Reviews concurrent payer denials and intervenes with attending and/or consulting physicians and managed care medical directors, as needed, for reconsideration and denial avoidance.
March 01, 2020
Supports commercial teams, through the communication of medical issues to the commercial group, and by helping to formulate medical opportunities for the marketing team.
May 09, 2020
Lead and support all MAA operational activities required to meet MAA annual objectives, including accountability for the department's annual, midterm, and long-term strategic plans, product core medical plans, budget development and management, systems, and communications activities .
May 13, 2020
Collaborate across Clinical Services and the Organization to assess market specific care cost data to identify and implement changes to product design, provider reimbursement, medical policy, prior authorization requirements and other business processes to continuously drive toward improved care cost management, reductions in practice variation and high quality patient outcomes.
June 11, 2020
Provides medical and scientific expertise for internal cross-functional team members for development of specific anti-neoplastic agents including discovery scientists, medical scientists, biostatisticians, pharmacokineticists, pharmacovigilence and clinical operations.
June 18, 2020
Participates in review of long stay patients, in conjunction with the Director of Utilization Review Management to facilitate the use of the most appropriate level of care.
June 20, 2020
Works in close coordination with the processes of the Utilization Review Management staff for continual process improvement and reporting.
June 24, 2020