- Evolent (Richmond, VA)
- …ensuring the effective and efficient management of operations related to prior authorization services for healthcare companies. This role is essential in upholding ... and manage processes that enhance efficiency and effectiveness in handling prior authorization requests. + Analyze call metrics and other performance indicators to… more
- Evolent (Richmond, VA)
- …professionals who work with national health plans to ensure that prior authorization and financial coding stay accurate, compliant, and aligned with evolving needs. ... plays a crucial role in supporting the comprehensive management of prior authorization and financial scope within Evolent Specialty Services. Reporting to the… more
- TekSynap (Reston, VA)
- …those changes, and maintaining system security configuration; supporting achievement of Authorization to Test (ATT) and ATO for the Government's information systems; ... **PREFERRED QUALIFICATIONS** + Experience developing, integrating, and implementing Cybersecurity-related authorization packages and program protection standards for IC systems… more
- HCA Healthcare (Blacksburg, VA)
- …charts are completed and accurate + Verify all insurance and obtain pre-certification/ authorization + Calculate and collect patient liability amounts + Ensure that ... Insurance Plans (IPlans)accurately + Verify insurance benefits and determine pre-certification/ authorization status via online or other resources. If pre-certification/… more
- HCA Healthcare (Reston, VA)
- …charts are completed and accurate + Verify all insurance and obtain pre-certification/ authorization + Calculate and collect patient liability amounts + Ensure that ... Insurance Plans (IPlans)accurately + Verify insurance benefits and determine pre-certification/ authorization status via online or other resources. If pre-certification/… more
- HCA Healthcare (Richmond, VA)
- …charts are completed and accurate + Verify all insurance and obtain pre-certification/ authorization + Calculate and collect patient liability amounts + Ensure that ... Insurance Plans (IPlans)accurately + Verify insurance benefits and determine pre-certification/ authorization status via online or other resources. If pre-certification/… more
- Prime Therapeutics (Richmond, VA)
- …Technician II **Job Description** Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone and/or facsimile ... medical management staff and/or pharmacists. Researches, resolves and documents prior authorization outcomes in pharmacy system. + Communicates selected prior … more
- HCA Healthcare (Blacksburg, VA)
- …charts are completed and accurate + Verify all insurance and obtain pre-certification/ authorization + Calculate and collect patient liability amounts + Ensure that ... Insurance Plans (IPlans)accurately + Verify insurance benefits and determine pre-certification/ authorization status via online or other resources. If pre-certification/… more
- Nightwing (Virginia Beach, VA)
- …regulations, and recommend mitigation strategies. As well as support security authorization activities in compliance to include DOD Risk Management Framework (RMF), ... Action and Milestones (POA&M), for obtaining and maintaining Interim Authorization to Test (IATT), Authority to Connect (ATC) and... to Test (IATT), Authority to Connect (ATC) and Authorization to Operate (ATO). + Develop and maintain Assessment… more
- Saliense Consulting (Mclean, VA)
- …for the Office of Naval Research (ONR) in the area of Assessment and Authorization of ONR systems and networks. + Implements Navy Risk Management Framework (RMF) ... DODI 8510.01. + Develops, coordinates, and reviews detailed Assessment and Authorization documentation in accordance with DoD Instruction 8510.01 - DoD Information… more