- Ascendis Pharma (Princeton, NJ)
- …Professionals (HCPs) and field reimbursement teams that clarify product coverage, prior authorization criteria, and patient support options. + Collaborate ... with brand marketers to align marketing tactics and share insights on payer and patient/caregiver needs and opportunities. + Lead Medical, Regulatory and Legal Review of all market access and patient support promotional material, ensuring a high level of… more
- North Polk Community School District (Alleman, IA)
- …or emergencies. + Does not make any alterations in routes without prior authorization by the Director of Transportation (excluding life-threatening emergency ... situations). + Other duties as assigned. Specifications/Qualifications: + Must have chauffeur's license with passenger endorsement. + Must have the ability to interact effectively and appropriately with children and parents. + Must be available to attend… more
- Highmark Health (Buffalo, NY)
- …creates the case (data entry) in Highmark's Utilization Management system for Prior Authorization clinical review. Ensures all accurate information is entered ... at the onset of the process to ensure adherence to all regulatory compliance requirements and service level agreements. The requests may come via fax, Predictal Availity portal and/or service form inquiry. At times may require follow-up communication with the… more
- Apicha Community Health Center (Jackson Heights, NY)
- …health education in conjunction with regularly schedules primary care visits. + Obtain prior authorization for pharmacy and/or medical services as required by ... patient's health insurance plan. + Represent Apicha CHC to promote services and recruit patients specifically individual with low income and/or community of color including participate in events + Collaboration and Services - use strong collaborative abilities… more
- Centene Corporation (Indianapolis, IN)
- …requirements + Create and maintain multiple databases, including, contract provider network, prior authorization , third party liability, provider set ups and ... related corrections + Oversee the provider termination process including adding and changing new or existing provider records in the medical information system + Schedule monthly provider verifications regarding provider enrollment specifications and… more
- University of Washington (Seattle, WA)
- …as appropriate to coordinate continuity of patient care. + Supports the prior authorization process for prescribed medications. + Collaborates with ... multi-disciplinary services to provide a continuum of care for the patient. **REQUIREMENTS** + Active, valid Washington State or Multi-State RN license required by start date. + 2 years of nursing experience, preferably cardiology related and ambulatory.… more
- Drake University (Des Moines, IA)
- …with email addresses and telephone numbers. References will not be contacted without prior authorization from the applicant. All application materials must be ... submitted using Drake University's online applicant system. Due to the newly established $100,000 fee for new H1-B applications, Drake University is unable to provide new H1-B sponsorship at this time. more
- MaineGeneral Health (Augusta, ME)
- …clerical duties as assigned, including filing, reception, scheduling, scribing, data entry, prior authorization and patient registration Candidates must meet one ... of the following criteria: + Previous Work Experience: Work experience as a Medical Assistant + Certification: Certified by an accredited Medical Assistant program + License: Maine State Licensure as a Licensed Practical Nurse (LPN) + Education: Possession of… more
- Baylor Scott & White Health (Temple, TX)
- …clients to explain Health Plan pharmacy benefits, assist with understanding the prior authorization process, and resolve claims processing and eligibility issues ... while adhering to department policies and procedures. This position advocates on behalf of the member and serves as a liaison between the Health Plan and stakeholders to identify root causes and address concerns. In addition, the Pharmacy Services Specialist 2… more
- Children's Mercy Kansas City (Kansas City, MO)
- …will be a phone position, with very limited clinical care required. Knowledge of prior authorization and handling general provider and parent requests which are ... received via telephone or message center contact desired. Previous experience with triage: * Critical thinking skills * Ability to determine the issue or situation within the first few sentences of a conversation * Superior verbal communication skills are… more
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