- Humana (Frankfort, KY)
- **Become a part of our caring community and help us put health first** The Pharmacy Contracting Professional 2 ensures contract compliance and performs ... minimal direction and receives guidance where needed. Follows established guidelines/procedures. The Pharmacy Contracting Professional 2 ensures contract… more
- Molina Healthcare (Lexington, KY)
- …providers and medical managers regarding utilization practices, guideline usage, pharmacy utilization and effective resource management. + Develops and implements ... and improve Utilization Management. + Actively participates in regulatory, professional and community activities. **JOB QUALIFICATIONS** **REQUIRED EDUCATION:** +… more
- Molina Healthcare (Lexington, KY)
- …that interface with the segment including medical management, network contracting and provider relations, member services, claims management, payment integrity, ... pharmacy , quality and risk adjustment. * Acts as a...leadership experience, including clinical practice experience, and at least 2 years as a medical director in managed care… more