The Prior Authorization Coordinator manages the review and processing of pharmacy prior authorization requests through various channels. They ensure compliance with benefit plan parameters and provide support to members, pharmacies, and physician offices.
The Prior Authorization Coordinator manages the review and processing of pharmacy prior authorization requests via electronic, fax, or manual channels. They are responsible for verifying documentation, coordinating with pharmacists for clinical reviews, and communicating status updates to members and providers.
The Data Engineer designs, builds, and maintains cloud-native data platforms and integration pipelines within Microsoft Azure. This role ensures secure and reliable data exchange between internal applications, external partners, and analytics systems.
The Director of Cost Containment provides strategic leadership for the cost containment portfolio, ensuring programs deliver measurable value and clinical outcomes. This role oversees program administration, technology integration, and cross-functional collaboration to optimize savings and operational efficiency.
The Application Engineer designs, develops, tests, and deploys secure web applications and APIs using Microsoft technologies. They collaborate with stakeholders to translate business needs into maintainable software solutions while ensuring system performance and security.
The Business Analyst supports, improves, and designs business processes and applications while collaborating with IT to support functions like Business Development and Client Success. Responsibilities include managing internal and external processes, leading process discovery, and coordinating agile project teams.
Act as a senior liaison to drive business growth by ensuring client renewal and retention through strategic account leadership. Coordinate with internal teams to analyze claims data, identify cost-saving opportunities, and oversee the onboarding of new clients.
