GENERAL SUMMARY: Responsible for the prompt and thorough investigation of medical and pharmacy member appeals...: Conduct the primary investigation and resolution of member appeals and grievances following established guidelines from: The...
for protecting the local Court of Appeals building, grounds, assets, employees, and visitors against criminal activity, accidents..., identity theft protection, and Paid Time Off. LOCATION: The Court of Appeals in Detroit, MI and Troy, MI...
-clinical tasks related to processing Utilization Management prior authorization sand appeals. JOB RESPONSIBILITIES Monitor...
-service utilization reviews and appeals for DMEPOS. This individual will play a key role in collaborating with our Medical... Director to perform benefit and medical necessity reviews and appeals within an NCQA-compliant UM program. Salary...