Utilization Management / Prior Authorization (Guidingcare)

Must have off-entry and processing experience. This role will involve handling and processing Utilization and authorization request via FAX and some calls. Experience with guiding care and Facets ROLE: Supports the Utilization Management clinical teams by assisting with non-clinical administrative tasks and responsibilities related to pre-service, utilization review, care coordination and quality of care. (this position is remote) ESSENTIAL FUNCTIONS: Performs member or provider related administ

Hi, Hope youre doing well!! Please find the requirement below. If you find yourself comfortable with the requirement please reply back with your updated resume or call me back at Position:Utilization Management Specialist - Behavioral Health Location:Remote(Must reside in the DMV area Maryland, Virginia, or Washington, DC) Duration: 6+ Months Visa: Client won't be able to sponsor any visa LinkedIN ID We are seeking experiencedBoard Certified Behavior Analysts (BCBAs)to join our cl

Lead Product Owner / Business Integration Lead (Prior Authorization) Location/Work model:100% Remote (must workEastern Time core hours) Type:Contract (~7 months, Possible extension) Compensation: $72/HRAbout the role Were looking for aLead Product Owner / Business Integration Leadto stabilize and improveend-to-end Prior Authorization (PA)operations and the supporting technology/process integrations. This is atrue hybrid role(Product Owner + Business Integration Lead) focused on fixing real break

Optum Tech is a global leader in health care innovation. Our teams develop cutting-edge solutions that help people live healthier lives and help make the health system work better for everyone. From advanced data analytics and AI to cybersecurity, we use innovative approaches to solve some of health care's most complex challenges. Your contributions here have the potential to change lives. Ready to build the next breakthrough? Join us to start Caring. Connecting. Growing together. As VP Enginee