- CVS Health (Baton Rouge, LA)
- …with heart, each and every day. **Position Summary** The Utilization Management Manager of Prior Authorization oversees a team of clinical professionals ... + Lead, coach, and develop a multidisciplinary team responsible for utilization review, prior authorization , and case management functions. + Monitor team… more
- United Therapeutics (LA)
- …utilization management criteria, insurance forms & procedures, benefits investigation, prior authorization , appeal, and/or claims resolution + Educate ... collaborative and innovative where you can showcase your expertise. The Therapy Access Manager (TAM) is a customer-facing role that will be responsible for managing… more
- Prime Therapeutics (Baton Rouge, LA)
- …functions, DUR committees and responsibilities. + Supports elevated customer service and prior authorization inquiries specific to assigned accounts. + Manages ... pharmacy with us. **Job Posting Title** Georgia Medicaid Clinical Account Manager - Remote **Job Description** Innovative business clinician accountable for building… more
- Elevance Health (Metairie, LA)
- …and improve member outcomes. The **Medical Director Associate- CarelonRx** supports pharmacy prior authorization reviews to ensure turnaround time is met and ... timely and consistent responses to members and providers. + Conducts peer-to-peer prior authorization reviews for medications with attending physicians or other… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …Aviation Administration (FAA) Airframe and Powerplant (A&P) Certificate with Inspection Authorization (IA) plus four years of aviation maintenance experience. Job ... standards, methods and implements policy and procedural changes to permit full utilization of personnel and equipment. + Designs and implements inspection standards,… more