- Walmart (Bentonville, AR)
- **Position Summary ** Join a fast-paced, tech-driven team as our Manager of Work Authorization Compliance . This is a unique opportunity to lead critical ... corporate leadership. **What you'll do ** + Lead and manage work authorization compliance programs across all Walmart US locations + Oversee I-9, E-Verify, and… more
- Amazon (Arlington, VA)
- …strategies, product development and technology solutions work backwards from Work Authorization legal requirements and mitigate compliance risk effectively. You ... need exceptionally talented, bright, and driven people. The Work Authorization Team is looking for a smart and passionate...experts who, in partnership with Legal and Risk and Compliance (R&C), works to mitigate the risks of legal… more
- Omaha Children's Hospital (Omaha, NE)
- …denials by collaborating with clinical, administrative, and financial teams. The Authorization Specialist supports efficient operations by ensuring compliance ... requests. + Provide expertise and support to other departments to address authorization needs and ensure compliance with organizational standards. + Denial… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …denials cannot be overturned. + Appropriately escalates complex cases to Drug Authorization Supervisor or Manager of Prior Authorizations. + Monitors email ... in a fast-paced, high volume, dynamic environment, the Clinical Authorization Specialist will bring clinical expertise to the prior...a clinical resource to the Revenue Integrity and Billing Compliance team. + Performs other duties as assigned. +… more
- CVS Health (Lansing, MI)
- …it all with heart, each and every day. **Position Summary** The Associate Manager is responsible for oversight of Utilization Management staff. This position is ... Works closely with functional area leadership team (department Associate Managers, Manager , and other key stakeholders such as program design/product, Medical… more
- Methodist Health System (Richardson, TX)
- …States of America) **Job Description :** Your Job: The Medical Authorization Specialist professional responsible for verification of medical coverage, along with ... notification, prior authorization , and/or pre-determination of healthcare benefits for proposed medical...that require clinical judgment to the Provider, and/or Billing Manager , when necessary. * Advises Manager of… more
- CareOregon (Portland, OR)
- …- (Prior Authorization ) - Contingent Exemption Status Exempt Department Pharmacy Manager Title Pharmacy Medicare Manager Direct Reports n/a Requisition # ... quality improvement programs related to the pharmacy program; evaluating medication authorization requests and providing oversight to the medication PA process; and… more
- Scotland Health Care System (Laurinburg, NC)
- Job Title: Pre- Authorization Specialist Location: Scotland Health Care System Job Description: Scotland Memorial is seeking a dedicated and detail-oriented Pre- ... Authorization Specialist to join our team. The Pre-...specific payer-provider requirements. This role is crucial in maintaining compliance and ensuring that patients receive timely and appropriate… more
- Actalent (Sunrise, FL)
- …Management Nurse (UMN) plays a crucial role in reviewing service authorization requests to ensure appropriate service utilization. Working under the general ... supervision of the Director and/or Manager /Supervisor of Medical Management, and in collaboration with an interdisciplinary team, the UMN manages complex cases and… more
- Capital One (Mclean, VA)
- …Information Privacy Professional (CIPP), Certified Risk Professional (CRP) or Certified Regulatory Compliance Manager (CRCM) At this time, Capital One will not ... Compliance Privacy Advisor, Sr. Manager The... Compliance Privacy Advisor, Sr. Manager The Capital One Privacy Compliance ...sponsor a new applicant for employment authorization for this position. The minimum and maximum full-time… more
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