Manager Prior Authorization Jobs Near Me

Utilization review, prior authorization, or managed care experience preferred. * Active OH RN Licensure * Experienced with either Interqual or Milliman Licenses/Certifications: Current RN, required.

Prior Authorization Specialist Established in 1984, Equitas Health is a regional not-for-profit ... Collaborate with providers to manage appeals and/or peer-to-peer discussion with third party ...

The Prior Authorization Specialist handles all prior authorizations, third party appeals, and ... Collaborate with providers to manage appeals and/or peer-to-peer discussion with third party ...

The Prior Authorization Specialist handles all prior authorizations, third party appeals, and ... Collaborate with providers to manage appeals and/or peer-to-peer discussion with third party ...

The Senior Account Operations Manager - PA Network plays a key role in managing complex customer relationships for CoverMyMeds solutions that support pharmacy clients and prior authorization services.

The Senior Account Operations Manager - PA Network plays a key role in managing complex customer relationships for CoverMyMeds solutions that support pharmacy clients and prior authorization services.

CoverMyMeds is seeking a Sr Manager, Account Operations - PA Network to lead a specialized account operations team supporting pharmacy clients across the Prior Authorization Network. This leader will ...

CoverMyMeds is seeking a Sr Manager, Account Operations - PA Network to lead a specialized account operations team supporting pharmacy clients across the Prior Authorization Network. This leader will ...

Oversees the operations of the Referral/Service center of Homecare, managing a team to facilitate patient referrals, service needs, and transitions to home care. Directs centralized intake and client ...

Oversees the operations of the Referral/Service center of Homecare, managing a team to facilitate patient referrals, service needs, and transitions to home care. Directs centralized intake and client ...

Oversees the operations of the Referral/Service center of Homecare, managing a team to facilitate patient referrals, service needs, and transitions to home care. Directs centralized intake and client ...

Contacts insurance carriers to obtain benefit coverage, policy limitations, authorization ... Strong time management skills * Ability to work independently with minimal supervision and to ...

Contacts insurance carriers to obtain benefit coverage, policy limitations, authorization ... Strong time management skills * Ability to work independently with minimal supervision and to ...

Summary The Care Management Coordinator serves as a cross functional team member providing pathology and prior authorization support to ensure effective treatment, monitoring, and communication ...

Summary The Care Management Coordinator serves as a cross functional team member providing pathology and prior authorization support to ensure effective treatment, monitoring, and communication ...

Summary The Care Management Coordinator serves as a cross functional team member providing pathology and prior authorization support to ensure effective treatment, monitoring, and communication ...

Manage inbound and outbound inquiries related to eligibility, benefits, claims, and prior authorizations, resolving moderately complex issues and determining appropriate next steps * Escalate ...

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 ...

Essential Activities and Tasks Authorization Verification and Management - 60% Completes all ... Maintains accurate insurance plan knowledge of all prior authorization requirements (i.e assuring ...

Essential Activities and Tasks Authorization Verification and Management - 60% * Completes all ... Maintains accurate insurance plan knowledge of all prior authorization requirements (i.e. assuring ...