- Elevance Health (Topeka, KS)
- Location: Candidate must reside in the state of Kansas. The ** Utilization Management Representative II** is responsible for managing incoming calls, including ... provider on referrals given. + Refers cases requiring clinical review to a nurse reviewer; and handles referrals for...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- FranklinCovey (Topeka, KS)
- …learn more, visit franklincovey.com . **Title:** Key Account Client Success Manager **Division & Department:** Enterprise Client Success **Status:** Full-Time Exempt ... **Reports to:** Manager , Client Success **Location:** Remote - Anywhere in the...and demonstrating value. + Conduct regular business reviews to review performance metrics, gather feedback, and identify opportunities for… more
- Evolent Health (Topeka, KS)
- …the minimum standards for National Committee for Quality Assurance (NCQA), Utilization Review Accreditation Commission (URAC), Employee Retirement Income ... legislative/oversight bodies [e.g., National Committee for Quality Assurance (NCQA), Utilization Review Accreditation Commission (URAC), Employee Retirement… more
- CBRE (Topeka, KS)
- Sr Procurement Manager , Procurement Point of Contact Job ID 188153 Posted 21-Oct-2024 Service line GWS Segment Role type Full-time Areas of Interest ... America **About the Role:** As a CBRE Procurement Sr. Manager , you'll be responsible for managing a large team...strategy at local, regional, and global levels. + Draft, review , negotiate, and maintain contracts and other business documents… more
- Prime Therapeutics (Topeka, KS)
- …are provided accurately and on time. + Supports the State Drug Utilization Review Boards and Pharmacy and Therapeutics (P&T) Committee. **Responsibilities** ... our passion and drives every decision we make. **Job Posting Title** Pharmacist Account Manager - New York Remote **Job Description Summary** Plays a key role in… more
- General Motors (Topeka, KS)
- **Job Description** **The Role** The Senior Manager of Marketing Analytics & Insights is the internal expert in transforming raw marketing data into actionable ... corporate and vehicle brands and GM Marketing teams to ensure adoption and utilization of insights, dashboards and data products, and optimization tools. They will… more
- Sunrun (Topeka, KS)
- …our commitment to diversity, inclusion and belonging. **Overview** The O&M Case Manager is responsible for coordinating effective execution of field service work ... and develop partner or branch relationships including weekly/monthly reviews, utilization and workload management, process updates and identification and resolution… more
- Cardinal Health (Topeka, KS)
- …If so, let's talk. Cardinal Health is looking for a versatile Design Program Manager to be a key driver in how the Product Experience organization evolves, improves, ... + Provide visibility and accurate reporting on organizational status, resource utilization , team performance, and project/program health when and where needed. +… more
- Elevance Health (Topeka, KS)
- …and outpatient professional treatment health benefits through telephonic or written review . **How you will make an impact:** + Uses appropriate screening ... there is licensed staff supervision. + Previous experience in case management/ utilization management with a broad range of experience with complex… more
- Amentum (Topeka, KS)
- …and ongoing management of benefit vendors and consultants; + Assists with the review of benefit documentation such as original and amended plan texts, benefit ... and reconciliation + Develop and distribute reports such as benefits utilization , trend analysis, claims, fees, and provider performance evaluations + Assists… more
- US Tech Solutions (Topeka, KS)
- …Health Services strategies, policies, and programs are comprised of utilization management, quality management, network management and clinical coverage and ... - Through the use of care management tools and information/data review , conducts comprehensive evaluation of referred member's needs/eligibility and recommends an… 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 initial ... BCC authorizations and/or deferrals. + Responsibilities exclude conducting any utilization management review activities which require interpretation of… more
- Elevance Health (Topeka, KS)
- …regarding case and determines appropriate area to refer or assign case ( utilization management, case management, QI, Med Review ). + Provides information ... reports and documents all actions. + Responsibilities exclude conducting any utilization management review activities which require interpretation of clinical… more
- Prime Therapeutics (Topeka, KS)
- …Regulatory Analyst is responsible for leading portions of departmental regulatory review and analysis, external audits and accreditation processes, and participates ... in committee review meetings within the Commercial, Medicare, Medicaid, and Health...regard to related regulatory activity and quality efforts involving utilization and/or medication therapy management, network management, client delegation… more
- Elevance Health (Topeka, KS)
- …documents to convey the determination. + Responsibilities exclude conducting any utilization or medical management review activities which require the ... of written response in clear, understandable language. + Utilizes guidelines and review tools to conduct extensive research and analyze the grievance and appeal… more
- Elevance Health (Topeka, KS)
- …must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US ... clinical reviews with attending physicians or other providers to discuss review determinations, and patients' office visits with providers and external physicians.… more
- Copeland (Topeka, KS)
- …Talent Acquisition Center of Excellence team and will report into the Talent Acquisition Manager - North America & Europe who is based out of the United States. ... and more difficult to fill roles + Coach and review the work of more junior members of the...strategies and approaches + Be an expert in the utilization of recruiting tools and be proficient in the… more
- Copeland (Topeka, KS)
- …networks, + Perform controller programming, commissioning and plant optimization. + Review store prints and specifications to ensure accurate programming and ... to the appropriate personnel. + Participate in Safety Audits with your Supervisor/ Manager . + Perform Environmental and Health (EHS) surveys on every site visit.… more
- Prime Therapeutics (Topeka, KS)
- …clinical experience. + Experience in managed care, specialty drugs, care management and utilization review . + Meets Magellan Credentialing criteria. + At minimum ... + Clinical and Quality oversight for this program is provided by the Manager , Patient Programs. **Responsibilities** + Registered Nurse (RN). + 5 years of… more