- US Tech Solutions (May, OK)
- …role that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply clinical ... from physicians or members regarding their pending, approved, or denied prior authorizations. **Responsibilities:** + Ensure accuracy of case setup and clinical… more
- CareOregon (Portland, OR)
- …Texas, Montana, or Wisconsin. Job Title Pharmacy Clinical Coordinator - ( Prior Authorization) - Contingent Exemption Status Exempt Department Pharmacy Manager Title ... medication authorization requests and providing oversight to the medication PA process ; and other pharmacy program activities as assigned. Essential Responsibilities… more
- US Tech Solutions (May, OK)
- …other clinical colleagues, healthcare professionals and members. + * Follow all prior authorization procedures to guarantee an accurate process on each ... data entry, data management, and reporting. **Experience:** + * Review criteria-based prior authorizations following policy and procedure. + * Provide on-call after… more
- 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