Job Summary The Representative I is the initial point of contact for Prior Authorization requests from members, providers, and a diverse customer base. The Rep I will make the determination if a complex request should be transferred to a pharmacist for assistance. Additionally,…
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Position Summary The Technician I is the initial point of contact for Prior Authorization requests from members, providers, and a diverse customer base. The Tech I will make the determination if a complex request should be transferred to a pharmacist for assistance.…
Position Summary - Processes prior authorization requests received by phone, fax, or electronically and utilizes various computer resources, existing criteria, and medication guidelines to perform clinical research to support prior authorization reviews. - Proactively completes…
Position Summary Supporting comprehensive coordination of National Medical Excellence Program handling inbound calls from the phone queue. Additional responsibilities to include but not limited to the following: - Performs intake of calls from providers or members - Utilizes…
Account Manager, Meritain Health (Northeast Region) — MD - Work from home. Apply via Workday.
Account Manager, Meritain Health (Northeast Region) — PA - Work from home. Apply via Workday.
Position Summary *Must reside in Ohio* This is a full-time field-based position in Ohio. This position requires routine travel up to 75% within the assigned region. The Community Health Worker (CHW) serves the community as a bridge between the member (community) and the…
Become a part of our caring community Humana is looking for an experienced medical coding auditor to handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, consider a Fortune 100 company that prioritizes its consumers'…
At Veriforce, our mission is simple yet powerful: to help bring workers home safe from high-hazard jobs. We deliver supply chain risk management technology and expert services that reduce risk, improve ESG performance, and protect workers, worksites, and businesses. With over 30…
About Comfrt: Comfrt LLC is the fastest growing ecommerce brand built on a mission to support mental health and create everything comfortable for an easy, stress-free, cozy lifestyle, we are obsessed with our customer and dedicated to building the ultimate comfort brand…
Job Title: Specialty Doctor in Perinatal Psychiatry Grade: Specialty Doctor Location: Home Counties Working Hours: 37.5 hours per week Rate: Competitive, to be discussed upon application We are seeking a dedicated Locum Specialty Doctor in Psychiatry to join our dynamic…
Job Title: Physiotherapist – Home Reablement & Rehabilitation Banding: Band 6 Location: South-West London (Kingston, Wandsworth & surrounding areas) Start Date: Early January Duration: Approximately 3 months Hourly Rate: £26-30 per hour Working Hours: Full-time (weekday and…
Job Title: Specialty Doctor in Old Age Psychiatry Grade: Specialty Doctor Location: Home Counties Working Hours: 37.5 hours per week Rate: Competitive, to be discussed upon application Join a dedicated team at a leading NHS Trust in the Home Counties, West of London as a…
Job Title: Specialty Doctor in Adult Inpatient Psychiatry Grade: Specialty Doctor Location: Home Counties Working Hours: 37.5 hours per week Rate: Competitive, to be discussed upon application We are seeking a dedicated and compassionate Specialty Doctor in Psychiatry to join…
Become a part of our caring community As a Community Health Worker, you will play a vital role in connecting individuals and families to essential health and social services. In this dynamic position, you will identify health-related needs, gather and report community data, and…
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