... . Communicates decision to physicians, physicians office staff, medical management staff and/or pharmacists ... , physicians office staff, medical management staff and/or pharmacists. Escalates requests to Pharmacist ...

... management staff, other Physician Clinical Reviewers (PCR), and health plan members and staff whenever a ... . Ensures documentation of all communications with medical office staff and/or MD provider is recorded in a ...

... physicians, their staff, cardholders, and pharmacies. Escalates medical exception requests to nurse ...

... appropriateness for medications. Communicates decision to physicians, physician`s office staff, medical management staff and/or pharmacists. Researches, resolves and documents prior authorization outcomes in pharmacy ...

... . Communicates decision to physicians, physicians office staff, medical management staff and/or pharmacists ... , physicians office staff, medical management staff and/or pharmacists. Escalates requests to Pharmacist ...

... expectations and hire and train additional staff, as needed Review team proposals to identify potential ... relationships with proposal staff at Prime’s clients (if applicable) to strategically develop and execute ...

... and process analysis. Researches and responds to providers and other internal staff regarding ...

... Provide mentorship to department staff Other duties as assigned **Minimum Qualifications ...

... management staff, other Physician Clinical Reviewers (PCR), and health plan members and staff whenever a ... . Ensures documentation of all communications with medical office staff and/or MD provider is recorded in a ...

... applicable medical necessity guidelines. Routinely interacts with physicians, leadership and management staff, other Physician Clinical Reviewers (PCR), and health plan members and staff whenever a physician`s input ...

... management staff, other Physician Clinical Reviewers (PCR), and health plan members and staff whenever a ... . Ensures documentation of all communications with medical office staff and/or MD provider is recorded in a ...