- Humana (Topeka, KS)
- …for our provider partners and reducing unnecessary costs from the healthcare system. The Utilization Management Strategy Lead role works closely with ... and providers, (3) achieve these outcomes while driving operating efficiency. The Utilization Management Strategy Lead will bring deep expertise in… more
- Humana (Topeka, KS)
- …for key Medicaid programs and subpopulations. Areas of focus include Care Management , Quality Improvement, Utilization Management , Population Health, Social ... health first** Humana Healthy Horizons is seeking a Capture Lead , Clinical & Population Health Strategy , to...Medicaid Managed Care Organization (MCO) focusing on Medicaid clinical strategy and population health management strategy… more
- Humana (Topeka, KS)
- …with various stakeholders to drive strategic advancements in the Clinical - Utilization Management operating model. The Advisor must exercise independent ... caring community and help us put health first** The Strategy Advancement Advisor plays a crucial leadership role that...**Manage the operating model elements of the Clinical - Utilization Management (UM) domain** + Serve as… more
- Under Armour, Inc. (Topeka, KS)
- Technology Adoption Lead **Date:** Sep 14, 2024 **Location:** Remote, US **Company:** Under Armour **Values & Innovation** At Under Armour, we are committed to ... (https://performancemanager8.successfactors.com/sf/careers/jobsearch?bplte\_company=ua&\_s.crb=aNMP8gWoYkBDFn%252bz2BldysgcgQHZpVs6tHzE9smSuXE%253d) **Purpose of Role** The Technology Adoption Lead is responsible for driving successful global… more
- Humana (Topeka, KS)
- …a part of our caring community and help us put health first** The Lead Cloud Solutions Engineer (Network) is responsible for the planning, design, and engineering of ... infrastructure and platforms related to cloud network & cloud computing. The Lead Cloud Solutions Engineer (Network) provides strategic advice and guidance to… more
- Organon & Co. (Topeka, KS)
- …or leadership type positions, Key Account Management / Client Service Management , Marketing, and/or Strategy preferably in the healthcare industry. + Minimum ... priorities for state-level policy activities designed to increase appropriate LARC utilization (Dependent on State Lobbying Statutes). Will partner with the GAE… more
- Marriott (Topeka, KS)
- …to handle access, and the strategy and governance of the privileged access management + Lead PAM product definition, requirements and development + Lead ... States **Schedule** Full-Time **Located Remotely?** Y **Relocation?** N **Position Type** Management **JOB SUMMARY** The Director of Privileged Access Management … more
- Elevance Health (Topeka, KS)
- …information regarding case and determines appropriate area to refer or assign case ( utilization management , case management , QI, Med Review). + Conducts ... BCC authorizations and/or deferrals. + Responsibilities exclude conducting any utilization management review activities which require interpretation of… more
- Elevance Health (Topeka, KS)
- …information regarding case and determines appropriate area to refer or assign case ( utilization management , case management , QI, Med Review). + Provides ... and documents all actions. + Responsibilities exclude conducting any utilization management review activities which require interpretation...creating a culture that is designed to advance our strategy but will also lead to personal… more
- Elevance Health (Topeka, KS)
- …information regarding case and determines appropriate area to refer or assign case ( utilization management , case management , QI, Med Review). Provides ... reports and documents all actions. Responsibilities exclude conducting any utilization management review activities which require interpretation...creating a culture that is designed to advance our strategy but will also lead to personal… more
- Elevance Health (Topeka, KS)
- …(such as LTSS/IDD), behavioral health or physical health needs. + Submits utilization /authorization requests to utilization management with documentation ... Engages the primary service coordinator and other clinical healthcare management and interdisciplinary teams to provide care coordination support....creating a culture that is designed to advance our strategy but will also lead to personal… more
- Elevance Health (Topeka, KS)
- …and medical management department. + Identifies and reports on provider utilization patterns which have a direct impact on the quality of service delivery. ... issues as administrative and medical policy, reimbursement and provider utilization patterns. + Conducts seminars to support the understanding...creating a culture that is designed to advance our strategy but will also lead to personal… more
- Verint Systems, Inc. (Topeka, KS)
- … strategy , administration, compliance, communications, implementation and evaluation. + Lead annual renewal and open enrollment processes, including obtaining and ... analyzing benchmark data and utilization data, identifying trends, preparing recommendations with impact assessments...the company's total rewards philosophy. + Maintain a wellness strategy that nurtures a culture of health with an… more
- Elevance Health (Topeka, KS)
- …participates in cross-functional corporate teams which design and implement new care/case/ utilization management programs. + Develops and implements process and ... include, but are not limited to: + Ensures appropriate utilization and administration and/or delivery of EAP or Behavioral...creating a culture that is designed to advance our strategy but will also lead to personal… more
- Travelers Insurance Company (Topeka, KS)
- …Finance and Claim Business Intelligence Analytics to develop and deliver a financial management and control strategy to limit financial risk associated with ... at industry related conferences and forums. **What Will You Do?** + Claim Strategy : + For specific national line of business initiatives develops and directs… more
- Pearson (Topeka, KS)
- Product Manager - Generative AI Product Strategy in Higher Education Background: Pearson is the world's learning company. We help people of all ages acquire the ... AI in a thoughtful way and adapting our product strategy to meet customer needs and realize the possibilities...This role will report to the Director of Product Management in the Higher Education division at Pearson and… more
- Elevance Health (Topeka, KS)
- …At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. ... The **LTSS SERVICE COORDINATOR - RN CLINICIAN** is responsible for overall management of member's case within the scope of licensure; provides supervision and… more
- Elevance Health (Topeka, KS)
- …resolution through direct contact with providers, claims, pricing and medical management department. Identifies and reports on provider utilization patterns ... service experience including 2 years experience as a Network Management Rep; or any combination of education and experience,...creating a culture that is designed to advance our strategy but will also lead to personal… more
- Elevance Health (Topeka, KS)
- …Health Care Management staff by assisting in training, attending utilization management rounds, and serving on interdepartmental initiatives; assists in ... external Behavioral Health Providers to ensure appropriate and consistent utilization of plan benefits, out of network services, and...creating a culture that is designed to advance our strategy but will also lead to personal… more
- Ford Motor Company (Topeka, KS)
- …Pro Service Elite facility vision in compliance with Retail Network standards + Utilization of data to lead strategic decisions and implement throughout ... launch team + Collaborates with business leaders and senior management to influence, develop, and execute Ford Pro Elite...drive uptime Network leadership _Employee Development and Market Area/Regional Strategy Development_ + Lead the Ford Pro… more