
The physical demands described here are representative of those that should be met by an employee to successfully perform the essential functions of this job:
May sit or stand seven (7) to ten (10) hours per day The employee is occasionally required to sit; climb or balance; and stoop, kneel, bend, walk May be necessary to work extended hours as needed May lift and/or move up to 30 pounds The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this role
HOLIDAY & PTO POLICY
Paid holidays are provided annually, with 6 days offered each year, along with 5 sick days. Employees earn up to 10 PTO days each year, with rollover options and milestone bonuses. Employees have the option to cash out up to 10 PTO hours each quarter for added financial flexibility.
Please note, because we are a pharmacy most of our locations are open 24-hours a day, 7 days a week and therefore schedules may change as determined by the needs of the business.
BENEFITS for full time Employees
Medical, Dental, and Vision insurance 401 (k) (available for Part Time & Full Time EEs) Company Paid Life insurance Short-term and Long-term disability insurance Tuition reimbursement Personal Time Off (PTO) Competitive pay with annual performance reviews and merit-based raises Career growth potential Annual on-site voluntary Flu Vaccines Employee referral bonus program
Related keywords
Prior AuthorizationPharmacy TechnicianPharmaceuticalMedicare DMedicaidThird Party InsuranceHIPAAClaims ProcessingPayer ReimbursementLong-term Care PharmacyFramework LTC10-key Number EntryRevenue Cycle ManagementBillingSpecialty Pharmacy
At Polaris Rx, we are an independent pharmacy organization redefining what exceptional care looks like for patients with complex needs. Through our specialty, infusion, long-term, and post-acute care pharmacy solutions, we create personalized, high-touch service that puts patients first. By seamlessly connecting our deep clinical expertise, agile logistics, and advanced technology, we drive better outcomes and elevate the standard of care.
Offices: 2900 NW 60th Street, Fort Lauderdale , FL 33309, US
Long Term Care Pharmacy SolutionsPharmacy TechnologyPharmacy Servicesand Specialty PharmacyHealth CarePharmaceutical
Based on 3802 listings with disclosed salaries, most healthcare jobs in New Jersey pay between $71k–$210k per year. Individual offers vary with seniority, company size, and specialization.
How many Healthcare jobs are open in New Jersey right now?
There are currently 16,110 open healthcare positions in New Jersey listed on Clera. New openings are added daily as companies post roles.
Which companies are hiring for Healthcare roles in New Jersey?
Companies currently hiring include Hackensack Meridian Health, CVS Health, Atlantic Health, Cooper University Health Care, BAYADA Home Health Care, among others. Browse the listings above to see every active employer.
Are there remote or hybrid Healthcare jobs in New Jersey?
Yes — 2065 of the 16110 open healthcare positions offer remote or hybrid work (555 remote, 1510 hybrid).
How do I apply for Healthcare jobs in New Jersey?
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.