- CVS Health (Phoenix, AZ)
- …Qualifications** + Direct clinical experience in a hospital setting or prior Utilization Management experience. **Education** + If RN, Bachelor's degree in ... skills to coordinate, document and communicate all aspects of the utilization /benefit management program for preauthorization for mental health services.… more
- Highmark Health (Phoenix, AZ)
- …and education or if necessary involve Special Investigation Unit or the Utilization Management area. **ESSENTIAL RESPONSIBILITIES** + Implement the pre-payment ... itemized bills, and claims data to assure appropriate level of payment and resource utilization . It is also used to identify issues which can be used for education… more
- Highmark Health (Phoenix, AZ)
- …decommissioned. Acts as a subject matter expert to maximize efficiencies and utilization of existing digital capabilities. + Facilitates governance process for the ... product deliverables. + Maintains and promotes the Digital Product Management Playbook with best-practices, processes, methodologies, standards, tools, and… more