Healthcare Clinical Evaluator MD
VirtualVocationsSaint Paul, Minnesota, United Statesjob_description.job_card.variable_days_ago
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- serp_jobs.job_card.full_time
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A company is looking for a Healthcare Clinical Evaluator SME.
Key Responsibilities
Review prior authorizations under the EPSDT program to determine medical necessity
Collaborate with healthcare professionals to complete PA requests efficiently
Manage incoming PAs and ensure compliance with service level agreements
Required Qualifications
Education : MD / DO degree
Experience : 15+ years of related experience
Technical skills : Proficiency in Microsoft products and Adobe PDF
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Clinical Evaluator • Saint Paul, Minnesota, United States