- Paychex (May, OK)
- …+ Analyzes operational trends, key performance indicators, and service needs to identify key threats and opportunities. Applies various analytical and strategic ... Imagine Your Future with Us! Since 1971, Paychex has been at the forefront of simplifying HR, payroll, and benefits for American businesses. Our digital HR technology and advisory solutions cater to the changing needs of employers and their employees. With our… more
- NTT DATA North America (May, OK)
- …Actual compensation will depend on several factors, including the candidate's actual work location, relevant experience, technical skills, and other qualifications. ... NTT DATA Services currently seeks REMOTE **Healthcare Coding Auditors** to join our team for a 4+ month contract role. Fully remote-MUST be able to work Monday-Friday, 8:00 AM-5:00 PM EST Pay rate $25.00 per hour In this role the Coding Quality Auditor will be… more
- Paychex (May, OK)
- …+ Drives Sales execution of the company's existing accountant partnerships to increase channel productivity across all sales divisions by: * Developing and then ... Imagine Your Future with Us! Since 1971, Paychex has been at the forefront of simplifying HR, payroll, and benefits for American businesses. Our digital HR technology and advisory solutions cater to the changing needs of employers and their employees. With our… more
- US Tech Solutions (May, OK)
- …+ Responsible for reviewing and completing criteria based on prior authorization as per policy and procedure. **Responsibilities:** + This individual must have ... excellent interpersonal skills. + Will be responsible for: Reviewing and completing criteria based on prior authorization as per policy and procedure. **Experience:** + Prior authorization experience required. + Previous pharmacy experience in retail or… more
- US Tech Solutions (May, OK)
- …+ Ensure accuracy of case setup and clinical review of Medicare appeals cases. + Review internal notes or fax requests thoroughly for pertinent information. + Provide ... clear, concise, and accurate documentation for case reviews. + Contacting providers, if needed, for clinical information to decision cases + Utilize work instructions and Medicare guidelines for accurate case processing. + Comply with CMS mandated timelines… more
- US Tech Solutions (May, OK)
- …This is a remote position and requires the ability to effectively support a work from home environment. Must have the ability to work in a HIPAA compliant work area ... away from distractions, and must have their own secure private internet services of at least 25mbps download/3mbps upload in order to ensure sufficient speed to adequately perform work duties. Must provide a screenshot of internet speeds with resume and… more
- US Tech Solutions (May, OK)
- …This is a remote position and requires the ability to effectively support a work from home environment. Must have the ability to work in a HIPAA compliant work area ... away from distractions, and must have their own secure private internet services of at least 25mbps download/3mbps upload in order to ensure sufficient speed to adequately perform work duties. Must provide a screenshot of internet speeds with resume and… more
- US Tech Solutions (May, OK)
- …+ It is an operation based role that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical ... pharmacist will apply clinical knowledge to plan approved criteria for prospective and concurrent reviews of cases. **Responsibilities:** + Collaborates with the CRU Technician to process referrals, including answering clinical questions, collecting… more
- US Tech Solutions (May, OK)
- …Training will be provided prior to the start of the assignment. **Duties:** * Outreach to members to complete survey to address Social Determinants of Health (SDoH) ... barriers and provide helpful resources * Outreach to members and clinical providers to effectively coordinate care, obtain medical records and ensure patients receive preventive and chronic disease management services. The goal of these messages is to remind… more
- US Tech Solutions (May, OK)
- …This position is responsible for reviewing and completing criteria based on prior authorization as per policy and procedure. **Responsibilities:** + This individual ... must have excellent interpersonal skills. + Will be responsible for: Reviewing and completing criteria based on prior authorization as per policy and procedure. **Skills:** + Managed Care exp and Medicare/Medicaid knowledge Counseling + Prior Authorization +… more
- Love's Travel Stops & Country Stores (Buffalo, OK)
- **Req ID:** 463606 **Address:** Hwy 64 & Brule Buffalo, OK, 73834 **Benefits:** _* Fuel Your Growth with Love's - company funded tuition assistance program_ _* Paid ... Time Off * Flexible Scheduling * 401(k) - 100% Match up to 5% * Medical/Dental/Vision Insurance after 30 days * Competitive Pay * Career Development * Hiring Immediately_ **Welcome to Love's!** At Love's, our cashiers work in a fast-paced environment and… more
- US Tech Solutions (May, OK)
- …1. Patient-Centered Quality and Safety * Evaluate primary care, acute, chronically ill, and transitional care patients, in addition to providing healthcare education ... and counseling, and disposition planning for our patients ranging in age 18 months and above * Provide patient counseling; inclusive of pregnancy prevention, STI Prevention/safer sex practices, contraceptive care counseling and medication management * Educate… more
- US Tech Solutions (May, OK)
- …+ The Pharmacy tech takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous phone assistance to all callers through the ... criteria based prior authorization process. + Maintains complete, timely and accurate documentation of reviews. + Transfers all clinical questions, escalations and judgement calls to the pharmacist team. + The pharmacy Tech will also assist with other duties… more
- US Tech Solutions (May, OK)
- …Nurse Practitioner leverages administrative support in addition to delivering patient care services through virtual technology. The ratio of work is dependent upon ... patient demand. You will work in collaboration with a dedicated team of professionals as you independently provide holistic, evidenced-based care inclusive of accurate assessment, diagnosis, treatment, management of health problems, health counseling, and… more
- US Tech Solutions (May, OK)
- …The Rep I, Clinical Services takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous phone assistance to all callers ... through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of reviews. Transfers all clinical questions, escalations and judgement calls to the pharmacist team. The Rep I, Clinical Services will also assist… more
- US Tech Solutions (May, OK)
- …The clinical pharmacist is an operation based role that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. ... The clinical pharmacist will apply clinical knowledge to plan approved criteria for prospective and concurrent reviews of cases. authorizations. **Responsibilities:** 1. Collaborates with the CRU Technician to process referrals, including answering clinical… more
- US Tech Solutions (May, OK)
- …+ This position is responsible for reviewing and completing criteria based on prior authorization as per policy and procedure. **Responsibilities:** + Reviewing and ... completing criteria based on prior authorization as per policy and procedure. **Experience:** + Previous pharmacy experience in PBM (Pharmacy Benefits Management) required. + Since the job duties consist of reviewing and completing criteria based on prior… more
- US Tech Solutions (May, OK)
- …The Tech I Prior Auth takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous phone assistance to all callers through the ... criteria based prior authorization process. Maintains complete, timely and accurate documentation of reviews. Transfers all clinical questions, escalations and judgement calls to the pharmacist team. The Tech I will also assist with other duties as needed to… more
- US Tech Solutions (May, OK)
- …+ The Tech I Prior Auth takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous phone assistance to all callers through the ... criteria based prior authorization process. Maintains complete, timely and accurate documentation of reviews. Transfers all clinical questions, escalations and judgement calls to the pharmacist team. **Responsibilities:** + The Tech I will also assist with… more
- US Tech Solutions (May, OK)
- …+ As an RPh Advisor you will be directly supporting Medicare Part D members and providers with requests related to their pharmacy benefits. You will be responsible ... for ensuring cases are accurately set up for our members, review clinical information for decisioning the request, performing outreach to providers for more information when needed, and ensuring accurate decisions that comply with compendia and Medicare… more