- Molina Healthcare (Cincinnati, OH)
- …live in Ohio _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy ... compliance with all relevant federal, state and local regulations. Provider Relations staff are the primary point...monthly site visit goals. A key responsibility of the Representative during these visits is to proactively engage with… more
- Elevance Health (Mason, OH)
- **Utilization Management Representative I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training ... is granted as required by law._ The **Utilization Management Representative I** will be responsible for coordinating cases for...requests. + Refers cases requiring clinical review to a Nurse reviewer. + Responsible for the identification and data… more
- Elevance Health (Mason, OH)
- **Utilization Management Representative I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training ... is granted as required by law._ The **Utilization Management Representative I** will be responsible for coordinating cases for...requests. + Refers cases requiring clinical review to a Nurse reviewer. + Responsible for the identification and data… more