- Stark County Board of Developmental Disabilities (Canton, OH)
- …billings, and utilization , as needed; this may include working with payment authorization specialists (PAS); + Submits prior authorizations prior to the ... is available for consultation with primary "on-call" SSA; + Each SSA Supervisor has responsibilities and project assignments relative their expertise and the unit… more
- WEG Electric Corp. (Duluth, GA)
- Accounts Payable Supervisor /Management Accountant **Department:** Finance **Location:** Duluth, GA About the role: ... (https://apply.hrmdirect.com/resumedirect/ApplyOnline/Apply.aspx?req\_id=3477150&source=3477150-CJB-0) The Accounts Payable (AP) Supervisor -Management Accountant will primarily oversee a small team of… more
- Point32Health (MA)
- …concurrent, and retrospective coverage requests for in-patient and out-patient services requiring prior authorization and medical necessity review for all lines ... **Job Summary** The Medical Director, Clinical reviews will primarily perform utilization management and provider payment reviews for all Point32Health products, as… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Specialist provides administrative support for any of the programs of Utilization Management, Behavioral Health, Quality Management, or Member Care Management. This ... division. + Serves as the primary contact for providers regarding authorization , information requests, claim inquiries and benefits. Provides triage assistance to… more
- Air National Guard Units (Eielson AFB, AK)
- …Air National Guard. PDCN: D2180P01 / D2181P01 MPCN: 889707 Selecting Supervisor : James G. Meyer Responsibilities GS-09 - Administers classified and unclassified ... and software and develops base wide network operating procedures. Analyzes LAN utilization statistics through data collection and performance measures to ensure the… more
- Point32Health (MA)
- …responsible for reviewing, processing and managing the daily caseload of pharmacy prior authorization (PA) requests for coverage determinations (CD), and ... . **Job Summary** Under the direction of the Pharmacy Utilization Management (UM) Supervisor , the Clinical Pharmacist...Pharmacist consults as required with Medical Directors (MD) on prior authorization that fails to meet drug… more
- UPMC (Pittsburgh, PA)
- …to pharmacy prior authorizations. Manage the first line clinical review of prior authorization requests on behalf of physicians and UPMC Health Plan members. ... and the clinical staff + Subject matter expert on formulary exceptions and prior authorization requirements/time frames according to line of business. + Perform… more
- Air National Guard Units (Fort Smith, AR)
- …are eligible for military membership, please contact a National Guard recruiter prior to applying for this position. Compatible military grade and assignment ... required prior to the effective date of placement. This is...assignment (if applicable, training will be coordinated by the supervisor ). Individual must meet all military requirements of the… more
- Air National Guard Units (Fort Smith, AR)
- …and software and develops base wide network operating procedures. Analyzes LAN utilization statistics through data collection and performance measures to ensure the ... methods and procedures and coordinates corrective action to optimize utilization of present equipment. Uses benchmarks, performance measurement, and evaluation… more
- Northern Light Health (Bangor, ME)
- …to appropriate depart/office. Documenting information in Patient's chart. Processing insurance referral/ prior authorization and document this per protocol. + ... Care Organizations to gain full understanding of benefit coverage and precertification/ authorization , if appropriate + Quality review procedures are followed to… more