- Highmark Health (Olympia, WA)
- …coverage determination for prior authorization review and appeals. Through the Utilization Review system, the incumbent evaluates clinical information provided by ... requests for prior authorization or appeals against medical policy through the Utilization Review system. Update the system records appropriately to ensure claims… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …as part of a core team. You'll collaborate cross-functionally with care management , utilization management , provider/member relations, and market-facing ... through our Healthsource blog: https://healthsource.premera.com/ . The **Senior Clinical Pharmacist ,** **Oncology Program** will lead and help develop Premera's… more