- FinThrive (Plano, TX)
- …successful in production. Fill the role of subject matter expert in relation to prior authorizations and notice of admission both in terms of payer requirements and ... overall business requirements to successfully manage prior authorizations between providers and payers. Identify and document...document the correct method of submission and status for prior authorizations to payers based on the payer requirement… more
- San Francisco Health Plan (San Francisco, CA)
- Reporting to the Director of Clinical Operations, the Nurse Manager, Prior Authorizations, provides clinical and operational leadership to the Prior ... manage a team of registered nurses and clinical staff responsible for prior authorization reviews, ensuring determinations are on time, clinically appropriate, and… more
- Spectraforce Technologies (Raleigh, NC)
- Position Title: Clinical Review Nurse - Prior Authorisation Work Location: Fully Remote, TX Assignment Duration: 3 months (Potential to extend and/or convert ) Work ... TX (central time zone preferred) Position Summary: * Purpose: to perform prior authorization clinical reviews for Texas Marketplace members, additionally, will need… more
- TEKsystems (Emeryville, CA)
- …patient eligibility, coordinate benefits, ensure insurance coverage, and determine if prior authorization is needed for said order. If needed, obtain authorization ... patient eligibility, coordinate benefits, ensure insurance coverage, and determine if prior authorization is needed for said order. If needed, obtain authorization… more
- Maricopa County (Phoenix, AZ)
- …starting salary rate within the range may be considered depending on prior comparable, directly related law enforcement or corrections experience. This position is ... Correctional Officer Training Academy (COTA) and have current or prior experience (within the last 3 years) working as...of Arizona may also be considered. An evaluation of prior training and experience will determine if out of… more
- CareSource (Dayton, OH)
- …work distribution, resource building, and process management. Essential Functions: Review prior authorization requests for the member's pharmacy and medical benefit ... faxes Educate CareSource providers about resources outlining formulary alternatives Place prior authorizations for when approval is appropriate in the prior… more
- Fairfax County Government (Fairfax, VA)
- …within pay grade based upon relevant preferred qualifications such as: prior law enforcement experience, college degree, military experience, foreign language ... proficiency and prior participation in the Fairfax County Police Department's Public...towards a degree, from an accredited university or college. Prior law enforcement or military experience. Current law enforcement… more
- Usaa (Olympia, WA)
- …potential resulting from unusual characteristics. Identifies coverage concerns, reviews prior loss history, determines and creates Special Investigation Unit (SIU) ... military service or a military spouse/domestic partner 5 years of prior field experience handling higher severity/complex losses (ie vandalism, malicious mischief,… more
- Prisma Health (Columbia, SC)
- …annually of ST continuing education AND either have been employed as a ST in SC prior to Jan. 1, 2008, OR have completed a ST military training program. Team members ... employed in this job prior to July 1, 2020, without surgical tech certification...certification IF employed as a surgical tech in SC prior to January 1, 2008 or has completed a… more
- Florida Atlantic University (Boca Raton, FL)
- …directly related field such as Political Science. The successful candidate must have a Ph.D. prior to hire and before the start of the fall semester. - An emphasis ... Associate Professor rank, preference is given to those with prior experience as an academic program coordinator or similar...position is open until filled and may close without prior notice. This position is subject to funding. All… more
- National Renewable Energy Laboratory (Los Angeles, CA)
- …be required as part of the hiring process. - Must meet educational requirements prior to employment start date. Must meet educational requirements prior to ... (eg, GitHub) **Preferred Qualifications** + A strong candidate will have prior research experience with DOE prototypical building models and/or thermal energy… more
- BWX Technologies, Inc. (Lynchburg, VA)
- …to adapt, manage, and succeed as changes occur. + Must have prior experience in project management leadership on product developments implementing new technologies. ... project cost/revenue forecasts, and creating and maintaining project baselines. + Prior experience in the development and presentation of project management training… more
- Johns Hopkins University (Baltimore, MD)
- …during duration of employment. Completion of the JHH credentialing process is required prior to start date of direct patient care. Orientation as a PA observatory ... trainee may be considered prior to credentialing strictly for the purposes of familiarizing...new staff with departmental operations, protocols, documentation, and resources prior to the start of any direct patient care.… more
- Johns Hopkins University (Bethesda, MD)
- …physicians and assisting with patient requests for refills, forms completion and prior authorizations. The Wilmer Eye Institute of Johns Hopkins University has an ... to gain clinical experience during their gap year or prior to applying to medical school, as well. No...(clinical support pool) and patient questions. Process refill requests, prior authorizations for upcoming in office procedures. Prior… more
- City of Chicago (Chicago, IL)
- …litigation, Section 1983 claims and intentional tort claims; Substantive knowledge and prior experience in the areas of federal and state civil litigation; Three ... (official or unofficial); Two (2) Writing Samples (merge the writing samples prior to uploading) Current printout of your attorney registration status from the… more
- Green Thumb Industries (Warwick, NY)
- …in production laboratory environments. Cannabis is a highly regulated industry, so prior experience working with regulatory requirements and compliance, as well as ... with relevant college courses in biology, chemistry, or physics preferred Prior production laboratory or manufacturing experience preferred Prior experience… more
- Usaa (Philadelphia, PA)
- …potential resulting from unusual characteristics. Identifies coverage concerns, reviews prior loss history, determines and creates Special Investigation Unit (SIU) ... adjuster license within 90 days and 3 attempts. What sets you apart: Prior experience adjusting property claims using virtual technologies such as ClaimsXperience. … more
- National Renewable Energy Laboratory (Golden, CO)
- …be required as part of the hiring process. - Must meet educational requirements prior to employment start date. Must meet educational requirements prior to ... at NLR, you must pass a pre-employment drug test prior to commencing employment. Unless prohibited by state or...be required to disengage from participation in the FGTRP prior to commencing employment. Any offer of employment is… more
- National Renewable Energy Laboratory (Golden, CO)
- …be required as part of the hiring process. - Must meet educational requirements prior to employment start date. Must meet educational requirements prior to ... at NLR, you must pass a pre-employment drug test prior to commencing employment. Unless prohibited by state or...be required to disengage from participation in the FGTRP prior to commencing employment. Any offer of employment is… more
- Teleflex (Buffalo, NY)
- …Experience Requirements** - Bachelor's Degree preferred or 8+ years' experience of prior medical device sales experience is expected, with a demonstrated track ... record of success. - Prior sales experience would ideally include medical device sales...highly professional client base in a broad geography. Such prior experience would need to be at a demonstrated… more
Related Job Searches:
Care Review Clinician Prior,
Clinical Pharmacist Prior Authorization,
Clinical Review Nurse Prior,
Corporate Executive Prior,
Pharmacy Technician Prior Authorization,
Pharmacy Technician Remote Prior,
Prior Authorization Coordinator,
Prior Authorization Specialist,
Prior Law Enforcement Court,
Referral Prior Auth Rep