- Monster (Quincy, MA)
- …the overall implementation of the CMS Advancing Interoperability and Improving Prior Authorization Processes Final Rule across MassHealth. The Interoperability ... JOB TITLE: Project Manager JOB LOCATION: Quincy MA WAGE RANGE*: $70-$72...limited to:January 1, 2026: Ensure that MassHealth adjudicates urgent Prior Authorization (PA) requests within 3 days,… more
- Inside Higher Ed (Los Angeles, CA)
- …Environmental, Occupational and Safety Programs Position Summary The Biosafety Manager is responsible for the overall leadership, strategic planning, finances ... comprehensive biosafety, high containment and vivarium safety programs. The Biosafety Manager works closely with faculty, staff and students, ensuring safety and… more
- Monster (Albany, NY)
- …epicenter of high-tech innovation and commercialization. Job Description: Job Summary The Manager of Travel Services is responsible for leading the travel services ... technical data, technology, software, or restricted programs where US Government authorization may be required. For positions requiring such access, offers of… more
- Monster (Wilmington, DE)
- …part of our name, it's our mission and our purpose. The Business Applications Manager will effectively lead, manage, motivate, and direct the strategic vision for a ... team of application support and business reporting specialists.The Manager will oversee both on premises and SaaS third...or in the future in order to retain their authorization to work in the United States. Job Responsibilities:… more
- Monster (Marina, CA)
- …value when Variance Purchase Orders (VPOs) are required, along with obtaining authorization for reporting manager for any indirect construction expenses required ... POSITION SUMMARY: The Construction Manager coordinates all on-site construction activities, maintains the job site office, closes out projects, and supervises all… more
- Monster (Alhambra, CA)
- …coordinating of the day-to day activities in the medical group, request for authorization for ancillary services, and certify the group is utilizing the most cost ... to: Case management following Policy and Procedures (P&P) Assure authorization is on file for all services approved by...file for all services approved by the delegated entity prior to claims payment Notify the CM nurse if… more
- Genmab (Berkeley Heights, NJ)
- …not limited to Medicare, Medicaid and commercial insurance carriers, Prior Authorization submissions/appealsUnderstanding of the healthcare industry, including ... provide a positive experience. This position reports to the Patient Services Manager , Call Center Operations.The creation of our new internal Genmab Patient Services… more
- Monster (Northbrook, IL)
- …and resolution of gaps in the business processes. Involved in security/ authorization set-up, user documentation, data interface design, data migration and ... have been thoroughly researched and compared against the team's knowledge database prior to escalation. Utilize knowledge database and call tracking database to… more
- University of Miami (Miami, FL)
- … Manager RN - Full Time The University of Miami is currently seeking a Prior Authorization Nurse Case Manager . The incumbent purose is to conduct initial ... + Adhere and perform timely prospective reviews for services requiring prior authorization + Follows the authorization process using established criteria… more
- University of Miami (Miami, FL)
- …CORE FUNCTIONS: + Adhere and perform timely prospective review for services requiring prior authorization as well as timely concurrent review for continuation of ... conducts initial, concurrent and retrospective chart reviews for clinical utilization and authorization . The Utilization Review Case Manager coordinates with the… 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
- Carle Health (Urbana, IL)
- Overview Manages the daily activities of Patient Access Medical Insurance and Prior Authorization departments to ensure high quality customer service and improve ... policies consistently + Manages daily activities of the Medical Insurance and Prior Authorization departments + Ensure quality and quantity of work… more
- University of Rochester (Rochester, NY)
- …data and ensures compliance to enterprise standards and referral and prior authorization guidelines. Communicates regularly with patients, families, clinical ... follow up. Adheres to approved protocols for working referrals and prior authorizations. **ESSENTIAL FUNCTIONS** + Responsible for managing department referrals.… 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 you ... 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 (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 you ... 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
- University of Rochester (Rochester, NY)
- …Management, Social Work, Patient Accounts, Medical Records, Home Care Coordinators, Prior Authorization Teams, Contracting and Finance. + Coordinate with ... PURPOSE The individual in this position is responsible for assisting the manager and providing direct supervision of assigned team(s) with daily operations. Ensure… more
- Omaha Children's Hospital (Omaha, NE)
- …Functions** + Authorization Coordination + Verify insurance coverage and obtain prior authorizations for a range of scheduled outpatient services. + Ensure the ... and make a difference where it matters most. **A Brief Overview** The Authorization Specialist plays a critical role in ensuring patients receive timely and… more
- LA Care Health Plan (Los Angeles, CA)
- …Preferred: Experience in Medi-Cal managed care. 1 year of experience in UM/ Prior Authorization . Skills Required: Demonstrated proficiency in Medical Terminology ... Authorization Technician II Job Category: Clinical Department: Utilization...required by clinical staff to render decisions, assists the Manager and Director of the Utilization Management department in… more
- WesleyLife (Urbandale, IA)
- …purpose. Come be a part of the revolution! **About the Role: Insurance Authorization & Verification Specialist** As a Insurance Authorization & Verification ... the residents at Wesley at Home. **As a Insurance Authorization & Verification Specialist, you will:** + Contacts client...insurance documents as needed for "Accounts Receivable and Billing Manager ." + Answers incoming calls as needed. + Works… more
- HonorHealth (AZ)
- …to become proficient. Essential Functions Perform tasks related to the management of prior authorization for patients served by infusion clinics. Reviews medical ... Job Summary Under the direction of Leadership, performs Infusion/medication authorization functions for the hospital outpatient infusion departments (or other… more
Related Job Searches:
Authorization,
Manager,
Manager Prior,
Manager Prior Authorization RN,
Prior,
Prior Authorization