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AMERICAN DENTAL ASSOCIATION
Chicago, Illinois
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Program Manager - Prior Authorization
DescriptionSummary:This role requires the ability to work onsite at our corporate office in Irving, TX. The Program Manager- Prior Authorization is responsible for completing timely review and authorization request activities for the CHRISTUS Health system, ensuring the requests meet national standards and contractual requirements. Promotes quality and cost-effective patient care using clinical acumen. Direct interface to the corporate Managed Care department to escalate and bring to resolution payor related issues involving post acute prior authorizations. Works collaboratively with case management, utilization review, physician advisors, and clinical care providers to effectively manage post-acute care authorization needs. Prepares doc
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