- Elevance Health (Durham, NC)
- ** Utilization Management Representative II ** **Location:** This is a remote position but candidates should live within 50 miles of one of our PulsePoint ... locations. The **Utilizations Management Representative II ** is responsible for managing incoming calls, including triage, opening of cases and authorizing… more
- Highmark Health (Raleigh, NC)
- …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
- WM (Cary, NC)
- …establishes, and maintains performance and productivity metrics and cost management processes. Responsible for P&L. Route Managers and/or District Operations ... Managers will report directly to this role. ** II . Essential Duties and Responsibilities** Essential Function + Manages the District's day-to-day operations and… more