- US Tech Solutions (May, OK)
- …pharmacists, other clinical colleagues, healthcare professionals and members. + Follow all prior authorization procedures to guarantee an accurate process on ... with resume and provide license number. **Responsibilities:** + Review criteria-based prior authorizations following policy and procedure. + Provide on-call after… more
- Elevance Health (Tampa, FL)
- **Manager I Medical Management ( Prior Authorizations) - Florida Medicare** **Office Locations:** This role is based in Florida at either our Tampa or Miami ... as required by law._ The **Manager I Medical Management ( Prior Authorizations)** is responsible for managing a team of...onsite will be discussed as part of the hiring process . The health of our associates and communities is… more
- US Tech Solutions (RI)
- …and courteous phone assistance to all callers through the criteria based prior authorization process . Maintains complete, timely and accurate documentation of ... **Job Summary:** + The Tech I Prior Auth. takes in-bound calls from providers, pharmacies,...Active pharmacy technician license per state requirements, or active national certification. Trainee license in states where applicable are… more
- Intermountain Health (Provo, UT)
- **Job Description:** A Prior Authorization Representative is a critical link in the healthcare chain that balances the needs of patients, healthcare providers, and ... healthcare providers so they can focus on patient care. Facilitates the authorization process for 1-2 lines of service by gathering and submitting all required… more
- Centene Corporation (New York, NY)
- …on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on ... workplace flexibility. **Position Purpose:** Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in… more
- Actalent (Sunrise, FL)
- …team, the UMN manages complex cases and contributes to internal process development. This role involves close interaction with Medical Directors and ... direct utilization and capture data effectively. Responsibilities + Review prior authorization requests for medical necessity and appropriateness, utilizing… more
- Kelly Services (Prior Lake, MN)
- **We are hiring substitute teachers in Prior Lake-Savage Area Schools ISD #719. No previous experience is required!** Remember that educator who made a difference in ... providing accommodation for people with disabilities in all parts of the hiring process as required under its Employment Accommodation Policy. Kelly will work with… more
- Actalent (Sugar Land, TX)
- …+ Assist in other phases of computer operations including billing procedures + Prior Authorizations + Insurance Verifications Qualifications: + 2+ year of Prior ... all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic… more
- University of Rochester (Rochester, NY)
- …services and to ensure that the appropriate referrals are received prior to service. **ESSENTIAL FUNCTIONS** **_Personnel Management_** + Oversee the supervisors ... + Participate and provide influence and recommendations in the recruitment process . + Provide supervisors with guidance regarding assessment of performance,… more
- Kelly Services (Prior Lake, MN)
- **Exciting Opportunity: Join our team as a Substitute Paraeducator in Prior Lake-Savage Area Schools ISD #719 . No previous experience is required!** Are you ... providing accommodations for people with disabilities in all parts of the hiring process as required under its Employment Accommodation Policy. Kelly will work with… more
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