- Elevance Health (Olathe, KS)
- ** Utilization Management Rep I** **Location:** This position will work a hybrid model (remote and office). Candidates must reside in Olathe, KS, Topeka, KS, ... or Overland Park, KS. The ** Utilization Management Rep I** is responsible for coordinating cases for precertification and prior authorization review. **How… more
- Elevance Health (Olathe, KS)
- …3 years of customer service experience including 2 years experience as a Network Management Rep ; or any combination of education and experience, which would ... **Network Relations Consultant, LTSS Provider Representative ** **Location:** Kansas. This position will work a...management department. + Identifies and reports on provider utilization patterns which have a direct impact on the… more
- Highmark Health (Topeka, KS)
- …and education or if necessary involve Special Investigation Unit or the Utilization Management area. **ESSENTIAL RESPONSIBILITIES** + Implement the pre-payment ... data to assure appropriate level of payment and resource utilization . It is also used to identify issues which...+ Ability to visualize, articulate and solve complex problems representative of a broad range of service and claim… more
- Sutherland Global Services (Topeka, KS)
- …+ Billing Inquiries & Complaints + Authorizations + Status Inquiries + Utilization Management Inquiries **Eligibility and Benefits** + Status Inquiries + ... working in a high-volume call center environment as a customer service representative + Effective verbal and written communication skills + Strong typing and… more
- Sutherland Global Services (Topeka, KS)
- …of Benefits Requests + Authorizations + Status Inquiries + Denial Rationale + Utilization Management Appeals + Prior Authorization Verification + Eligibility and ... a high-volume call center environment as a customer service representative + Effective verbal and written communication skills +...skills with a strong attention to detail + Time Management skills + Sufficient Internet speeds while connected to… more
- Highmark Health (Topeka, KS)
- …review and make determinations regarding physician reviewer assignments for medical management decisions. Cases requiring physician review are provider and member ... requests, received from Medical Management & Policy (MM&P) and Member Grievance Departments. * Responsible for management of Peer to Peer telephone line. Will… more
- Ford Motor Company (Topeka, KS)
- …Team and Agency launch team + Collaborates with business leaders and senior management to influence, develop, and execute Ford Pro Elite plans to support the ... facility vision in compliance with Retail Network standards + Utilization of data to lead strategic decisions and implement...and manage the Ford Pro Service Elite and Market Rep General Office and Field Team + Negotiate with… more
- Elevance Health (Topeka, KS)
- …5 years of customer service experience including 2 years experience as a Network Management Rep ; or any combination of education and experience, which would ... resolution through direct contact with providers, claims, pricing and medical management department. Identifies and reports on provider utilization patterns… more
- Ryder System (Topeka, KS)
- …CI Manager or Sr. CI Manager and is closely aligned with Operations Management . + Lean background is mandatory + Warehouse Engineer experience is required + ... Identify and support Automation projects. Regularly interacts with operations management and/or customer(s). + Develop and demonstrate competency in wide… more
- ZOLL Medical Corporation (Topeka, KS)
- …patients suffering from serious cardiopulmonary and respiratory conditions.ZOLL Cardiac Management Solutions offers a unique portfolio of novel technologies designed ... patients at risk of sudden cardiac death. + HFMS (https://cardiacdiagnostics.zoll.com/products/heart-failure-arrhythmia- management -system/) (Heart Failure Management system) is a… more
- CBRE (Topeka, KS)
- …GWS Segment Role type Full-time Areas of Interest Customer Service, Facilities Management Location(s) Boston - Massachusetts - United States of America, Remote - ... staffing levels to meet expectations; provides direction on Experience Services management , including recruitment of talent, training, performance management ,… more
- Guardian Life (Topeka, KS)
- …attitude. You can collaborate with stakeholders to provide effective case management within the boundaries of contractual definitions. **You will:** + Assess ... providers to formulate viable return to gainful work plans. Cost effective utilization of vendors to provide rehabilitative services to support program goal.… more
- CBRE (Topeka, KS)
- …an exciting and growing environment. This contributor will provide oversight and management of the Financial Systems department, who develop and support software ... used by Client Accounting Services and Real Estate Management teams. What You'll Do: + Identify, analyze, and...approval. + Supervise appropriate staffing levels and report on utilization and deployment of human resources. + Lead staff… more
- HealthEdge Software Inc (Topeka, KS)
- …support people need, when and where they need it. We call it Digital Health Management . Our comprehensive suite of Digital Health Management solutions for care ... ; ideally with a variety of experience in primary care, chronic disease management and/or public health. **Must have active license + Prior experience in **clinical… more
- CBRE (Topeka, KS)
- …13-Aug-2024 Service line GWS Segment Role type Full-time Areas of Interest Project Management Location(s) Phoenix - Arizona - United States of America, Remote - US ... healthcare vernacular. **What you'll do** Leads all facets of project management (budget, schedule, procurement, quality & risk) for individual healthcare projects… more
- Carrington (Topeka, KS)
- …operational report metrics. + Gain expert knowledge of the operational systems and utilization within the business process. + Act as the primary contact for ... technology, reporting and process related analysis. + Assist with scope management , change management and solution definition. + Create functional specifications… more
- HealthEdge Software Inc (Topeka, KS)
- …Quality Assurance), CMS (Centers for Medicare & Medicaid Services), URAC ( Utilization Review Accreditation Commission) and other State regulatory bodies. The ideal ... where they need it. We call it Digital Health Management . Our comprehensive suite of Digital Health Management...permanent **Work Environment:** The physical demands described here are representative of those that must be met by an… more
- Guardian Life (Topeka, KS)
- …negotiation skills. + The ability to accelerate impact and lead change. + Time management skills. **You will** + Manage PPO and DHMO recruitment efforts within your ... using market data to negotiate fee schedules and increasing utilization . + Speak to dentists/decision makers on the value...+ Complimentary 1:1 financial guidance with a licensed Fidelity representative **Time Off and Remote Work** + Flexible work… more