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US - FL - New Port Richey
January 20, 2025
Job Summary: • • The Tech I Prior Auth. takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accuratedocumentation of reviews....
US - MO - Independence
January 20, 2025
Job Summary: • • The Tech I Prior Auth. takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accuratedocumentation of reviews....
Location: Remote + Travel (Toledo region/ Franklin County) Timing: M-F 8-5 Duration: 3 months contract The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individuals benefit plan and/or health needs through...
US - NC - Wilson
January 20, 2025
The Manager will be nimble, autonomous, and entrepreneurial. This person should be very comfortable with data analysis, have strong financial acumen, and be able to work independently and proactively. They should be able to regularly build high-quality executive-level presentations outlining...
Job Title:Pharmacist Location: Remote Duration: 12+ months contract • As an RPh Advisor you will be directly supporting Medicare Part D members and providers with requests related to their pharmacy benefits. You will be responsible for ensuring cases are accurately set up for our members, review...
US - WI - Marshfield
January 20, 2025
• Responsible for the review and evaluation of clinical information and documentation. • Reviews documentation and interprets data obtained from clinical records or systems to apply appropriate clinical criteria and policies in linewith regulatory and accreditation requirements for member and/or...
US - MA - Marlborough
January 3, 2025
Partial Remote, in office Tuesday/Wednesday every week. • Construction Project Lead directly oversees miscellaneous construction and signage projects within the different chains. Aids in project schedules and assigning General Contractors and/or Sign Vendors. Distributes all required project...
Job Summary: • • The Tech I Prior Auth. takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accuratedocumentation of reviews....
US - NM - Santa Rosa
January 20, 2025
The Manager will be nimble, autonomous, and entrepreneurial. This person should be very comfortable with data analysis, have strong financial acumen, and be able to work independently and proactively. They should be able to regularly build high-quality executive-level presentations outlining...
US - RI - Warren
January 20, 2025
• Responsible for the review and evaluation of clinical information and documentation. • Reviews documentation and interprets data obtained from clinical records or systems to apply appropriate clinical criteria and policies in linewith regulatory and accreditation requirements for member and/or...