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* Perform utilization review determinations for oncology populations, and support case and disease management teams to achieve optimal clinical...
* Review and sign off on proposed pharmacist denials for preservice outpatient medication requests, after review of medical records when provided...
* Perform utilization review determinations for oncology populations, and support case and disease management teams to achieve optimal clinical...
* Perform utilization review determinations for oncology populations, and support case and disease management teams to achieve optimal clinical...
* Perform utilization review determinations for oncology populations, and support case and disease management teams to achieve optimal clinical...
* Participate in telephonic outreach for collaboration with treating providers. This will include discussion of evidence - based guidelines...
* Conduct coverage reviews based on individual member plan benefits and national and proprietary coverage review policies, render coverage...
* Work to improve quality and promote evidence-based medicine * Provide information on quality and efficiency to doctors, patients and customers...
* Participate in telephonic outreach for collaboration with treating providers. This will include discussion of evidence - based guidelines...
* Conduct coverage reviews based on individual member plan benefits and national and proprietary coverage review policies, render coverage...
* Assists in development and maintaining an efficient UM program to meet the needs of the health plan members and commensurate with company values...
* Conduct coverage reviews based on individual member plan benefits and national and proprietary coverage review policies, render coverage...
* Perform utilization review determinations for oncology populations, and support case and disease management teams to achieve optimal clinical...
* Conduct coverage reviews based on individual member plan benefits and national and proprietary coverage review policies, render coverage...
* Participate in telephonic outreach for collaboration with treating providers. This will include discussion of evidence - based guidelines...
* Work to improve quality and promote evidence-based medicine * Provide information on quality and efficiency to doctors, patients and customers...
* Conduct coverage reviews based on individual member plan benefits and national and proprietary coverage review policies, render coverage...
* Review and sign off on proposed pharmacist denials for preservice outpatient medication requests, after review of medical records when provided...
* Assists in development and maintaining an efficient UM program to meet the needs of the health plan members and commensurate with company values...
* Participate in telephonic outreach for collaboration with treating providers. This will include discussion of evidence - based guidelines...
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