necessity review);experience with medical necessity triggers, high-cost drug/services, pharmacy & DME integrity, behavioral... across medical and pharmacy domains. Core Objectives 1. Ground Truth Expansion Expanding the curated ground truth dataset...
, that may include an LCSW, CHW, Pharmacist, Pharmacy Technician, Coordinator, Care Transition, and Transportation to initiate... in providing transitional care services to the Members with each transition from one care setting to the next. Responsibilities...
automation initiatives to reduce manual operational effort Improve operational efficiency through scripting and tooling...: Medical & pharmacy coverage, Dental/vision insurance, 401(k), Health saving account (HSA) and Flexible spending account (FSA...