Waiver Provider Specialist

Job Summary

A company is looking for a Waiver Provider Specialist-2 to manage prior authorization reviews for non-clinical Community and Employment Support-waiver services.

Key Responsibilities

• Reviews non-clinical CES-waiver prior authorization requests
• Tracks dates and coordinates internally and externally on them
• Conducts provider outreach and support

Required Qualifications

• High school diploma or equivalent
• 5+ years of experience with the Community and Employment Support Waiver program and/or managed care experience
• Must be authorized to work in the U.S. without the need for employment-based visa sponsorship