Responsible for preparing and submitting medication prior authorization requests and renewals.
Investigate and resolve payer responses and document actions in the EMR.
Coordinate administrative duties as part of the Safety Net Program.

Data Management and Compliance:

Ensure accuracy in data management and maintain member information within the EMR system.
Collaborate with field clinical & operational teams to resolve workflow or data discrepancies.
Ensure compliance by processing prescription cancellations as needed.

Additional Responsibilities:

Support clinical and operational scheduling, including staff and group coverage assignments.
Provide timely, professional communication to internal teams, members, and external partners.

Name Linked

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.

Apply for This Position