- Evolent Health (Santa Fe, NM)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The ** Coordinator , Intake Utilization Management** at Evolent will serve as a point of ... requirements, and client contractual agreements. **Collaboration Opportunities** : The Coordinator , Intake Utilization Management reports directly to the… more
- Highmark Health (Santa Fe, NM)
- …:** **JOB SUMMARY** This job captures all inbound phone inquires for utilization management review from providers and pharmacies. The incumbent assesses the verbal ... request, critically thinks through the inquirer's concerns which may require research to fulfill the call, such as verifying benefit coverage, creation of a prior authorization case in Highmark's Utilization Management system for Prior Authorization clinical… more
- Highmark Health (Santa Fe, NM)
- …:** **JOB SUMMARY** This job captures all inbound requests for utilization review from providers and pharmacies. The incumbent assesses the request, conducts all ... necessary research such as verifying benefit coverage for the patient, and then creates the case (data entry) in Highmark's utilization management system for clinical review. Ensures all accurate information is entered at the onset of the process to ensure… more
- GovCIO (Santa Fe, NM)
- **Overview** GovCIO seeks a Program Coordinator for the Health Services Portfolio Intake Team at the Department of Veterans Affairs (VA). The Program ... Coordinator will support the HSP Intake Program Manager and team. This role involves identifying and streamlining improvements, supporting change management… more