- Fairview Health Services (Minneapolis, MN)
- …resolves any issues with authorization and escalates complicated issues to appropriate manager . Prior Authorization Specialist acts as a liaison between ... **Job Overview** The Prior Authorization Specialist is responsible for verifying health insurance, obtaining benefits and meeting payer requirements to secure … more
- CVS Health (Lansing, MI)
- …it all with heart, each and every day. **Position Summary** The Associate Manager is responsible for oversight of Utilization Management staff. This position is ... Works closely with functional area leadership team (department Associate Managers, Manager , and other key stakeholders such as program design/product, Medical… more
- Intermountain Health (Columbus, OH)
- …may result in disciplinary action, up to termination, at the hiring manager 's discretion. **Preferred** + Prior Authorization processing preferred ... **Physical Requirements:** **Physical Requirements** + Carrying, hearing/listening, lifting, manual dexterity, pulling/pushing, seeing, climbing, crawling, speaking, squatting/kneeling, standing, walking as needed to perform job duties. **Location:** Supply… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …coverage denials cannot be overturned. + Appropriately escalates complex cases to Drug Authorization Supervisor or Manager of Prior Authorizations. + ... Clinical Authorization Specialist will bring clinical expertise to the prior authorization and appeals processes and serve as a liaison and patient advocate… more
- SSM Health (St. Louis, MO)
- …our healthcare system." **Job Summary:** Responsible for managing the pharmacy infusion prior authorization department to ensure the timely submission of ... and Requirements:** PRIMARY RESPONSIBILITIES + Leads and develops the infusion prior authorization processes and systems to maximize service, data… more
- CareOregon (Portland, OR)
- …Benefit Manager including pharmacy benefit coding, customer service guidelines, prior authorization activities, and other delegated services. + Develop and ... Nevada, Texas, Montana, or Wisconsin. Job Title Pharmacy Clinical Coordinator - ( Prior Authorization ) - Contingent Exemption Status Exempt Department Pharmacy … more
- Bassett Healthcare (Cooperstown, NY)
- …or manager Maintains 100% attendance to all divisional or staff meetings unless prior authorization of the Manager or Director What we need from ... possible. What you'll do Under the direction of the Manager , Security Operations, the Security Officer I performs a...Refuses to admit persons who cannot show either proper authorization or cause for being admitted. Provides information and… more
- Bassett Healthcare (Cooperstown, NY)
- …or manager Maintains 100% attendance to all divisional or staff meetings unless prior authorization of the Manager or Director What we need from ... the direction of the Network Director of Security and Transportation or the Manager of Security Operations, the Security Officer II performs a variety of security… more
- Bassett Healthcare (Cooperstown, NY)
- …or manager Maintains 100% attendance to all divisional or staff meetings unless prior authorization of the Manager or Director What we need from ... possible. What you'll do Under the direction of the Manager of Security Operations and the Network Director of...Refuses to admit persons who cannot show either proper authorization or cause for being admitted. Provides information and… more
- Elevance Health (Las Vegas, NV)
- …and communicates project status. + Assist in configuring and maintaining the prior authorization workflow tool, efficiently resolving support tickets, and ... operations and system reliability. + Supports configuration and maintenance of prior authorization workflows, including letters, timers, and user access,… more