- Highmark Health (Raleigh, NC)
- …:** **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
- Cardinal Health (Raleigh, NC)
- …the particular needs of an individual patient. **_Job Summary_** The Coordinator , Individualized Care supports patient access to therapy through Reimbursement ... of their patient journey to therapy. These steps include patient referral intake , investigating all patient health insurance benefits, and proactively following up… more