- Elevance Health (Columbus, GA)
- Job Description **Title: Utilization Management Representative I** **Location:** This position will work a hybrid model (remote and office). Ideal candidates ... will live within 50 miles of one of our PulsePoint locations. The ** Utilization Management Representative I** will be responsible for coordinating cases for… more
- Elevance Health (Columbus, GA)
- **Title: Utilization Management Representative II** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live ... within 50 miles of one of our PulsePoint locations. The ** Utilization Management Representative II** will be responsible for managing incoming calls,… more
- Molina Healthcare (Columbus, GA)
- … (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
- Elevance Health (Columbus, GA)
- …documents to convey the determination. + Responsibilities exclude conducting any utilization or medical management review activities that require the ... **SCA Appeals Representative I** **_Locations:_** _This is a virtual position....liaison between grievances & and appeals and /or medical management , legal, and/or service operations, and other internal departments.… more