- Evolent Health (Topeka, KS)
- …We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health… more
- Elevance Health (Topeka, KS)
- …week. This is a hybrid role.** The **Manager of Behavioral Health - Kansas - Utilization Management (BH UM)** will manage a team of licensed clinicians and ... and/or outpatient psychiatric and chemical dependency treatment and prior utilization management experience; or any combination of...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Elevance Health (Topeka, KS)
- ** Utilization Management Rep I** **Location:** This position will work a hybrid model (remote and office). Candidates must reside in Olathe, KS, Topeka, KS, or ... Overland Park, KS. The ** Utilization Management Rep I** is responsible for...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Elevance Health (Topeka, KS)
- …**Preferred skills, Capabilities, and Experience:** + Compact license is preferred. + Utilization Management experience preferred. + Medicaid Utilization ... **Licensed Utilization Review II** **Location** : KS, FL. and...medically appropriate, quality, cost effective care throughout the medical management process. + Educates the member about plan benefits… 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 lead...health of the communities it serves. The **Medicaid Capture Management ** team's purpose is to successfully position Humana to… 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
- Merck (Topeka, KS)
- …for this hybrid position will have responsibilities as both an Institutional Account Lead (IAL) and Payer Account Executive within the assigned geography and for ... but are not limited to the following:** The IAL Hybrid Institutional Account Lead / Payer Account Executive will manage the business relationship between our Company… more
- GAF (Topeka, KS)
- …a financial budget, strategic project execution (fleet growth) regulatory compliance, and utilization metrics. The Director of Asset Management will create a ... service lease to a hybrid (majority owned) fleet. + Lead the asset utilization drive and work...or 10+ years of experience in asset lifecycle, maintenance management and asset utilization leadership + 7+… 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 of clinical… more
- Marriott (Topeka, KS)
- …used 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
- Organon & Co. (Topeka, KS)
- …priorities for state-level policy activities designed to increase appropriate LARC utilization (Dependent on State Lobbying Statutes). Will partner with the GAE ... RPAD. + Group Purchasing Organizations (GPOs) not covered by RPAD. + Management Service Organization (MSO). + Independent Physicians Associations (IPAs). Discuss and… more
- Elevance Health (Topeka, KS)
- …is a hybrid role.** The **Manager of Behavioral Health - Kansas - Case Management (BH CM)** will manage a team of licensed clinicians and non-clinical support staff ... consultation and education to customers and internal staff for efficient utilization of BH services; supports process improvement and quality assurance activities;… more
- Humana (Topeka, KS)
- …and help us put health first** Humana is seeking a Senior Economist to lead the development and management of advanced econometric models to forecast and ... understand drug utilization trends and costs. As a Senior Economist, you...Your work will focus on understanding structures underpinning drug utilization and costs to create and maintain time series… more
- Humana (Topeka, KS)
- …interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , discharge ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
- Humana (Topeka, KS)
- …interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , discharge ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
- Humana (Topeka, KS)
- …skills, with prior experience participating in teams focusing on quality management , utilization management , and acute inpatient rehabilitation ... hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers + Utilization management experience in a medical management … more
- Elevance Health (Topeka, KS)
- …associates, and may be involved in process improvement initiatives. + Submits utilization /authorization requests to utilization management with documentation ... integrated care plan, engaging the member's circle of support and overall management of the individuals physical health (PH)/behavioral health (BH)/LTSS needs, as… 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 transitions of care coordination support.… more
- Ryder System (Topeka, KS)
- …at all levels and functions across the operation. This position reports to the Lead Engineer, CI Manager or Sr. CI Manager and is closely aligned with Operations ... Management . + Lean background is mandatory + Warehouse Engineer...Manages and completes CI and steady-state engineering projects that lead to improved business results. Assesses CI initiatives and… 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. ... on such issues as administrative and medical policy, reimbursement and provider utilization patterns. + Conducts seminars to support the understanding of managed… more