Vice President, Research & Development – Harris School Solutions, FINS This is a unique opportunity to own and drive all facets of Research & Development for Harris School Solutions FINS expanding growth products, at a moment
Summary Researches the substance of complex appeal or retrospective review requests including pre-pay and post-payment review appeal requests. Provides thorough clinical review or benefit analysis to determine if the requested services meet medical necessity guidelines. Documents
Summary Researches the substance of complex appeal or retrospective review requests including pre-pay and post-payment review appeal requests. Provides thorough clinical review or benefit analysis to determine if the requested services meet medical necessity guidelines. Documents
Summary We are currently hiring for a Managed Care Coordinator II – Utilization Management to join BlueCross BlueShield of South Carolina. In this role as a Managed Care Coordinator II – Utilization Management, you will review