- Reno Behavioral Healthcare Hospital (Reno, NV)
- The UR Specialist reviews and monitors patients' utilization of health care services with the goal of maintaining high quality, cost-effective care. The duties ... include providing the medical and utilization expertise necessary to evaluate the appropriateness and efficiency...of care that may be covered. + Monitors all utilization reports to assure compliance with reporting and turnaround… more
- Verint Systems, Inc. (Carson City, NV)
- …enrollment processes, including obtaining and analyzing benchmark data and utilization data, identifying trends, preparing recommendations with impact assessments ... across plans to address issues, discuss trends & best practice, utilization and opportunities for improvement. + Responsible for ensuring internal compliance… more
- Prime Therapeutics (Carson City, NV)
- …This role's responsibilities may include the management of drug formulary, Utilization Management (UM) programs, benefit design strategies, and other drug therapy ... provide work direction to a Clinical Program Manager or Clinical Program Specialist + Provide consultation and recommendations to the client regarding Prime standard… more
- Marriott (Carson City, NV)
- …standards relevant to finance and technology (eg, GDPR, SOX, PCI-DSS). + Ability to review and manage usage, licensing, and costs with vendor platforms. + Ability to ... expert for both senior leadership and project teams in effective utilization of existing technology in business technical applications, either enterprise-wise or… more