- Corewell Health (Grand Rapids, MI)
- …required correspondence according to timeline requirements. + Complete investigation of Medicare Pharmacy appeals, including formulate action steps, gather ... all steps of the Pharmacy appeal and review processes for all Medicare products in a pleasant and expedient manner to ensure quality customer service and… more
- Molina Healthcare (Grand Rapids, MI)
- …they arise, making an assessment when escalation to a Senior Representative, Supervisor , or another Molina department is needed. Takes initiative in preventing and ... would occur to discuss and resolve issues related to utilization management, pharmacy , quality of care, and correct coding. * Independently delivers training and… more