- Evolent Health (Frankfort, KY)
- …selecting health plans or regions, assuming overall accountability for utilization management while working in conjunction with the Senior Medical Director. ... Reviewer you will be a key member of the utilization management team. We can offer you... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National… more
- Evolent Health (Frankfort, KY)
- …Be Doing:** As a Physician Clinical Reviewer you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference ... Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. +… more
- Humana (Frankfort, KY)
- …corporate communications to be shared with senior leadership. Supports trend management by conducting analysis of drug spend, utilization , and/or approval ... pharmacy department provides optimal pharmaceutical services that meet all legal, accreditation , and certification requirements. Keeps current with State and Federal… more