- Regeneron Pharmaceuticals (Springfield, IL)
- …highly challenging for HCPs and Patients. Payer Formularies and restrictive Utilization Management Criteria including: Prior Authorization Processes, Step Edits, ... knowledge on the local and national payer landscape, including Specialty Pharmacy and Utilization Management criteria for assigned products This role may be a fit… more
- Oatey (Omaha, NE)
- …hazardous communication, personal protective equipment, etc. + Familiarity with and prior utilization of continuous improvement manufacturing concepts, including ... lean and Six Sigma methodology. + Familiarity with FMEA + Working knowledge of PLC programming preferred + Experience with packaging equipment in a chemical processing environment preferred + Experience in preparing project scope assessments, capital plan… more
- Oatey (Omaha, NE)
- …hazardous communication, personal protective equipment, etc. + Experience with and prior utilization of continuous improvement manufacturing concepts, including ... lean and Six Sigma methodology. + Working experience with FMEA + Advanced knowledge of PLC programming required + Intermediate knowledge of HMI programming required + Experience with packaging equipment in a chemical processing environment preferred + Advanced… more
- Medtronic (MN)
- …relevant experience **Nice To Have** + 3 year's experience in case management, prior authorization or utilization review + Professional license or credentials ... access to technology by assisting physicians, hospitals, and patients with prior authorization and appeal management. This position will interface with commercial… more
- Elevance Health (Woodbridge, NJ)
- …satisfaction. Assessment shall include provider experiences with claims processing, prior authorization, utilization management, and provider complaint ... and Management (HCQM) by the American Board of Quality Assurance and Utilization Review Physicians** or similar certifications may be required according to state… more
- Actalent (Miami, FL)
- …to assist each other and complete cases. Qualifications: + 2+ years of utilization management, concurrent review, prior authorization, utilization review, ... case management, and discharge planning is must + ICU/ER experience Preferred + Active RN Compact License is Must If you are Interested , Kindly give a call : ### Pay and Benefits The pay range for this position is $35.00 - $40.00/hr. Eligibility… more
- Actalent (Denver, CO)
- …Your main role will be utilizing your clinical skills to complete utilization management reviews, including prior authorizations, coverage exceptions, and ... team of your peers and other pharmacy professionals. Responsibilities + Conduct utilization management reviews independently. + Participate in a team of pharmacy… more
- Walmart (Brooksville, FL)
- …and flow rates to maximize productivity; analyzing equipment needs to insure maximum utilization of all assets, prior to capital budgeting; advising the home ... in annual meetings, travel, weekly calls, coordination of operational strategy, utilization of assets to support volume changes and forecasting, and establishment… more
- Walmart (Stockton, CA)
- …volume and flow rates to maximize productivity analyzing equipment needs to insure maximum utilization of all assets prior to capital budgeting advising the home ... in annual meetings travel weekly calls coordination of operational strategy utilization of assets to support volume changes and forecasting and establishment… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …management, safety programs, and medical/pharmacy cost savings + Make recommendations on utilization management edits such as Prior Authorization, Step Therapy ... and outliers, the development of educational material, the evaluation of prescriber utilization data, and the deployment of cost reduction strategies. The Clinical… more