Position:- Medical Management Specialist / RN Clinical Care Coordinator. Rate. $43/hr. Location. Belleville, IL. (Hybrid but candidate should reside in IL and have to take assessments in member's at home). Description. This position is responsible for conducting medical management and health education programs for customers on government health care programs. This role will include gathering, analyzing and providing date for regulatory reports. T...
Position: Provider Network Consultant / Community health coordinator. Location. Hybrid. in Chicago, IL. (Candidate must reside in IL-2 weeks WFH & 1 Week Onsite). Rate:- $21/hr. Description. This position is responsible for the analyzing, researching, and applying business rules to complete requests received from providers regarding adds/deletes/changes to their information used for claims processing, membership assignment, and directory purposes...
Position:- Medical Management Specialist / RN Clinical Care Coordinator. Rate. $44/hr. Location. Forest Park, IL. (Hybrid but candidate should reside in IL and have to take assessments in member's at home). Description. This position is responsible for conducting medical management and health education programs for customers on government health care programs. This role will include gathering, analyzing and providing date for regulatory reports. ...
Position: Pharmacy Prior Authorization Technician. Rate. $21.50/hr. Location. Remote – Must reside near Buffalo, Rochester, Utica and Syracuse in New York. Summary. The Pharmacy Prior Authorization Technician performs initial-level reviews of pharmacy and medical specialty drug prior authorization requests using established drug policies and UM procedures. This role prepares and interprets cases for utilization management reviews, supports accura...