Clinical Appeals Nurse, Home Infusion - Office Based - Lenexa, KS - (Lenexa, KS)

Careers with OptumRx. We’re 1 of the largest and most innovative pharmacy benefits managers in the US, serving more than twelve million people nationwide. Here you’ll fill far more than prescriptions. As a member of 1 of our pharmacy teams, you’re empowered to be your best and do whatever it takes to help each customer. You’ll find unrivaled support and training as well as a wealth of growth and development opportunities driven by your performance and limited only by your imagination. Join us. There’s no better place to help people live healthier lives while doing your life's best work.(sm) Under supervision, investigates and submits complex and sensitive infusion service - related documentation to health insurance carriers on behalf of OptumRx / AxelaCare patients. Analyzes past, current and proposed treatment protocols to ensure their appropriateness and responsiveness to patient needs. Conducts clinical literature research and reviews payor coverage guidelines.