Let’s do great things, together!
About Moda
Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together.
Position Summary
We are currently seeking a skilled and dedicated pharmacist to join our clinical pharmacy team. In this role, you will have the exciting opportunity to focus on the vital prior authorization functions of our work. Your primary responsibilities will involve making coverage determinations and completing appeal requests, using your clinical expertise to provide coverage decisions based on established criteria, guidelines, and specific plan design. By joining our team, you will be part of a dynamic environment where you can make a significant impact on patient care and contribute to the overall success of our healthcare organization. This is a FT WFH position.
Please fill out an application on our company page, linked below, to be considered for this position.
Required Skills, Experience & Education:
Preferred Skills, Experience & Education :
Primary Functions :
Together, we can be more. We can be better.
Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training.
...The Medical Receptionist position is responsible for greeting and registering patients, as well as administrative tasks and procedures that support... ...customer-service experience, multitasking ability, critical time management skills, demonstrated ability to interact with...
...accordingly. * *Thriving provider community:* Join our exclusive online community for providers to connect, share resources, and... ...) License/Certification: * LCSW, LMFT, LPC, LPCC, or PsyD (Required) Location: * California (Preferred) Work Location: Remote
...and achieving financial objectives within the underwriting department to support the company's revenue and profitability targets. This role involves underwriting new and renewal insurance applications, understanding exposures associated with each risk, determining risk...
...GENERAL DESCRIPTION The Project Manager is responsible for the overall leadership and management of the project, in a role and reporting... ...the closeout documentation required. EDUCATION AND EXPERIENCE # BS/BA degree in engineering, architecture, or construction...
...for new and existing Members in an accurate and timely matter Insurance Verification determine if Participating in net work or out of... ...Protects the confidentiality of member information and adheres to company policies regarding confidentiality. Performs other duties...