- CVS Health (St. Paul, MN)
- …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
- Highmark Health (St. Paul, MN)
- …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 (St. Paul, MN)
- …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
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …synthesizes data across multiple domains, including utilization management, prior authorization , claims, denials, and appeals. Their work goes beyond ... and Pharmacy, ensuring data is pulled using the most representative methods. They also support high-risk regulatory reporting, where...clinical. * High school diploma (or equivalency) and legal authorization to work in the US Preferred… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …enhance the overall operation of the department. * Guides member through the Prior Authorization and Appeals process. * Engage providers telephonically in ... * Collaborates and communicates with member, family, or designated representative on a plan of care that produces positive...hours. * High school diploma (or equivalency) and legal authorization to work in the US Preferred… more
- RTX Corporation (Burnsville, MN)
- …material in an FAA regulated environment. They will participate in high-level technical work with little or no instruction. **WHAT YOU WILL DO:** + Utilize limited ... + Utilize analytical skills and problem-solving abilities. + Successfully work in a team to support work ...**QUALIFICATIONS WE PREFER:** + AAS degree in electronics and/or prior military experience strongly preferred. + 2+ years' experience… more
- RTX Corporation (Burnsville, MN)
- …a degree in Science, Technology, Engineering or Mathematics (STEM) and minimum 5 years prior relevant experience or an Advanced Degree in a related field and minimum ... indirectly) and the company will not seek an export authorization for this role. + 2 years of experience...**Onsite:** Employees who are working in Onsite roles will work primarily onsite. This includes all production and maintenance… more
- General Motors (St. Paul, MN)
- …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