Manager Prior Authorization Jobs in Colorado (NOW HIRING)

Provide clinical support for utilization management, prior-authorization criteria, and step-therapy guidelines. What You'll Bring * Education: PharmD or Bachelor of Pharmacy. * Licensure: Active U.S ...

Provide clinical support for utilization management, prior-authorization criteria, and step-therapy guidelines. What You'll Bring * Education: PharmD or Bachelor of Pharmacy. * Licensure: Active U.S ...

... prior authorization, and medical necessity. * Experience working with electronic health records, practice-management systems, payer portals, or document-imaging systems. * Strong data-entry ...

... prior authorization, and medical necessity. * Experience working with electronic health records, practice-management systems, payer portals, or document-imaging systems. * Strong data-entry ...

... prior authorization, and medical necessity. * Experience working with electronic health records, practice-management systems, payer portals, or document-imaging systems. * Strong data-entry ...

... prior authorization, and medical necessity. * Experience working with electronic health records, practice-management systems, payer portals, or document-imaging systems. * Strong data-entry ...

... prior authorization, and medical necessity. * Experience working with electronic health records, practice-management systems, payer portals, or document-imaging systems. * Strong data-entry ...

... prior authorization, and medical necessity. * Experience working with electronic health records, practice-management systems, payer portals, or document-imaging systems. * Strong data-entry ...

This role serves as the key point of contact for benefit investigation, prior authorization ... Owns and manages the specialty referral from initial intake through insurance approval * Conducts ...

Provides prompt feedback to physicians and management regarding pathway documentation issues, and ... prior to hire. This job posting will remain open until we have identified an adequate applicant ...

Provides prompt feedback to physicians and management regarding pathway documentation issues, and ... prior to hire. This job posting will remain open until we have identified an adequate applicant ...

... prior authorizations, appeals processes, and patient support financial assistance offerings. This ... Maintain current knowledge of managed care, reimbursement trends, and relevant healthcare policies ...

Provides prompt feedback to physicians and management regarding pathway documentation issues, and ... prior to hire. This job posting will remain open until we have identified an adequate applicant ...

... prior authorizations, appeals processes, and patient support financial assistance offerings. This ... Maintain current knowledge of managed care, reimbursement trends, and relevant healthcare policies ...

The Manager also provides leadership support to the Pediatric Personal Care team as needed. Key ... Partner with Compliance, Prior Authorization, Medical Records, and Leadership teams to maintain ...

Leads and manage one of the regional teams responsible for benefit investigation, prior authorization and intake coordination * Ensures that all intake forms are complete, clear and within Amerita ...

Job Summary The Supervisor, Managed Care Pharmacy, performs supervisor/leadership functions over ... Performs timeliness monitoring, prior authorization, and call center auditing. Results are shared ...

... who manage prior authorization review, utilization management protocols, care coordination, Medication Therapy Management (MTM), and medication adherence services • Sets clear expectations for ...

Provide oversight of vendor-managed prior authorization, peer-to-peer review, denial, appeal, and notification processes. * Ensure vendors complete comprehensive biopsychosocial assessments and ...

Provide oversight of vendor-managed prior authorization, peer-to-peer review, denial, appeal, and notification processes. * Ensure vendors complete comprehensive biopsychosocial assessments and ...