- 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, opening of… more
- Elevance Health (Louisville, KY)
- **Title: Utilization Management Representative I** **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 I** will be responsible for coordinating cases for precertification and prior… more
- Elevance Health (Louisville, KY)
- **Title: Utilization Management Representative I** **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 I** will be responsible for coordinating cases for precertification and prior… more
- Molina Healthcare (Louisville, KY)
- … (such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and pharmacy costs management ), clinical pharmacy ... **JOB DESCRIPTION** **Job Summary** Molina Pharmacy Services/ Management staff work to ensure that Molina members, providers, and pharmacies have access to all… more
- ChenMed (Louisville, KY)
- …focusing on safety and efficacy, while assisting in the creation and management of the formulary. + Reviews and verifies prescriptions and medication orders ... appropriateness, including safety and efficacy. + Conducts prospective drug utilization reviews, evaluating proper dosage, usage directions, drug interactions,… more