• Prior Authorization UM…

    Humana (Springfield, IL)
    …a part of our caring community and help us put health first** The UM Administration Coordinator 2 provides non-clinical support for the policies and procedures ... and most appropriate treatment, care or services for members. UM Administration Coordinator 2 + Support the...or more years of experience with Utilization Review and/or Prior Authorization + 1 or more years… more
    Humana (07/31/25)
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  • UM Administration Coordinator

    Humana (Schaumburg, IL)
    …help us put health first** Humana Gold Plus Integrated is seeking a UM Administration Coordinator who typically focuses on interpretation of department policy ... but has some latitude over prioritization and timing. The UM Administration Coordinator contributes to the ...and/or ICD-10 codes. + Experience with Utilization Review and/or Prior Authorization , preferably within a managed care… more
    Humana (07/29/25)
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  • Utilization Management Nurse Consultant

    CVS Health (Springfield, IL)
    …4 hours a day working with providers to secure additional information for prior authorization review. This candidate will utilize clinical skills to coordinate, ... UM (utilization management) experience within an **outpatient** setting, concurrent review or prior authorization . + 5 years of a variety clinical experience… more
    CVS Health (07/30/25)
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  • Sr Analyst, Scope Management

    Evolent (Springfield, IL)
    …Association (AMA), Centers for Medicare & Medicaid Services (CMS), Food and Drug Administration (FDA), and various prior authorization lists, facilitating ... and informatics professionals who work with national health plans to ensure that prior authorization and financial coding stay accurate, compliant, and aligned… more
    Evolent (07/18/25)
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