Job Description SummaryConducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors patient charts and records to evaluate care concurrent with the patients treatment. Reviews treatment plans and status of approvals
Job Description The Department of Forest Resources and Environmental Conservation at Virginia Tech is hiring a Project-Research Manager. This position will be funded by a newly acquired Department of War project entitled, Evaluation and validation of
At Caris, we understand that cancer is an ugly word—a word no one wants to hear, but one that connects us all. That’s why we’re not just transforming cancer care—we’re changing lives. We introduced precision medicine
Covetrus is a global animal-health technology and services leader dedicated to empowering veterinary practice partners to drive improved health and financial outcomes. We bring together products, services, and technology into a single platform that connects our
Titling Field Account Manager/Virtual South Carolina | Virtual Pennsylvania Who We Are Accelerate your career at Solera. You’ll find great people, a culture of collaboration, a competitive benefits package, and the opportunity to grow as far
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on
Key Account Manager, Lumber And Building Materials Channel ROCKWOOL is currently seeking a Key Account Manager, Lumber and Building Materials Channel, to join our Sales team. The ideal candidate will have a minimum of three years
Collections Specialist The Collections Specialist is responsible for managing and collecting on accounts receivables for all insurance carrier plan services billed through the hospital/physician billing systems. This position is responsible for timely and accurate claims follow
Remote Prior Authorization Pharmacist Work From Home in Managed Care A confidential managed care organization is seeking a motivated Remote Prior Authorization Pharmacist to evaluate prescription requests, ensure medical necessity, and improve patient access to safe
Sr. Strategic Account Executive Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by
Appeals Pharmacist Ensure Fair Medication Access for Patients A confidential managed care organization is seeking an experienced Appeals Pharmacist to review, evaluate, and process medication coverage appeals. This role is ideal for pharmacists who want to
NAVA Software is looking for a SAP Funds Management (FM) Consultant Details: Job: SAP Funds Management (FM) Consultant Location: Columbia, SC (Remote with Occasional travel and expenses will be provided) Type: Long Term Contract Job Description: Demonstrated hands