Clinical Pharmacist
Capital Rx
Judi Health seeks a subject matter expert in prior authorization and appeals to ensure regulatory compliance across Commercial, Medicare, and Medicaid lines. You will oversee PA workflows, mentor staff, and manage clinical denial language while collaborating with managers to optimize staffing and performance. Responsibilities include direct PA reviews, education calls, data analysis, and coordinating with Medicare and providers to ensure appropriate decisions and timely processing. #J-18808-Ljbffr
Vacancy posted 1 day ago
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