Program Manager Ii
CurrentAs an Operational Program Manager II at Point32Health, I drive all operational functions for our department including leading committees which drive benefits, coding, prior authorization for all Lines of Business, complete coding requests, benefits programming requests, assist in policy review and implementation, manage maintenance of NCIS and Master PA grids, lead the quarterly review of new services/medical codes for coverage determination, review complex/appealed claims, and manage the Preventive Services Policy