Prior Authorization Nurse

Job description

JOIN A LEADING HEALTHCARE COMPANY: Do you want to join a leading healthcare team focused on nurturing long-term patient and caregiver relationships? Do you want to be a part of a company that is committed to hiring the best people and using the best technology and tools to deliver improved health outcomes for patients and partners? If so, take a look at the available career opportunities at Curant Health. Curant Health is searching for a Prior Authorization Pharmacist to join its team in Smyrna, GA. The Prior Authorization Pharmacist oversees clinical and operational aspects of specialty medication prior authorizations. This role involves processing and evaluating PA requests, supervising PA specialists, and serving as a clinical resource to both internal and external stakeholders. Key Responsibilities: clinical criteria, and member benefits. review reports for clients and ensure regulatory reporting requirements for drug utilization review, fraud and abuse reporting are met. respect to beneficiaries’ benefits and therapeutic interventions and reviewing/evaluating the health surveys and utilization data for program management and development. medication-related prior authorizations...