- CVS Health (Columbus, OH)
- …where applicable, while adhering to company policy and procedures. - Places outbound calls to providers under the direction of Medical Management Nurses to ... obtain clinical information for approval of medical authorizations. Uses Aetna Systems such as MedCompass, QNXT, ProFAX, ProPAT, and Milliman Criteria. -Communicates with Aetna Nurses and Medical Directors, when processing transactions for members active in… more