- CVS Health (Frankfort, KY)
- …more personal, convenient and affordable. **Position Summary** This is a fully remote Utilization Review Clinical Consultant . **MUST RESIDE IN KENTUCKY** + ... skills to coordinate, document and communicate all aspects of the utilization /benefit management program. + Applies critical thinking and is knowledgeable… more
- Cardinal Health (Frankfort, KY)
- …1 supporting the Central Region, 1 supporting the Southeast Region.** **_What Clinical Operations contributes to Cardinal Health_** Clinical Operations is ... and service education to facilitate technology adoption and workflow change management . + Demonstrates extensive knowledge and understanding of relevant clinical… more
- Cardinal Health (Frankfort, KY)
- **_What Specialty Networks contributes to Cardinal Health_** Specialty Networks creates clinical & economic value for independent specialty providers & partners in ... Networks in creating value to the members in their clinical , operational, and economical goals. This individual will be...Member Profiles and overall success of membership network with utilization and optimization of Salesforce keeping up to date… more
- Molina Healthcare (Louisville, KY)
- …the results to senior leadership. Responsible for consulting with network and clinical management on opportunities to improve our company's discount position ... analysis of markets and network initiatives. The Medical Economics Consultant manages conflicting priorities and multiple projects concurrently. Responsible for… more
- Sedgwick (Frankfort, KY)
- …assessment, planning, coordination, implementation, and reporting of complex clinical data; to complete complex submissions revisions/updates in preparation ... final determination based on applicable coverage policies, coding guidelines and utilization and practice guidelines. + Reviews medical claims and completes complex… more