- University of Michigan (Ann Arbor, MI)
- Prior Authorization Specialist Apply Now **Summary** Processes referrals and prior authorizations using established insurance company guidelines. Obtains ... action employer. **Job Detail** **Job Opening ID** 246886 **Working Title** Prior Authorization Specialist **Job Title** Patient Services… more
- Henry Ford Health System (West Bloomfield, MI)
- … is responsible for handling drug claim adjudication issues, prescription prior authorization , and pharmacy benefit inquiries from members/patients, physicians, ... expert in the resolution of pharmacy benefit coverage issues and coordinating prior authorization and exception processes. PRINCIPLE DUTIES AND RESPONSIBILITIES:… more
- Henry Ford Health System (Bingham Farms, MI)
- …place referral for patient follow-up in specialty clinics/departments, and facilitate prior authorization with appropriate pharmacy partners across the system. ... GENERAL SUMMARY: The Pharmacy Specialist provides oversight and leadership for appropriate drug...primary care or managed care is strongly desired. . Prior experience and knowledge or integrated health systems .… more
- Henry Ford Health System (Troy, MI)
- … is responsible for handling drug claim adjudication issues, prescription prior authorization , and pharmacy benefit inquiries from members/patients, physicians, ... expert in the resolution of pharmacy benefit coverage issues and coordinating prior authorization and exception processes. PRINCIPLE DUTIES AND RESPONSIBILITIES:… more
- Universal Health Services (Auburn Hills, MI)
- …or partial hospitalization), substance abuse treatment, or medical setting preferred. + Prior authorization experience in a hospital setting preferred. .EEO ... us at www.havenwyckhospital.com POSITION SUMMARY: The Utilization Management Precertification Specialist has responsibility for obtaining prior authorizations… more
- Cummins Inc. (Troy, MI)
- **Technical Support Specialist ** **Description** **Our culture believes in** _POWERING YOUR POTENTIAL_ **. We provide global opportunities to develop your career, ... about.** We are looking for a talented Technical Support Specialist to join our team specializing in Sales for...**Experience** + Intermediate level of relevant work experience required. Prior experience in a technical role is preferred. +… more
- G-TECH Services, Inc. (Detroit, MI)
- …Retail Pharmacy * Experience in provider/member call center or helpdesk * Process prior authorization requests Required Skills/Experience - The rest of the ... facing webtool. Preferred Skills/Experience - Optional but preferred skills/experience. Include: * Prior Authorization on Pt B specialty medications * Knowledge… more
- Cummins Inc. (Troy, MI)
- …areas critical to success in the role. + Operates as a recognized specialist in a discipline or product area within the immediate team. **Qualifications** **Skills** ... NEED TO BE LOCATED IN/ NEAR TROY, MICHIGAN** + Prior Senior or Lead Engineer equivalent work experience in...success in the role. + Operates as a recognized specialist in a discipline or product area within the… more
- Air National Guard Units (Selfridge, MI)
- …flying wing. The primary purpose is to assist a higher graded specialist in researching/studying/analyzing and administering all aspects of the assigned function(s). ... accountability and disposition of automated and manual records. 3. Employment: Authenticates prior and non- prior service enlistments, and prepares and processes… more
- Cummins Inc. (Troy, MI)
- …areas critical to success in the role. + Operates as a recognized specialist in a discipline or product area within the immediate team. **Qualifications** **Skills** ... licensing for compliance with export controls or sanctions regulations. **Experience** + Prior Senior or Lead Engineer equivalent work experience in a relevant… more
- Cummins Inc. (Troy, MI)
- …areas critical to success in the role. * Operates as a recognized specialist in a discipline or product area within the immediate team. **Qualifications** **Skills** ... licensing for compliance with export controls or sanctions regulations. **Experience** * Prior Senior or Lead Engineer equivalent work experience in a relevant… more
- Deloitte (Detroit, MI)
- …IAM solutions, including identity provisioning, access control, authentication, and authorization mechanisms using on-prem and Cloud ForgeRock Identity Platform that ... Consulting or Big 4 experience preferred. + CISSP certification preferred. + Prior experience in a technical leadership role + ForgeRock Certified Specialist… more
- Wayne State University (Detroit, MI)
- …include cost negotiations with vendors. Participate in the review and authorization of purchase requisitions and procurement card transactions, ensuring timely and ... related field, or an equivalent combination of education and/or experience. Experience Specialist (minimum 5 years of job-related experience) Three to five years… more