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.

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 ...

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 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.

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 ...

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 ...

Experience managing prior authorization operations across multiple payer types and therapeutic areas (Required) * Experience in benefits verification, coverage determination, and reimbursement ...

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 ...

You have working knowledge across the full revenue cycle: patient access, prior authorization, mid ... You're comfortable managing up and managing across, keeping clients aligned, teams moving, and ...

You have working knowledge across the full revenue cycle: patient access, prior authorization, mid ... You're comfortable managing up and managing across, keeping clients aligned, teams moving, and ...

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 ...