FEATURED JOBS
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…Ability to adapt to supporting software applications. Understanding and experience with managed care authorizations and referrals. Working knowledge of insurance

…to perform administrative work. + Familiarity and knowledge of authorization process & managed care programs UCLA Health welcomes all individuals, without regard

…Degree **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** 2+ years Medicare, Medicaid, managed care or other health/insurance related sales experience To

Behavioral Therapist - Behavioral Health - Sylvania - Full Time
ProMedica Health System
…services. Works collaboratively and facilitates communication with physicians, family members, managed care providers and other multidisciplinary team members

…of the background check process. **Preferred Qualifications** + Knowledge and experience in managed care + Medical terminology + Experience in EMR (Electronic

…with prescription refill calls and patient call backs. + Assists with managed care referral process, pre-authorization, and pre-certification processes. +

…Experience in Substance Use Disorder and Mental Health Disorder + Experience working with Managed Care services and agencies or hospital based experience a plus.

…and provider utilization patterns. + Conducts proactive outreach to support the understanding of managed care policies and procedures, as well as on a variety of

…**Minimum Requirements:** + Requires BA/BS in Pharmacy. + Minimum of 2 years of managed care pharmacy (PBM) experience or residency in lieu of work experience;

…required. Qualifications: + Minimum of two (2) years previous experience in a managed care organization's Credentialing department. + NAMSS CPCS certification is