- Elevance Health (Indianapolis, IN)
- …eligibility; provides authorization for inpatient admission, outpatient precertification, prior authorization , and post service requests. + Obtains intake ... **Utilization Management Representative II** **Virtual:** This role enables associates to...to screen basic and complex requests for precertification and/or prior authorization . + Verifies benefits and/or eligibility… more
- Highmark Health (Indianapolis, IN)
- …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. +...and/or additional information when necessary. + Consult with staff clinical pharmacist for guidance and assistance as necessary. +… more
- Intermountain Health (Indianapolis, IN)
- …to termination, at the hiring manager's discretion. **Preferred** + Prior Authorization processing preferred **Physical Requirements:** **Physical Requirements** ... as appropriate to practice site. + Assists the pharmacist in collecting clinical and other patient information and maintaining appropriate records as required by… more