Bachelor's degree in healthcare, nursing, or a related field is preferred., Experience in utilization management or prior authorization processes is essential., Strong analytical skills and attention to detail are required., Excellent communication skills for interacting with healthcare providers and clients..
Key responsibilities:
Review and assess prior authorization requests for medical services and procedures.
Collaborate with healthcare providers to gather necessary information for authorization.
Ensure compliance with regulatory requirements and company policies.
Maintain accurate documentation and reporting of authorization decisions.
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Innovation, discovery and passion drive the researchers of Sanford Research to find new treatments, eradicate disease and improve lives around the world through scientific breakthroughs. Sanford Research is part of Sanford Health, an integrated health system headquartered in the Dakotas.