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Managed Care Jobs in West Virginia

1 - 5 of 5
1 - 5 of 5
Search Results - Managed Care Jobs in West Virginia
apartmentMedOP SolutionsplaceUnitedevent_available
Background  •  1+ year of managed care clinical review experience and/or experience writing clinical criteria  •  Prior authorization, utilization management, PBM, or clinical review experience  •  Strong experience applying clinical criteria  •  Board certification...
apartmentLiberty Behavioral & Community Services, Inc.placeSugar Grove (WV)languageworkable.comevent_available
maintaining strong ethical and clinical standards. Key Responsibilities  •  Develop and maintain referral relationships with hospitals, SUD treatment providers, detox programs, behavioral health organizations, Medicaid and managed care referral sources, VA...
apartmentMedOP SolutionsplaceUnitedevent_available
as needed Preferred Background  •  1+ year of managed care clinical review experience and/or experience writing clinical criteria  •  Prior authorization, utilization management, PBM, or clinical review experience  •  Strong experience applying clinical criteria...
placeBeckleylanguageicims.comevent_available
payers, external review agencies and the Utilization Committee.  •  Identify managed care issues and address promptly as related to denials management  •  Coordinates and collaborate with physicians, provider, multidisciplinary team and other health care...
apartmentArtificial Intelligence Medical Services, Inc.placeUnitedevent_available
RPh, or equivalent professional pharmacy credential.  •  Leadership experience in health-system pharmacy, community pharmacy, managed care, industry, academia, consulting, or clinical practice.  •  Knowledge of medication management, older adult care...

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