- Molina Healthcare (Augusta, GA)
- … of pharmacy prior authorization requests and/or appeals. * Explains point-of-sale claims adjudication , state, NCQA and CMS policies/guidelines, and any other ... Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care. Essential Job… more
- State of Massachusetts (Holyoke, MA)
- …professional or paraprofessional experience in social work or social casework, claims adjudication , job placement, recruitment, employment counseling, vocational ... assisting with additional assistance for benefits referrals to other state agencies, health care providers, and other resources to support individuals and families… more