Allegheny Health Network
This role involves capturing and reviewing all inbound inquiries regarding utilization management from healthcare providers and pharmacies. The incumbent assesses requests, researches member benefit coverage, and enters accurate data into Highmark's Utilization Management system for clinical prior authorization review. Responsibilities also include necessary follow-up communication with providers or pharmacists and ensuring adherence to regulatory compliance and service level agreements.
Headquarters
Pittsburgh, Pennsylvania, United States
Company Size
10001+ employees
Founded
2013
Through every triumph, every stumble, and everything in between, our experts offer compassionate care & the latest medical treatments to fit your unique needs.
Headquarters
San Francisco, CA
Company Size
201-500 employees
Founded
2018
Industry
Technology
Glassdoor Rating
4.2 / 5
Sarah Johnson
Chief Executive Officer
Michael Chen
Chief Technology Officer
Emily Williams
VP of Engineering
David Rodriguez
VP of Product
Jessica Thompson
Chief Financial Officer
Andrew Park
VP of Sales
View leadership team, funding history,
and employee contacts for Allegheny Health Network.
51% below the average for this role