- 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
- CVS Health (Frankfort, KY)
- …This includes benefit set-up, claims processing, contractual oversight, formulary management and updates, medication utilization review, prior authorization ... safety. This may involve medication therapy management (MTM), disease management initiatives, drug utilization review, and medication adherence programs. +… more
- Molina Healthcare (Louisville, 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