- Bandwidth (Raleigh, NC)
- …Attention to details; organized and focused. Bonus Points: + Proficiency with SalesForce or other CRM software + Prior experience as a sales development rep with ... NC Apply Who We Are: Bandwidth (NASDAQ: BAND), a prior "Best of EC" award winner, is a global...demos per month + Understand Bandwidth's products and how other companies can benefit from them. + Launch a… more
- NTT DATA North America (Tallahassee, FL)
- …experience can substitute for the required education on a year-for-year basis. ** Other Key Characteristics** : + Prior experience with large-scale service ... the candidate's actual work location, relevant experience, technical skills, and other qualifications. This position may also be eligible for incentive compensation… more
- HCA Healthcare (Georgetown, TX)
- …Review written orders, assess patient medical record for allergies, possible pregnancy and other pertinent data prior to performing study. + Communicate with ... Ordering Physicians and staff to clarify imaging orders prior to completion when necessary. + Assist staff with...cost for thedelivery of charitable care, uninsured discounts, and other uncompensated expenses. "The great hospitals will always put… more
- Actalent (Elk Grove Village, IL)
- Prior Authorization Specialist (Hybrid)!! Responsibilities: + Contact pharmacy benefit managers (PBMs) and major medical plans to validate benefit verification ... clinical documentation. + Ensure documentation meets payer requirements and initiate prior authorizations via CoverMyMeds. + Follow up on pending authorizations… more
- Insight Global (Robinson, PA)
- …door pharmacy in the Pittsburgh, PA area is looking to hire 4 Pharmacy Prior Authorization Specialists. This role will include assisting in the initiation of new ... prior auth requests, identifying correct forms required for patients...status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations,… more
- Actalent (Des Plaines, IL)
- We're seeking a detail-oriented and proactive Prior Authorization Specialist to join our team in a hybrid role supporting high-cost, high-complexity pharmaceuticals. ... clinical documentation. + Ensure documentation meets payer requirements and initiate prior authorizations via CoverMyMeds. + Follow up on pending authorizations… more
- Lilly (Indianapolis, IN)
- … Prior experience implementing small and large systems/technology projects ** Other Information/Additional Preferences:** + Prior systems ownership, systems ... Clinical, Project Management, IT, etc.). + 5+ years of prior people management experience. + 2+ Prior ...accommodation as part of the application process and any other correspondence will not receive a response. Lilly is… more
- Centene Corporation (Oklahoma City, OK)
- …have compact license** **Medicaid - Outpatient** **Position Purpose:** Analyzes all prior authorization requests to determine medical necessity of service and ... assess medical necessity of care of member + Escalates prior authorization requests to Medical Directors as appropriate to...improve the authorization review process for members + Performs other duties as assigned + Complies with all policies… more
- Actalent (Gulfport, MS)
- …new/refill medications. + Respond to customer inquiries as necessary. + Assist in other phases of computer operations including billing procedures + Prior ... Authorizations + Insurance Verifications Qualifications: + 5+ year of Prior Authorization pharmacy experience is Mandatory + Pharmacy Tech State Certification is… more
- Molina Healthcare (Southaven, MS)
- …and eligibility for requested treatments and/or procedures. + Conducts prior authorization reviews to determine financial responsibility for Molina Healthcare ... members. + Processes requests within required timelines. + Refers appropriate prior authorization requests to Medical Directors. + Requests additional information… more