- Catholic Health Initiatives (Little Rock, AR)
- **Job Summary and Responsibilities** The Utilization Management Assistant plays a crucial supporting role within the Utilization Management ... compliance with regulatory requirements and payer guidelines. The UM Assistant helps to ensure appropriate resource utilization ...in a healthcare setting is required. + Experience in Utilization Management , Case Management , Revenue… more
- Humana (Little Rock, AR)
- …Care Management Support Assistant 2 contributes to administration of care management , utilization management and daily operations. The ACD RC duties ... authorizations. + Coordinates authorizations with Autism Services Navigators and Utilization Management according to established HUMANA GOVERNMENT BUSINESS… more
- Sedgwick (Little Rock, AR)
- …satisfaction; to ensure efficient, cost effective, and high quality delivery of case management and utilization review services to clients for multiple business ... lines; and to provide expertise in client specific case management and utilization review requirements and ensure customer satisfaction through the provision of… more
- Sharecare (Little Rock, AR)
- …/ new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status, including but not limited to medical, ... or 3rd parties for: + Claims adjustments + Grievances and appeals submissions + Utilization management intake or status + Complex pharmacy inquiries + Complex… more
- Arkansas Children's (Little Rock, AR)
- …ERISA, HIPAA, and plan rules. 3. Develop and monitor dashboards that track cost, utilization , and accuracy. 4. Model cost and ROI for proposed plan design changes. ... and implement process improvements in reconciliation and vendor data management . 7. Benchmark benefits against peers and best practices...."Care, love, and hope for children!" Kathy - Administrative Assistant "When I think of my time here at… more