- Elevance Health (Richmond, VA)
- ** 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 (Richmond, VA)
- …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
- Truist (Richmond, VA)
- …time to time. + Work in conjunction with the Relationship Manager, Client Manager II , Client Manager I, and Account Analyst III Lead to ensure uniformity, efficiency ... + Support of Account Administration policies and procedures + Utilization of Corporate Trust and Escrow Services systems and...professionals to assure quality service. + The Account Analyst II will take ownership of solving client problems and… more