- HealthCare Support (Houston, TX)
- …systems. Verifies member eligibility, benefit coverage and facility contract status prior to processing authorization requests. Accurately enters the required ... Communicates concerns that arise in these discussions to the Manager and/or Medical Director. 4. Maintains knowledge of the...information into the managed care platform, adhering to UM policies and procedures. 5. Assists in the coordination… more
- CVS Health (Austin, TX)
- …compassionate. And we do it all with heart, each and every day. **Position Summary** The Manager of Prior Authorization oversees the daily operations of the ... prior authorization team, ensuring timely and accurate processing of ...United States. **Key Responsibilities:** + Lead and manage the prior authorization team, including hiring, training, scheduling,… more
- Molina Healthcare (Fort Worth, TX)
- …family include those involved in formulary management (such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and ... medications safety and medication use policies). **KNOWLEDGE/SKILLS/ABILITIES** The Pharmacist, UM will be responsible for reviewing coverage determinations and… more
