- Highmark Health (Madison, WI)
- …:** **JOB SUMMARY** This position requires weekend and late** **availability This job captures all inbound requests for utilization review from providers and ... pharmacies. The incumbent assesses the request, conducts all necessary research such as verifying benefit coverage for the patient, and then creates the case (data entry) in Highmark's utilization management system for clinical review. Ensures all accurate… more
- GovCIO (Madison, WI)
- …Team, collaborating with the Health Intake Operations Project Analyst and Intake Program Coordinator + Manage and execute day-to-day communications and ... Program Managerand will serve as a key member of the Intake teamwithadditionalresponsibilities that include internal communications and employee engagement as well… more
- Prime Therapeutics (Madison, WI)
- …passion and drives every decision we make. **Job Posting Title** SIU Pharmacy Intake Specialist - Remote - Must Reside in CA **Job Description Summary** Responsible ... for the intake and initial handling of allegations of fraud, waste...DUTIES: + Provide backup support to team members (SIU Coordinator and Senior SIU Specialist) in the performance of… more
- Humana (Madison, WI)
- …caring community and help us put health first** The Network Operations Coordinator 3 maintains provider relations to support customer service activities through data ... of provider claims data needed for service operations. The Network Operations Coordinator 3 manages provider data for health plans including but not limited… more
- Cardinal Health (Madison, WI)
- …their patient journey to therapy. These steps include patient referral intake , investigating all patient health insurance benefits (pharmacy and medical benefits), ... the appropriate database for the inquiry + Must self-audit intake activities to ensure accuracy and efficiency for the...all parties + Support team with call overflow and intake when needed + Proactively following up with various… more
- Elevance Health (Madison, WI)
- …with accountability for anticipating/meeting/exceeding learning needs. Within L&D serves as coordinator and leader of work from intake through completion. ... of supported lines of business. Operating in a central role they will intake , analyze, recommend, resource and lead L&D learning solutions, business initiatives and… more