Related skills
program management stakeholder management healthcare sop prior authorization📋 Description
- Lead end-to-end execution for Gold Card and Provider Incentive programs.
- Own the Prior Authorization list with cross-functional governance and accuracy.
- Ensure UM programs meet state/federal mandates and audits.
- Develop and maintain SOPs for net-new initiatives.
- Drive refresh cycles for auto-approval rules and incentives.
- Manage cross-functional implementations with plans, stakeholders, and risks.
🎯 Requirements
- 4+ years in program management.
- 3+ years delivering projects/programs.
- 2+ years managing Prior Authorization list process.
- Experience in payer/health insurance.
🎁 Benefits
- Medical, dental, and vision benefits.
- 11 paid holidays.
- Paid sick time.
- Paid parental leave.
- 401(k) plan participation.
- Life and disability insurance.
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