- Caris Life Sciences (Irving, TX)
- …bigger than yourself, Caris is where your impact begins.** **Position Summary** The Prior Authorization Manager is a strategic and detail-oriented role ... PA lifecycle across commercial, Medicare Advantage, and Medicaid payors. The Prior Authorization Manager oversees a team of specialists, streamlines… 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
- Dana-Farber Cancer Institute (Brookline, MA)
- …coverage denials cannot be overturned. + Appropriately escalates complex cases to Drug Authorization Supervisor or Manager of Prior Authorizations. + ... Clinical Authorization Specialist will bring clinical expertise to the prior authorization and appeals processes and serve as a liaison and patient advocate… more
- Elevance Health (San Antonio, TX)
- …the consumer's treatment journey. **Title:** Utilization Management Representative II - Prior Authorization **Location:** TX-SAN ANTONIO, 4751 HAMILTON WOLF RD, ... Make an extraordinary impact.** The **Utilization Management Representative II - Prior Authorization ** is responsible for managing incoming calls, including… more
- Bassett Healthcare (Cooperstown, NY)
- …or manager Maintains 100% attendance to all divisional or staff meetings unless prior authorization of the Manager or Director What we need from ... possible. What you'll do Under the direction of the Manager of Security Operations and the Network Director of...Refuses to admit persons who cannot show either proper authorization or cause for being admitted. Provides information and… more
- Bassett Healthcare (Delhi, NY)
- …or manager Maintains 100% attendance to all divisional or staff meetings unless prior authorization of the Manager or Director What we need from ... possible. What you'll do Under the direction of the Manager , Security Operations, the Security Officer I performs a...Refuses to admit persons who cannot show either proper authorization or cause for being admitted. Provides information and… more
- Bassett Healthcare (Cooperstown, NY)
- …or manager Maintains 100% attendance to all divisional or staff meetings unless prior authorization of the Manager or Director What we need from ... the direction of the Network Director of Security and Transportation or the Manager of Security Operations, the Security Officer II performs a variety of security… more
- Bassett Healthcare (Cooperstown, NY)
- …or manager . Maintains 100% attendance to all divisional or staff meetings unless prior authorization of the Manager or Director What we need from ... possible. What you'll do Under the direction of the Manager of Security Operations and the Network Director of...Refuses to admit persons who cannot show either proper authorization or cause for being admitted. Provides information and… more
- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- …Department by accurately verifying insurance information, reviewing patient accounts for prior authorization needs, obtaining needed prior authorizations, ... systems, phone communication, and other resources to determine insurance eligibility and prior authorization needs for a scheduled patient event. + Verifies… more
- Marshfield Clinic (Minocqua, WI)
- …records to determine if a prescribed treatment, procedure, or medication requires prior authorization from the insurance company, ensuring that the requested ... knowledge: Familiarity with different insurance plans, benefit structures, and prior authorization guidelines. + Excellent communication skills: Ability… more
- Methodist Health System (Dallas, TX)
- …professional responsible for verification of medical coverage, along with notification, prior authorization , and/or pre-determination of healthcare benefits for ... authorization and resolve issues that arise during the prior authorizations process. Supports and promotes the vision, mission,...that require clinical judgment to the Provider, and/or Billing Manager , when necessary. * Advises Manager of… more
- Baptist Memorial (Memphis, TN)
- …strategy. Specifically the managed care techniques the Coordinator uses focuses on prior authorization for services using evidence based criteria. Areas of ... Overview Coordinator- Authorization Job Code: 22772 FLSA Status Job Family:...hire, terminate, discipline, promote or effectively recommend such to manager . Reporting Relationships No Work Environment Functional Demands Label… more
- Illumination Foundation (Riverside, CA)
- …Orange County, Los Angeles County and the Inland Empire. Job Description The Authorization Coordinator will be responsible for tracking and keeping up to date on ... exit. This role will need to communicate with Site Medical Staff, Site Manager , and Case Management, Director of Operations and Associate Director of Medical… more
- CVS Health (Providence, RI)
- …and every day. **Position Summary** We are seeking a highly skilled and motivated Senior Manager to lead Prior Authorization (PA) Product within the Clinical ... duties will include: + Responsible for strategic technology initiatives focused on Prior Authorization and clinical innovation, ensuring alignment with company… more
- MyFlorida (Fort Myers, FL)
- …and/or discrepancies. The incumbent initiates office supply orders using Agency systems and obtains prior authorization from Field Office Manager prior ... to completing purchases. Compiles ongoing budget information, The incumbent oversees general office operations related to maintenance of telephone and office equipment. Obtains bids and initiates lease or purchase agreements; coordinates all issues related to… more
- Hartford HealthCare (Hartford, CT)
- …not limited to chemotherapy, imaging, surgical, etc. in a timely manner. The Prior Authorization Specialist I is responsible for maintaining and managing ... consistent documentation in EPIC to support the obtained insurance authorization . The Prior Authorization Specialist...manager of changes. * Maintains log of missed prior authorizations and assists manager with monthly… more
- University of Rochester (Rochester, NY)
- …Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 910335 Ortho Prior Authorization Work Shift: UR - Day (United States of America) ... data and ensures compliance to enterprise standards and referral and prior authorization guidelines. Communicates regularly with patients, families, clinical… more
- Northern Light Health (Brewer, ME)
- …to 4:30 PM Summary: This is an entry level position. The Medication Refill and Prior Authorization Specialist is an essential member of the Northern Light Health ... assists with all aspects of the medication refill and prior authorization process including, utilizing the electronic...work from home policy. Understands that work from home authorization may be revoked by the Manager … more
- Dignity Health (Rancho Cordova, CA)
- …and the appropriate application of policies and guidelines to Managed Care prior authorization referral requests. Under general supervision this position is ... **Position Summary:** Under the guidance and supervision of the department Manager /Director the Supervisor of Utilization Management is responsible and accountable… more
- General Dynamics Information Technology (Ogden, UT)
- …experience **US Citizenship Required:** Yes **Job Description:** Information Systems Security Manager (ISSM) II The ISSM's primary function serves as a principal ... on Joint. + Special Access Program Implementation Guide (JSIG) authorization process. + Advise customer on Risk Management Framework...and/or available. Experience: + 7+ years related experience. + Prior performance in roles such as ISSO or ISSM.… more
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