Prior authorization jobs in Redmond, WA

Providence Health Plan is calling a Manager Utilization Management RN, Prior Authorization who will. Be responsible for Management and supervision of the PHP Utilization Management (UM) or Care..

Collaborate with clinicians regarding supporting medical documentation in accordance with formulary guidelines. Manage the quality review of requested prior authorizations..

As the head of our new Intelligent Authorization product you will provide strategic guidance and.. Results oriented with the ability to prioritize multiple objectives. Deep knowledge of payments..

As the head of our new Intelligent Authorization product you will provide strategic guidance and.. Results oriented with the ability to prioritize multiple objectives. Deep knowledge of payments..

Expedites the administrative requirements for patient care, including clinical authorizations based on.. Primary Duties. 1. Accurately and successfully processes authorizations for medications, procedures..