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Alberta Blue Cross® is an Alberta based organization dedicated to delivering exceptional customer experience and community leadership. We’re committed to providing the best health coverage to over 1.8 million members…
Evaluates and approves Special Authorization requests for prescription drugs, ensuring compliance with guidelines and facilitating claims processing for Alberta Blue Cross members. Uses medical knowledge and systems to assess requests, communicate decisions, and handle customer inquiries remotely.
Builds and maintains financial reports and data pipelines for a health-benefits provider, using SQL, Python, Power BI, and Excel to clean, validate, and analyze health-plan data.
Reviews and processes drug coverage requests for patients, using medical and administrative systems to approve or deny special authorization requests based on guidelines.
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