- Elevance Health (Topeka, KS)
- **Licensed Utilization Review II** **Location** : KS, FL. and VA. This is a remote position The ideal candidate will live within 50 miles Elevance Health ... Monday through Friday,10:30 - 7:00 Eastern time** The **Licensed Utilization Review II** responsible for working primarily...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Highmark Health (Topeka, KS)
- …Inc. **Job Description :** **JOB SUMMARY** This job implements the effective utilization management strategies including: review of appropriateness of health ... care services, application of criteria to assure appropriate resource utilization , identification of opportunities for referral to a Health Coach/case management,… more
- CBRE (Topeka, KS)
- Procurement Sr Manager - Remote Job ID 183609 Posted 05-Sep-2024 Service line GWS Segment Role type Full-time Areas of Interest Purchasing/Procurement Location(s) ... geographies. **About the role** As a CBRE Procurement Sr. Manager , you'll be responsible for leading a large team...strategy at local, regional, and global levels. + Draft, review , negotiate, and maintain contracts and other business documents… more
- Concentrix (Topeka, KS)
- Job Title: Vendor Account Manager Job Description Job Description Summary Job Category: Strategy and Operations Consulting Required Deliverables: * Documented ... and accurate supply/demand forecasts, including recommendations on adjustments. * Utilization dashboards customized to leadership requirements. Job Responsibilities *… more
- Prime Therapeutics (Topeka, KS)
- …passion and drives every decision we make. **Job Posting Title** Clinical Program Manager Remote **Job Description** **This Clinical Program Manager opening is ... while being that utility player/SME of the department.** The Clinical Program Manager is responsible for the management of all client specific clinical programs… more
- Prime Therapeutics (Topeka, KS)
- …passion and drives every decision we make. **Job Posting Title** Contract Manager Vendor Performance - LA Medicaid - Remote **Job Description Summary** Responsible ... administration responsibilities and facilitates resolution of contract issues, obtains legal review and approval of working changes in contract documents. This… more
- HealthEdge Software Inc (Topeka, KS)
- …stakeholders and drive ongoing client value and success. This Clinical Program Manager will be responsible for ensuring the clinical integrity of our clinical ... and appropriate prioritization of responsibilities. A successful Clinical Program Manager will demonstrate effective client communication and strategic decision-making… more
- CVS Health (Topeka, KS)
- …Spanish. **Preferred Qualifications** + Crisis intervention skills preferred + Managed care/ utilization review experience preferred + Case management and ... and coordination of psychosocial wraparound services to promote effective utilization of available resources and optimal, cost-effective outcomes. + Telephonic… more
- Prime Therapeutics (Topeka, KS)
- …passion and drives every decision we make. **Job Posting Title** Contract Manager - Vendor Performance NC Medicaid - Remote **Job Description Summary** Responsible ... administration responsibilities and facilitates resolution of contract issues, obtains legal review and approval of working changes in contract documents. This… more
- Elevance Health (Topeka, KS)
- The **Behavioral Health Care Manager ** I is responsible for managing psychiatric and substance abuse or substance abuse disorder facility-based and outpatient ... professional treatment health benefits through telephonic or written review . **Location:** Must reside in the Topeka or Olathe area and be licensed in the state of… more
- CBRE (Topeka, KS)
- Data Center Global Program Manager Job ID 182328 Posted 29-Aug-2024 Service line GWS Segment Role type Full-time Areas of Interest Construction, Project Management ... United States of America **About the role** The Data Center Program Manager leads global program upgrade/retrofit projects impacting the critical and MEPS… more
- Sunrun (Topeka, KS)
- …and develop partner or branch relationships including weekly/monthly reviews, utilization and workload management, process updates and identification and resolution ... Branch to reduce future escalations + Close out escalated tasks as assigned + Review and approve Service Partner and sub-contractor quotes + Initiate and close out… more
- Confluent (Topeka, KS)
- …One Data Streaming Platform. Data Connects Us. **About the Role:** As a Practice Manager at Confluent, you will lead a team of professional services consultants who ... teams. Own the services sales strategy to achieve bookings, revenue, margin and utilization goals. + Ensure successful project delivery to earn our customers' love.… 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
- Confluent (Topeka, KS)
- …targeting and program performance measurement. + Build, evangelize, and drive utilization of campaign briefs as well as detailed, integrated campaign playbooks, ... benefits click HERE (https://confluentbenefits.com/) . Click HERE (https://www.confluent.io/legal/confluent-candidate-privacy-notice/) to review our Candidate Privacy Notice which describes how and… 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
- Ryder System (Topeka, KS)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking HERE. (https://ryder.com/job-applicant-privacy-policy)\_ **Summary** This position supports the ... operation. This position reports to the Lead Engineer, CI Manager or Sr. CI Manager and is...experience in core engineering and data analysis functions (slotting, utilization , labor planning, layouts, metrics, etc.) intermediate required +… 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 regarding ... Prepares reports and documents all actions. 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)
- …and variations in cost of care. Differentiates impact of rate versus utilization variations. + Supports SBUs by providing information, responding to questions and ... ratio reporting, fiscal soundness reporting, audit assistance and analysis of drug utilization and other costs trends. + Other special projects as assigned.… more