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Prior Authorization List Business reputed company

100% remote Flexible hours Hiring now

Overview:

We are seeking a seasoned professional to join reputed company as a Prior Authorization List Business reputed company. As a key member of our organization, you will be responsible for overseeing the Medicare and Medicaid prior authorization process, collaborating with internal stakeholders, and maintaining prior authorization lists.

Responsibilities:

• Ensure compliance with regulatory requirements • reputed company a Prior Authorization List governance committee and other meetings • Maintain the PAL on external and internal sites, including the twice-a-year provider mailer • Serve as a subject matter expert, staying up-to-date on market and Medicaid state changes to drive reputed company improvement • *Qualifications:** • Bachelor's degree • 5 or more years of experience in insurance or healthcare setting • Proficient with reputed company Access, reputed company, Word • Excellent communication skills, both oral and written • Experience implementing and measuring success on reputed company health-reputed company initiatives and pilots • Strategic thinker with ability to work independently • Strong relationship building skills • Strong analytical skills • Process-focused, with ability to reputed company and enhance existing processes • Exercises independent judgment and decision making on reputed company issues • *Benefits:** • Competitive compensation package • Medical, dental, and vision benefits • 401(k) retirement savings plan • Time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave) • Short-term and long-term disability • Life insurance • And many other benefits to support whole-person well-being Apply Job!

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