• Prior Authorization UM…

    Humana (Boston, MA)
    …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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  • Telephonic UM Administration…

    Humana (Boston, MA)
    …part of our caring community and help us put health first** The Telephonic - UM Administration Coordinator / UM Administration Coordinator 2 provides ... most appropriate treatment, care or services for members. Telephonic UM Coordinator/ UM Administration Coordinator...+ Member service + Experience with Utilization Review and/or Prior Authorization , preferably within a managed care… more
    Humana (07/30/25)
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  • Sr Analyst, Scope Management

    Evolent (Boston, MA)
    …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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  • Manager, Medical Policy

    Commonwealth Care Alliance (Boston, MA)
    …the process for evaluating the effectiveness of company medical policies and prior authorization programs and supports the evaluation of payment policies. ... The Manager, Medical Policy reports to the Director of UM , and manages the personnel and work of the...evaluation of the effectiveness of company medical policies and prior authorization program. + Support the payment… more
    Commonwealth Care Alliance (05/31/25)
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