- Fallon Health (Worcester, MA)
- …and clinical functions related to outpatient and inpatient, utilization management operations, including but not limited to prior authorization, concurrent ... + Recommends and implements innovative process improvements for the prior authorization and utilization management ...cost of care opportunities related to Utilization Management . + Works with VP/ Medical Director … more
- Fallon Health (Worcester, MA)
- …call center setting or physician's office; knowledge of managed care and/or utilization management strategies advisable + Excellent writing skills with ... customer expectations. The FH Authorization Coordinator serves to administer the FH prior authorization process as outlined in the Plan Member Handbook/Evidence of… more
- Edwards Lifesciences (Springfield, MA)
- …positive patient outcomes. This role reports to an assigned Regional Director and will collaborate with multiple departments including Sales, Clinical Affairs, ... an impact:** + Working independently in the areas of valve crimping, case management , pre-case planning, post-case management , 3 Mensio management , Therapy… more