- Evolent (Springfield, IL)
- …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The ** Coordinator , Intake Utilization Management ** at Evolent will serve as a ... regulatory requirements, and client contractual agreements. **Collaboration Opportunities** : The Coordinator , Intake Utilization Management reports directly… more
- Intermountain Health (Springfield, IL)
- …pharmacy services to members and affiliated providers. **Select Health Pharmacy Coordinator - Remote Position** This position requires rotating holiday and on ... use of pharmaceuticals. + Analyzes pharmacy claims to identify areas of utilization aberrations and opportunities for cost-efficiencies. + Provides support for the… more
- Centene Corporation (Springfield, IL)
- …28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive ... TIME ZONE.** **Position Purpose:** Monitor and facilitate member access and utilization of the Early Preventative Screening Diagnostic Testing (EPSDT) program and… more
- CVS Health (Springfield, IL)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... is 8:30am-5:00pm within time zone of residence.** American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS Health.… more
- CVS Health (Springfield, IL)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... is 8:30am - 5:00pm within time zone of residence.** American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS Health.… more