- Elevance Health (Louisville, KY)
- ** Utilization Management Representative I** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person ... integration, and ensures essential face-to-face onboarding and skill development. The ** Utilization Management Representative I** will be responsible… more
- Elevance Health (Louisville, KY)
- **Title: Utilization Management Representative I** **Location:** This role enables associates to work virtually full-time, with the exception of required ... integration, and ensures essential face-to-face onboarding and skill development. The ** Utilization Management Representative I** will be responsible… 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. * ... and contracted provider network. They are responsible for network management including provider education, communication, satisfaction, issue intake, access/availability… more
- Molina Healthcare (Louisville, KY)
- … (such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and pharmacy costs management ), clinical pharmacy ... **JOB DESCRIPTION** **Job Summary** Molina Pharmacy Services/ Management staff work to ensure that Molina members, providers, and pharmacies have access to all… more
- CDM Smith (Louisville, KY)
- …of cloud technologies, including design patterns, planning, configuration, and resource management in Microsoft Azure and other cloud platforms. * Develop DevSecOps ... (AAD), RBAC, IAM configuring role assignments, conditional access, and identity management . * Incorporate security best practices into cloud architecture and ensure… more
- ChenMed (Louisville, KY)
- …focusing on safety and efficacy, while assisting in the creation and management of the formulary. + Reviews and verifies prescriptions and medication orders ... appropriateness, including safety and efficacy. + Conducts prospective drug utilization reviews, evaluating proper dosage, usage directions, drug interactions,… more
- Louisville/Jefferson County MSD (Louisville, KY)
- …Diversity Advisory Council as directed by the Manager. Prepares data reports for management information, compliance and utilization . Coordinates a variety of MSD ... posting and/or electronic broadcast communication updates in the diversity software management system pertaining to the MBE/WBE/SBE policies and other pertinent MSD… more
- AbbVie (Louisville, KY)
- …approved labels, developing new business and expand current business, maximizing resource utilization , and increasing sales aimed at achieving sales plan for the ... requirement of your position is to meet health care industry representative (HCIR) credentialing requirements for entry into facilities and organizations that… more