- Highmark Health (Jackson, MS)
- …:** **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 (Jackson, MS)
- **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
- CVS Health (Jackson, MS)
- …applications in support of claim adjudication and Provider directory. + Performs intake triage and responds to network inquiries, escalates when necessary. + ... Provides on-going department support in research and analysis essential to resolving concerns/issues raised by providers and other internal/external customers. + Conducts audits of provider information and escalates issues for resolution as appropriate. +… more