- CVS Health (Baton Rouge, LA)
- … skills to coordinate, document and communicate all aspects of the utilization /benefit management program. + Applies critical thinking and is knowledgeable ... and external constituents in the coordination and administration of the utilization /benefit management function. Required Qualifications : + Licensed independent… more
- CVS Health (Baton Rouge, LA)
- …Qualifications + 5+ years of clinical experience + 1+ year(s) of utilization management , concurrent review and/or prior authorization experience + 5+ years ... skills to coordinate, document and communicate all aspects of the utilization /benefit management program. + Utilizes clinical experience and skills in a… more
- CVS Health (Baton Rouge, LA)
- …convenient and affordable. Position Summary Applies critical thinking, evidenced based clinical criteria and clinical practice guidelines for services requiring ... a desk and on the phone collecting and reviewing clinical information from providers. Precertification nurses use specific criteria...or multi state RN licensure + 3+ years of clinical experience + Must be wiling and able to… more
- Highmark Health (Baton Rouge, LA)
- …and Sales leadership to present and prepare data analyses, pharmacy management strategies and pharmacy capabilities to Organization clients and potential clients. ... and quotes. Runs financial reports or performs basic financial analysis on utilization data and market research and analysis. Develop detailed specifications for… more
- Wolters Kluwer (Baton Rouge, LA)
- …Consulting Manager - Pharmacy Compliance ensures successful adoption and optimal utilization of our Simplifi+ and Sentri7 pharmacy portfolios by acting as ... the subject matter expert and consultant . **Duties and responsibilities** In the role, the Specialized...contributes to the success of our customers and the Clinical Surveillance and Compliance (CSC) business unit at Wolters… more