- CVS Health (Frankfort, KY)
- …with heart, each and every day. **Position Summary** This is a fulltime remote Utilization Management Clinical Consultant opportunity with Aetna Better ... skills to coordinate, document and communicate all aspects of the utilization /benefit management program. + Applies critical thinking and is knowledgeable… more
- Highmark Health (Frankfort, KY)
- …+ Deep Clincal Expertise -extensive knowledge of clinical , quality, care, utilization , high-cost claim, and population health management . Must be a ... Description :** **JOB SUMMARY** This job serves as the sales team's clinical expert, providing high-level support and insights for strategic clients, aligning… more
- ChenMed (Louisville, KY)
- …rapidly expanding and we need great people to join our team. The Clinical Pharmacist specializing in Population Health is a skilled and proactive professional who ... needed. **ESSENTIAL JOB DUTIES/RESPONSIBILITIES:** + Acts as a national pharmacy consultant for our physicians regarding patient case inquiries, drug interactions,… more
- CenterWell (Louisville, KY)
- …medical guidance and expertise. + Develop, implement and monitor the outcomes of utilization review and disease management programs to meet the quality and ... for achieving results. + Clinical Knowledge: You understand clinical program design, implementation, management /monitoring to support choice in… more
- Elevance Health (Louisville, KY)
- … clinical /non- clinical activities. Will also be responsible for utilization review/ management . May be responsible for developing and implementing programs ... and skill development. The **Medical Director** will have program management responsibilities including clinical policy development, program… more