-clinical tasks related to processing Utilization Management prior authorization sand appeals. JOB RESPONSIBILITIES Monitor...The UM Coordinator assists and supports the clinical team (UM Nurses/Medical Director) with administrative and non...
of the Pharmacy Care Management Department by organizing, improving, and implementing pharmacy benefit management policies... and programs, organizing the prior authorization process and management of the various vendor/customer relationships. EDUCATION...
of the Pharmacy Care Management Department by organizing, improving, and implementing pharmacy benefit management policies... and programs, organizing the prior authorization process and management of the various vendor/customer relationships. EDUCATION...
for Benefit Administration Manual policies and the Master Tiering Database, requests by the Utilization Management Committee... Team (BCT) and work with BCT on coding changes approved by the Utilization Management Committee or leadership. Work...