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 workplace.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 claimsCommunicate results to members, providers, and pharmaciesResearch and resolve non-standard authorization scenariosSupport internal teams with Prior Authorization guidanceManage escalated claims issues proactivelyRequirements:Post-secondary education or relevant experience2-3 years in case management or claims environmentProficiency in Microsoft Office 365 applicationsKnowledge of medical terminology and benefits administrationStrong analytical and communication skillsEnhance the customer experience and become a subject matter expert at Manulife.

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