- Elevance Health (Louisville, KY)
- **Title: Utilization Management Representative II ** **Location:** This position will work a remote model. Ideal candidates will live within 50 miles of ... one of our PulsePoint locations. The ** Utilization Management Representative II ** will be responsible for managing incoming calls, including triage,… more
- Highmark Health (Frankfort, KY)
- …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 (Frankfort, KY)
- …the Technical Service Management Team including training, development and performance management . + Align processes and system utilization to drive cohesive ... revenue growth strategy through the leadership of the Technical Service Center. ** II . Essential Duties and Responsibilities** To perform this job successfully, an… more