• Director Internal Auth…

    Amazon (Herndon, VA)
    Description Amazon Foundational Security Services (AFSS) delivers internal cross-Amazon security solutions for identity and access management, authorization, and ... authentication. We support the full stack of internal security from host bootstrapping, service authentication, human multi-factor authentication, to resource… more
    Amazon (05/23/25)
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  • Case Manager - Case Management

    Arnot Health (Elmira, NY)
    …reason items such as prior authorization, untimely filing, coordination of benefits, services type issues, and insurance or service verification. Identify ... Bonus for qualified Case Managers! MAIN FUNCTION: The Case Management (denial/prior auth ) will review and appeal as appropriate for concurrent and retrospective… more
    Arnot Health (05/08/25)
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  • Medication Authorization and Access Supervisor

    Beth Israel Lahey Health (Boston, MA)
    …assistance program coordinators. This individual will also work closely with the director of pharmacy shared services on various projects, implementations and ... you're making a difference in people's lives.** This individual will report to the Med Auth and Access Manager and will be responsible for the supervision of the med… more
    Beth Israel Lahey Health (04/06/25)
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  • Manager, Utilization Management

    Commonwealth Care Alliance (Boston, MA)
    013650 CCA- Auth & Utilization Mgmt Position Summary: Commonwealth Care Alliance's (CCA) Utilization Management (Authorization) Unit is primarily responsible for the ... medical necessity, appropriateness, and efficiency of the use of health care services , procedures, and facilities under the provisions of CCA's benefits plan. The… more
    Commonwealth Care Alliance (05/21/25)
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  • Prior Authorization Representative I

    University of Utah Health (Salt Lake City, UT)
    …to meet process time standards. + Ability to provide professional and courteous service in all interactions with internal and external customers. + Ability ... information, calculating patient estimates, and obtaining prior authorization before services are rendered. This position works with physicians, nurses, clinic… more
    University of Utah Health (05/20/25)
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  • Care Specialist - SRS Inpatient Case Management…

    Sharp HealthCare (San Diego, CA)
    …of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and ... timeframe.Manage correspondence to members and PCP, health plans and other service providers.Make phone calls to members, physician offices, health plans, and… more
    Sharp HealthCare (04/20/25)
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