Little Rock, AR16 days ago
Skills • Coaching Others • Conflict Resolution • Continued Learning • Critical Thinking • Delegating Tasks • Employee Engagement Strategies • Evaluating Information • Interpersonal Communication • Interpersonal Relationships • Management Techniques • Monitor Processes, Materials, or Surroundings • Oral Communications • Problem Sensitivity • Researching • Service Oriented • Time Management • Written Communication Responsibilities • Assists in development and supervises the drug utilization and prior authorization review program. • Reviews and interprets coverage across assigned line(s) of business to determine what type of review is required and works with requesting providers, corporate medical directors, and other internal staff, as appropriate, in determining whether a specific case presentation meets the criteria for approval according to the specific coverage criteria.