They play a vital role in ensuring the accuracy, timeliness, and efficiency of key operational workflows that support member care. The company's culture promotes a seamless care experience, with a focus on organizational standards and regulatory requirements.
Responsible for preparing and submitting medication prior authorization requests and renewals.
Monitor and ensure procedural compliance for virtual Direct Observed Toxicology collections via oral swabs, troubleshooting and escalating issues as they arise.
Audit and maintain member information within the EMR system to ensure data integrity and compliance.