- Evolent Health (Carson City, NV)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The ** Coordinator , Intake Utilization Management** at Evolent will serve as a point of ... requirements, and client contractual agreements. **Collaboration Opportunities** : The Coordinator , Intake Utilization Management reports directly to the… more
- Highmark Health (Carson City, NV)
- …:** **JOB SUMMARY** This job captures all inbound phone inquires for utilization management review from providers and pharmacies. The incumbent assesses the verbal ... request, critically thinks through the inquirer's concerns which may require research to fulfill the call, such as verifying benefit coverage, creation of a prior authorization case in Highmark's Utilization Management system for Prior Authorization clinical… more
- Cardinal Health (Carson City, NV)
- …of their patient journey to therapy. These steps include patient referral intake , investigating all patient health insurance benefits, and proactively following up ... with various partners including the insurance payers, specialty pharmacies, support organizations, and the patient/physician to facilitate coverage and delivery of product in a timely manner. + Investigate and resolve patient/physician inquiries and concerns… more
- Cardinal Health (Carson City, NV)
- …their patient's journey to therapy. These steps include patient referral intake , investigating all patient health insurance benefits, identifying & initiating prior ... authorization and step therapy reviews, proactively following up with various partners including the insurance payers, specialty pharmacies, support organizations, and the patient/physician to facilitate coverage and delivery of product in a timely manner. +… more