- Mount Sinai Health System (New York, NY)
- …not limited to, oversight of staff responsible for the prompt attention to prior authorization of specialty medications, support of medical staff, assistance in ... experience or related health care administrative, and a strong familiarity with the prior authorization process preferred. Working knowledge of third party payer… more
- General Dynamics Information Technology (Fort Walton Beach, FL)
- …with emphasize on Joint Special Access Program Implementation Guide (JSIG) authorization process. + Advise customer on Risk Management Framework (RMF) assessment ... and authorization issues. + Develop and implement a security assessment...experience. + 2+ years **SAP** experience r **equired.** + Prior performance in roles such as ISSO or ISSM.… more
- General Dynamics Information Technology (Colorado Springs, CO)
- …with emphasize on Joint Special Access Program Implementation Guide (JSIG) authorization process + Advise customer on Risk Management Framework (RMF) assessment ... and authorization issues + Develop and implement a security assessment...experience + 2+ years **SAP** experience r **equired** + Prior performance in roles such as ISSO or ISSM… more
- Elevance Health (Irving, TX)
- …and the home setting._ **Referral Specialist II/Patient Access (Pre & Prior Authorizations, Appeals, Insurance) - Paragon Infusion** **Location:** 3033 W President ... follow-up for additional information if necessary. + Ability to initiate pre-determination, prior authorizations, and appeals for denials based on payer policy. +… more
- Commonwealth Care Alliance (Boston, MA)
- …Director of Utilization Management * Oversees clinical decision review for services requiring prior authorization in a variety of clinical areas, including but ... (must have): * Expertise in managing utilization review processes including prior authorization , concurrent and retrospective reviews * Demonstrated ability… more
- Capgemini (Atlanta, GA)
- **Salesforce Project Manager ** **About DCX - Digital Customer Experience** The Capgemini Digital Customer Experience (DCX ... **_Join us to get the future you want_** ! **Job Description** The Salesforce Project Manager is a key member of our Delivery organization in the US. In addition to… more
- L3Harris (San Diego, CA)
- …and initiative to learn and acquire new skillsets Preferred Additional Skills: + Prior experience with JSIG/ICD Assessment & Authorization (A&A) process. + Have ... land, sea and cyber domains in the interest of national security. Job Title: Manager , Cyber Intelligence Job Code: 22572 Job Location: San Diego, CA Job Description:… more
- Rhythm Pharmaceuticals (Chicago, IL)
- …oversight and education throughout the pharmacy benefit approval process from prior authorization through any necessary appeals, collaborating with specialty ... level access related strategies, develop regional best practices that streamline the prior authorization /appeal process and help with treatment access + Inform… more
- UPMC (Tobyhanna, PA)
- UPMC Community Care Behavioral Health is hiring a full-time Licensed Professional Care Manager for the Northeast PA region. The office is in Tobyhanna, PA, however, ... the office as needed. The ideal candidate will have prior experience working with children, adolescents and IBHS. A...experience working with children, adolescents and IBHS. A Care Manager is responsible for assisting members identified at risk… more
- UPMC (Pittsburgh, PA)
- …and Center for Emergency Medicine is hiring a full-time Licensed Professional Care Manager . This role will work standard daylight hours Monday - Friday. This ... County, however, when not travelling staff may work remotely. The Care Manager is responsible for assisting members identified at risk for recidivism, discontinuous… more
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