Director Prior Authorization Jobs in Reston, VA (NOW HIRING)

Collaborate with physicians, nurses, and medical directors on complex cases. * Document outcomes in ... Prior authorization, utilization management, or managed care preferred - retail or hospital ...

Collaborate with physicians, nurses, and medical directors on complex cases. * Document outcomes in ... Prior authorization, utilization management, or managed care preferred - retail or hospital ...

Under the direct supervision of a licensed Pharmacist: * Initiate prior authorizations for medications and work with providers on completion * Confirm patient demographics are accurate and insurance ...

Under the direct supervision of a licensed Pharmacist: * Initiate prior authorizations for medications and work with providers on completion * Confirm patient demographics are accurate and insurance ...

Collaborate with physicians, nurses, and medical directors on complex cases. * Document outcomes in ... Prior authorization, utilization management, or managed care preferred - retail or hospital ...

Under the direct supervision of a licensed Pharmacist: * Initiate prior authorizations for medications and work with providers on completion * Confirm patient demographics are accurate and insurance ...

Under the direct supervision of a licensed Pharmacist: * Initiate prior authorizations for medications and work with providers on completion * Confirm patient demographics are accurate and insurance ...

Director, Pharmacy Operations POSITION SUMMARY : We are seeking a strategic and operationally ... Prior authorization (PA) and appeals * Patient enrollment and case management * Operationalize ...

... one week prior to scheduled date of service, as possible * Works Eligibility and Authorization ... Makes recommendations regarding trends to the department director * Reviews and works Denial ...

Under the general direction of Senior Operations leadership/Director the Manager of Field ... Validate Prior Authorization and Appeal Requirements and communicate as needed to stakeholders

Direct experience with prior authorization workflows across at least 3 specialties * Deep familiarity with medical and biopharma purchasing - GPOs, distributors, formulary management * Understands ...

Direct experience with prior authorization workflows across at least 3 specialties * Deep familiarity with medical and biopharma purchasing -- GPOs, distributors, formulary management * Understands ...

... directed by a physician or other licensed provider (e.g., a nurse practitioner or physician assistant) · Transmitting prescription refills, and prior authorization as needed · Taking ...

... directed by a physician or other licensed provider (e.g., a nurse practitioner or physician assistant) · Transmitting prescription refills, and prior authorization as needed · Taking ...

... prior authorization. Our best-in-class patient support services enhance every step of care ... Director, Client Success POSITION SUMMARY: The Director, Client Success, reporting to the SVP, ...

... prior authorization. Our best-in-class patient support services enhance every step of care ... Director, HUB Operations POSITION SUMMARY: Under the general direction of Senior Operations ...

Direct employees to HR for employee related questions and concerns * Manage day to day office ... prior authorization from Human Resources will be deemed the sole property of Spiniello Companies.

Direct employees to HR for employee related questions and concerns * Manage day to day office ... prior authorization from Human Resources will be deemed the sole property of Spiniello Companies.

Direct employees to HR for employee related questions and concerns * Manage day to day office ... prior authorization from Human Resources will be deemed the sole property of Spiniello Companies.

Monitor and maintain prior authorizations for needed services. * Complete Action Plans of Corrections as required by government agencies. * Facilitate new developments and or intake. * Direct the ...