- 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
- State of Colorado (Costilla County, CO)
- …Closing Date 11/24/2025 11:59 PM Mountain FLSA Determined by Position Primary Physical Work Address CO-159, Fort Garland, CO, USA FLSA Status Non-Exempt; position is ... you'll have the opportunity to do just that. The work our people do contributes to keeping Coloradans and...obtained at any time after receipt of the applicant's authorization . As part of the employment screening an applicant… 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