- Evolent Health (Topeka, KS)
- …resolutions, driving results, and collaborating with others. **Collaboration Opportunities** : The Lead Nurse of Utilization Management is responsible for ... UM Manager in supervising the operational productivity of the Utilization Management nurses by implementing and maintaining...flow of information through the UM department. The UM Lead , in collaboration with the UM Manager and Director,… more
- Elevance Health (Topeka, KS)
- ** Utilization Management Representative I** **Location** : This is a remote position. Ideal candidates will live within 50 miles of an Elevance Health PulsePoint ... Schedule : Monday - Friday 8am - 5pm The ** Utilization Management Representative 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)
- ** 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)
- …be willing to obtain a compact nursing license for this position. + Utilization Management experience for prior authorizations is strongly preferred. + Previous ... **: Monday through Friday, 10:30 am - 7:00 pm EST** The **Licensed Utilization Review II** responsible for working primarily with healthcare providers to help ensure… 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)
- …+ Develop and implement strategies to enhance program efficiency, ensuring optimal utilization of resources. + **Description Management :** + Oversee the ... first** The Medicaid Long-Term Supports and Services (LTSS) Process Improvement Lead analyzes and measures the effectiveness of existing business processes and… 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
- Evolent Health (Topeka, KS)
- …with others. **Collaboration Opportunities:** + The Manager, Client Services oversees daily utilization management and directs the medical care of our members ... in a supporting role to the Director, Intake and Utilization Management Operations. + This individual will...Management Operations. + This individual will not only lead a production team but will also work closely… 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 ... 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
- 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)
- …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