- Elevance Health (Louisville, KY)
- ** Utilization Management Representative I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person ... unless an accommodation is granted as required by law._ The ** Utilization Management Representative I** will be responsible for coordinating cases… more
- Molina Healthcare (Covington, KY)
- …example, such meetings would occur to discuss and resolve issues related to utilization management , pharmacy, quality of care, and correct coding. * ... **_ Remote and must live in Kentucky _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network… more
- Catholic Health Initiatives (Lexington, KY)
- …emphasis will be on care coordination, communication and collaboration with utilization management , nursing, physicians, ancillary departments, insurers and post ... plan, engaging other relevant health team members, the patient and/or patient representative and post acute care providers in accordance with the patients clinical… more
- Guardian Life (Frankfort, KY)
- …vision, life, accident, disability, statutory, supplemental health, voluntary benefits, and leave management ) with a high level of operational efficiency. You will + ... issue quotes to the broker/producer/client. + Review experience and utilization reports with Sales Representatives for groups with under...and add issue quotes while also engaging the Sales Representative , as needed, to help close the renewal or… more