- Highmark Health (Pierre, SD)
- …and timely processing of pre-certification requests for authorization of medically necessary health care services at the appropriate level of care , based on the ... and notification requirements are met + Communicate effectively with Utilization Management Staff, providers, other internal and external customers and management… more
- Humana (Pierre, SD)
- …caring community and help us put health first** The Network Operations Coordinator 4 maintains provider relations to support customer service activities through data ... integrity management and gathering of provider claims data needed for...claims data needed for service operations. The Network Operations Coordinator 4 manages provider data for health plans including… more