- Cuyahoga County Board of Developmental Disabilities (Cleveland, OH)
- …to ensure fiscal responsibility including:use of Cost Projection Tools, the Prior Authorization Review Process, implementation of AAI Administrative Review, ... and utilization of Medicaid State Plan Services. Deliver technical assistance...to Support Administrators, Providers, and Waiver Coordinators regarding these authorization processes. + Assist Managers to hire, train, and… more
- Cardinal Health (Columbus, OH)
- …is to provide a detailed outline of clearance criteria as well as prior authorization and advocacy identification for procedures and medications scheduled to ... to representatives for benefit investigation as well as clinical clearance for prior authorization and medical necessity + Extensive patient education/counseling… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …and chair a utilization management review committee and partner with the prior authorization team. + Review high-cost and high-volume referral tests for ... + Develop and monitor key performance indicators (KPIs) related to test utilization , productivity, turnaround time, and cost per test for both in-house and… more
- Air National Guard Units (Springfield, OH)
- …data. Identifies discrepancies, takes corrective actions, and reports to supervisor . Resolves technical problems. Prepares, coordinates, and implements local ... (TR) and other directed data assessment programs. Reports findings to the supervisor and provides recommended actions to correct negative trends. Develops local data… more