- Humana (Frankfort, KY)
- …our caring community and help us put health first** The Director of Utilization Management ( UM ) Cost of Care Strategy provides data-based strategic ... for business segments or the company at large. The Director of Utilization Management ( UM ) Cost of Care Strategy requires an in-depth understanding of… more
- Molina Healthcare (Georgetown, KY)
- …**Job Summary** Molina's Behavioral Health function provides leadership and guidance for utilization management and case management programs for mental ... care management programs. **Knowledge/Skills/Abilities** Provides Psychiatric leadership for utilization management and case management programs for… more
- Highmark Health (Frankfort, KY)
- …account, and member educational initiatives that promote the Organization's Formularies, utilization management programs, and case/ disease management ... as a clinical pharmacist the incumbent may also review UM requests; provide consultation into the case and disease...review. + Assist in the development and implementation of utilization management programs including but not limited… more