- Molina Healthcare (San Francisco, CA)
- …Medicaid Services (CMS) standards. Provides coordination and processing of pharmacy prior authorization requests and/or appeals. Explains point‑of‑sale claims ... not limited to: formulary information, copay amounts, pharmacy location services and prior authorization outcomes. Assists members and providers with initiating… more
- MedImpact Healthcare Systems, Inc. (San Diego, CA)
- …and customize LLMs to simplify manual processes in healthcare systems, eg, prior authorization rule extraction from guideline documents, data exchange file ... and customizing LLMs for healthcare use cases, eg, extracting rules from prior authorization guideline documents. Familiarity with healthcare data and systems.… more
- MedImpact Healthcare Systems, Inc. (San Diego, CA)
- …direction of the Appeals & Grievances Supervisor and in collaboration with the Prior Authorization Implementation team. This position is responsible for: 1) ... IT services as well as with the Compliance department, Implementation department, Prior authorization department, Accreditation team, legal team, client team,… more
- Lamwork (Olympia, WA)
- …Department Performance: Ensures optimal performance of all PHP Pharmacy Department functions. Prior Authorization Oversight: Oversight of PBM for Prior ... England Pharmacy Services, including serving as the primary pharmacy representative on selected organizational committees as appropriate. Quality Metrics: Identifies… more
- Christus Health (San Antonio, TX)
- …applicable Obtains signatures of consent from patient/guardian for treatment authorization and insurance/billing information Collaborates with insurers to obtain ... patients' prior -authorizations for procedures and tests as needed Follows guidelines...needed Follows guidelines established by insurers to ensure that pre- authorization , pre-certification, and physician referrals for treatment are obtained… more
- Christus Health (San Antonio, TX)
- …applicable Obtains signatures of consent from patient/guardian for treatment authorization and insurance/billing information Collaborates with insurers to obtain ... patients' prior -authorizations for procedures and tests as needed Follows guidelines...needed Follows guidelines established by insurers to ensure that pre- authorization , pre-certification, and physician referrals for xrbllit treatment are… more
- Rosman Search (Charleston, WV)
- …a registration representative and pre-certification specialist to manage scheduling and prior authorization needs, and a medical assistant who helps triage ... patient calls and coordinate communication with families. There is also support by their EEG department with round-the-clock EEG tech coverage, and an epilepsy monitoring unit. #J-18808-Ljbffr more
- Christus Health (Corpus Christi, TX)
- …Member within 180-days of your separation date Must obtain unit commander written authorization and approval to participate in DoD SkillBridge Program prior to ... also available) Administrative Assistant Materials Management Technician Patient Access Representative Nursing Assistant / Patient Care Technician Radiology Technician… more
- Texas State University (San Marcos, CA)
- …Questions How many years of teaching experience do you have at the university level? No prior teaching experience. Less than 1 1 year 2 years 3 years 4 years 5 years ... or more Describe your prior teaching experience (if any) including experience teaching classes...request that you contact Talent Acquisition for assistance. A representative from Talent Acquisition will respond to you as… more
- Pfizer (Tampa, FL)
- …teams in clinical development. The successful candidate should ideally have prior experience in clinical trials, supporting development programs, health authority ... the Clinical Development Lead on subteams including for Marketing Authorization Applications.*Strategic Guidance, Clinical Insights & Interpretation** Collaborate with… more
- Pfizer, SA de CV (Tampa, FL)
- …teams in clinical development. The successful candidate should ideally have prior experience in clinical trials, supporting development programs, health authority ... the Clinical Development Lead on subteams including for Marketing Authorization Applications. Strategic Guidance, Clinical Insights & Interpretation Collaborate with… more
- Prattwhitney (Westford, MA)
- …Status Requirements:**Active and transferable US government issued security clearance is required prior to start date. US citizenship is required, as only US ... will do: Lead RMF/JSIG/DAAPM execution - architect secure solutions, prepare authorization packages, brief Security Control Assessments, and drive POA&M closure.*… more
- SUNY Downstate Health Sciences University (New York, NY)
- …records. Obtain patient information for demographics, referrals, insurance, and authorization information. Schedule appointments per specialty practices and obtain ... Take Accurate Messages Communicate patient problems and needs to appropriate representative . Make referral and/or return appointments in computer system. Obtain… more
- Prattwhitney (Annapolis, MD)
- …Status Requirements:**Active and transferable US government issued security clearance is required prior to start date. US citizenship is required, as only US ... Will Do: Lead RMF/JSIG/DAAPM execution - architect secure solutions, prepare authorization packages, brief Security Control Assessments, and drive POA&M closure.*… more
- General Motors (Sunnyvale, CA)
- …the immigration employer of record on a government form, and any work authorization requiring a written submission or other immigration support from the company (eg, ... with applicable state laws. The compensation may not be representative for positions located outside of New York, Colorado,...of record on a government form, and any work authorization requiring a written submission or other immigration support… more
- SUNY Downstate Health Sciences University (New York, NY)
- …records. Obtain patient information for demographics, referrals, insurance, and authorization information. Schedule appointments per specialty practices and obtain ... take accurate messages Communicate patient problems and needs to appropriate representative . Make referral and/or return appointments in computer system. Obtain… more
- Hitachi ABB Power Grids (Raleigh, NC)
- …a proven track record of driving impactful outcomes. Desirable to have prior professional experience with or supporting US Department of Defense initiatives, defense ... and good presentation skills. Candidate must already have work authorization that would permit them to work for Hitachi...PM EST Monday through Friday by contacting an HR Representative at ###. Protected veterans and qualified individuals with… more
- Expedia, Inc. (Chicago, IL)
- …detail. Knowledge of current design tools and software. A portfolio showcasing design skills representative of your work at each stage of a product life cycle, from ... tools to individuals with whom we have not made prior contact. Our email domain is @expediagroup.com. The official...necessary, the Department of Homeland Security (DHS) with information from each new employee's I-9 to confirm work authorization .… more
- Aspire Public Schools (San Francisco, CA)
- …journey. Keep a look out for email communication from an Aspire representative and thank you for considering Aspire! 1. Non-Credentialed- transcripts, passing test ... Specialist-Extensive Needs) required Bridge Authorizations for Moderate-Severe credentials received prior to June of 2022 Bachelor's Degree required; Master's Degree… more
- Menlo Ventures (Atlanta, GA)
- …changes and developments on our technologies You either actively develop software, have a prior background as a developer, or worked with developers in a DevOps role ... The OTE Range is $265,000 - $285,000. A valid authorization to work in the US is required. All...of an interview/offer scam by someone posing as a representative of Harness, please do not provide any personal… more
