Prior Authorization Management Jobs in California

Role OverviewThe client is seeking a Prior Authorizations Lead to design, manage, and scale their prior authorization function. This role is ideal for an operator who excels at bringing structure to ...

Prior Authorization Management: Accurately submit prior authorization requests for medical procedures, treatments, and medications to insurance payers, ensuring compliance with payer guidelines.

Prior Authorization Specialist Infusion for Health is a referral-based infusion center that ... At least 2 years of experience applying knowledge of Medicare, Medicaid, and Managed Care ...

Prior Authorization Specialist Infusion for Health is a referral-based infusion center that ... At least 2 years of experience applying knowledge of Medicare, Medicaid, and Managed Care ...

Prior Authorization Specialist Infusion for Health is a referral-based infusion center that ... At least 2 years of experience applying knowledge of Medicare, Medicaid, and Managed Care ...

By efficiently managing prior authorization requests, this role directly impacts patient outcomes and satisfaction by reducing delays in receiving acute care services. Ultimately, the Acute Prior ...

We are the premier Pharmacy Benefits Management solution! Summary Works as a member of the Prior Authorization Operations team. Processes prior authorization requests in accordance with standards for ...

We are the premier Pharmacy Benefits Management solution! Works as a member of the Prior Authorization Operations team. Processes prior authorization requests in accordance with standards for ...

... prior authorizations (as needed) according to Molina policy for Molina members as part of the ... Management team. Identifies appropriate benefits, eligibility, and expected length of stay for ...

Communicates decision to physicians, physician's office staff, medical management staff and/or pharmacists. * Researches, resolves and documents prior authorization outcomes in pharmacy system.

Position Summary The Utilization Management (UM) Coordinator is responsible for coordinating prior authorization requests, processing referrals, documenting case activity, and supporting timely ...

Position Summary The Utilization Management (UM) Coordinator is responsible for coordinating prior authorization requests, processing referrals, documenting case activity, and supporting timely ...

... prior to patients' appointments. § Assist Credentialing and Authorizations Department staff by resolving any issues to prevent backlog. § Assist and work with other departments' management in ...

Two or more years of utilization management, prior authorization, case management, or managed care experience. Experience working in an MSO, IPA, health plan, or medical group environment. Experience ...

Two or more years of utilization management, prior authorization, case management, or managed care experience. Experience working in an MSO, IPA, health plan, or medical group environment. Experience ...

Two or more years of utilization management, prior authorization, case management, or managed care experience. Experience working in an MSO, IPA, health plan, or medical group environment. Experience ...

Two or more years of utilization management, prior authorization, case management, or managed care experience. Experience working in an MSO, IPA, health plan, or medical group environment. Experience ...

The Opportunity The Clinical Review Nurse - Prior Authorization & Case Management is responsible for reviewing and processing prior authorization requests to ensure medical necessity, appropriate ...

The Clinical Review Nurse - Prior Authorization & Case Management is responsible for reviewing and processing prior authorization requests to ensure medical necessity, appropriate level of care, and ...

The Clinical Review Nurse - Prior Authorization & Case Management is responsible for reviewing and processing prior authorization requests to ensure medical necessity, appropriate level of care, and ...