Closing Date:
Sponsorship Available:
The University of Arkansas for Medical Sciences (UAMS) has a unique combination of education, research, and clinical programs that encourages and supports teamwork and diversity. We champion being a collaborative health care organization, focused on improving patient care and the lives of Arkansans.
UAMS offers amazing benefits and perks (available for benefits eligible positions only):
Below you will find the details for the position including any supplementary documentation and questions you should review before applying for the opening. To apply for the position, please click the Apply link/button.
The University of Arkansas is an equal opportunity institution. The University does not discriminate in its education programs or activities (including in admission and employment) on the basis of any category or status protected by law, including age, race, color, national origin, disability, religion, protected veteran status, military service, genetic information, sex, sexual preference, or pregnancy. Questions or concerns about the application of Title IX, which prohibits discrimination on the basis of sex, may be sent to the University’s Title IX Coordinator and to the U.S. Department of Education Office for Civil Rights.
Persons must have proof of legal authority to work in the United States on the first day of employment.
All application information is subject to public disclosure under the Arkansas Freedom of Information Act.
For general application assistance or if you have questions about a job posting, please contact Human Resources at
askrecruitment@uams.edu
.
Department's Website:
Minimum Qualifications:
Preferred Qualifications:
Additional Information:
Job Requirements:
Provides medical information for all 3rd party payers (Commercial Insurance, Medicaid).
Develops and maintains knowledge base of pharmaceutical companies policies and procedures, third party payer requirements, and any changes that impact the approval process; maintains current knowledge of all federal and state regulatory mandates and requirements including but not limited to Insurance regulation and requirements, Medicare, Medicaid.
Successfully completes annual competency test and any additional competency testing required to validate required skills.
Performs retroactive reviews when necessary to verify medical necessity of ordered medication.·
Communicates findings of reviews verbally or in writing through designated channels in a timely manner.·
Acts as resource to provide information /education to UAMS staff on prior authorization review issues.·
Participates in and contributes to departmental, hospital, and community in-service and continuing education programs.·
Stays current in trends in the industry by referencing of professional literature or publications, including Web-based information.·
Maintains current knowledge of Joint Commission guidelines.
Perform other duties as needed.
PHYSICAL REQUIREMENTS
Stand: Frequently
Sit: Frequently
Walk: Occasionally
Bend, crawl, crouch, kneel, stoop or reach overhead: Frequently
Lift and carry weight: 25 lbs
Push and pull weight: 25 lbs
Use hands to touch, handle or feel: Frequently
Talk: Continuously
Hear: Continuously
Taste or smell: Occasionally
Read, concentrate, think analytically: Continuously
Physical Environment: Inside Medical Facility Environment
Salary Information:
Required Documents to Apply:
Optional Documents:
Recruitment Contact Information:
Please contact
askrecruitment@uams.edu
for any recruiting related questions.
All application materials must be uploaded to the University of Arkansas System Career Site https://uasys.wd5.myworkdayjobs.com/UASYS
Please do not send to listed recruitment contact.
This position is subject to pre-employment screening (criminal background, drug testing, and/or education verification). A criminal conviction or arrest pending adjudication alone shall not disqualify an applicant except as provided by law. Any criminal history will be evaluated in relationship to job responsibilities and business necessity. The information obtained in these reports will be used in a confidential, non-discriminatory manner consistent with state and federal law.