- CVS Health (Santa Fe, NM)
- …You will maintain complete, timely, and accurate documentation of reviews. As a Prior Authorization Representative you will make the determination if ... do it all with heart, each and every day. **Position Summary** The Prior Authorization colleague takes in-bound calls from providers, pharmacies, members, etc.… more
- Molina Healthcare (Santa Fe, NM)
- …Services (CMS) standards. * Provides coordination and processing of pharmacy prior authorization requests and/or appeals. * Explains point-of-sale claims ... not limited to: formulary information, copay amounts, pharmacy location services and prior authorization outcomes. * Assists members and providers with… more
- Highmark Health (Santa Fe, NM)
- …claims history, clearly defines the medical necessity of non-formulary and prior authorization medication exception requests. Interacts with pharmacy network ... requests for drug authorizations or denials. + Review of prior authorization criteria for drug products. +...practices through paid clams review. + Participate as pharmacy representative in onsite member appeals and grievances sessions. +… more
- General Motors (Santa Fe, NM)
- …OF GM AS THE IMMIGRATION EMPLOYER OF RECORD ON A GOVERNMENT FORM, AND ANY WORK AUTHORIZATION REQUIRING A WRITTEN SUBMISSION OR OTHER IMMIGRATION SUPPORT FROM THE ... with applicable state laws. The compensation may not be representative for positions located outside of New York, Colorado,...employer of record on a government form, and any work authorization requiring a written submission or… more
- TekSynap (Albuquerque, NM)
- …vision, peripheral vision, depth perception, and ability to adjust focus. ** WORK AUTHORIZATION /SECURITY CLEARANCE** Citizenship: US Clearance: Active Secret or ... days of hire. + 1-3 years of experience + Prior experience in a government consulting services environment is...Information** ** WORK ENVIRONMENT AND PHYSICAL DEMANDS** The work environment characteristics described here are representative … more
- General Motors (Santa Fe, NM)
- …OF GM AS THE IMMIGRATION EMPLOYER OF RECORD ON A GOVERNMENT FORM, AND ANY WORK AUTHORIZATION REQUIRING A WRITTEN SUBMISSION OR OTHER IMMIGRATION SUPPORT FROM THE ... **Job Description** **Hybrid or Remote:** Reporting where work can/need to be performed / collaboration should...with applicable state laws. The compensation may not be representative for positions located outside of New York, Colorado,… more
- Air National Guard Units (Kirtland AFB, NM)
- …claim initiation or resolution actions. Acts as the Adjutant General's representative in third-party proceedings under Federal labor-management and equal employment ... concepts of the occupational series and grade. SPECIALIZED EXPERIENCE: Must have work experiences as a professional Attorney Advisor. Knowledgeable of the Army… more