- Sharecare, Inc. (Boston, MA)
- …or assist member in working with payer to complete prior authorization or appeals process, when necessary. + Abide by Clinical Advocacy Program Description ... leadership for each year. + Direct questions from providers or members to the Clinical Advocate Manager or Director when he/she identifies an opportunity for… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …single largest account Position Summary: The RN Clinical Provider Post Service Review Manager , led by a Registered Nurse , is responsible for a team of ... a member and provider call center, provider correspondence and appeals , clinical review, member correspondence and reconsiderations,...perform claim adjustments in a dual system environment. This manager also has direct oversight to a team of… more