Drive excellence in managing complex Prior Authorization claims at Manulife. This hybrid role demands skilled case management and direct communication with members and providers in a customer-focused environment. As a Drug Prior Authorization Case Manager, you'll autonomously manage intricate claims while ensuring top-tier service.

A deep understanding of drug requests, clinical guidelines, and extensive research is essential. Your expertise will directly support various stakeholders, providing critical guidance and mentorship. Key Responsibilities:

- Oversee the complete lifecycle of complex drug claims
- Communicate results to members, providers, and pharmacies
- Research and resolve non-standard authorization scenarios
- Support internal teams with Prior Authorization guidance
- Manage escalated claims issues proactively

Requirements:

- Post-secondary education or relevant experience
- 2-3 years in case management or claims environment
- Proficiency in Microsoft Office 365 applications
- Knowledge of medical terminology and perks administration
- Strong analytical and communication skills

Enhance the customer experience and become a subject matter expert at Manulife.

📌 Prior Authorization Case Manager at Manulife (Waterloo)
🏢 Manulife
📍 Waterloo