Sehar Rehman

Sehar Rehman is an accomplished healthcare professional with extensive experience in clinical appeals and grievances management. Currently serving as Manager of Clinical Appeals & Grievances at Healthfirst since May 2021, Sehar utilizes clinical expertise and medical policies to resolve appeal requests while ensuring compliance with federal and state regulations. Prior experience includes a role as a Utilization Management Nurse Consultant at Aetna, where responsibilities involved reviewing medical records and guiding coverage decisions. Additionally, Sehar has worked as a Prior Authorization Specialist at TLCRx Specialty Pharmacy, enhancing approval rates for high-cost medications, and as a Resolution Center Specialist at Walgreens Boots Alliance, handling pharmacy claim rejections efficiently. Educational qualifications include a Bachelor of Science in Nursing from Jacksonville University and a Post Graduate Program in Data Science and Business Analytics from The University of Texas at Austin.