• Utilization Management

    Elevance Health (Louisville, KY)
    ** Utilization Management Representative II** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person ... unless an accommodation is granted as required by law._ " The ** Utilization Management Representative II** is responsible for managing incoming calls,… more
    Elevance Health (07/15/25)
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  • Utilization Management

    Elevance Health (Louisville, KY)
    ** Utilization Management Representative I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person ... integration, and ensures essential face-to-face onboarding and skill development. The ** Utilization Management Representative I** will be responsible… more
    Elevance Health (07/22/25)
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  • Bleeding Management Hospital Specialty…

    Grifols Shared Services North America, Inc (Louisville, KY)
    …110 countries and regions. **Overview:** The primary responsibility of the Bleeding Management Hospital Specialty Sales Representative (HSSR) is to represent key ... products within the Bleeding Management product portfolio with a primary responsibility for the...protocol changes within their related area of practice. + Utilization of corporate resources including the Key Account Manager,… more
    Grifols Shared Services North America, Inc (07/04/25)
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  • Resident Project Representative

    Schnabel Engineering (Lexington, KY)
    …Schnabel Engineering is currently seeking a full-time, experienced Resident Project Representative for a dam construction site in NORTH CAROLINA. This project ... start date. **Job Responsibilities:** + Key member of the on-site Construction Management /Quality Assurance and Quality Control team. + Successfully interface with… more
    Schnabel Engineering (06/04/25)
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  • Dental Network Service Representative

    Highmark Health (Frankfort, KY)
    …terms through regular on-site audits. Apply an active role in network management , training, monitoring and enforcement of company policies and procedures while ... confidentiality agreements. Monitor financial performance of contracts by tracking utilization and competitive environment, including group specific performance guarantees.… more
    Highmark Health (06/27/25)
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  • Representative , Pharmacy

    Molina Healthcare (Bowling Green, 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
    Molina Healthcare (07/23/25)
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  • Disease Management Nurse - Remote

    Sharecare (Frankfort, KY)
    …change techniques, the nurse helps to drive cost effective and appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is ... everyone. To learn more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting the goals and objectives of… more
    Sharecare (07/12/25)
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  • Care Coordinator RN

    Catholic Health Initiatives (Lexington, KY)
    …emphasis will be on care coordination, communication and collaboration with utilization management , nursing, physicians, ancillary departments, insurers and post ... effectively with multiple stakeholders + Professional communication skills. + Understand how utilization management and case management programs integrate. +… more
    Catholic Health Initiatives (07/02/25)
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  • Director of Rehab - Occupational Therapist (OT)

    Genesis Healthcare (Crestview Hills, KY)
    …and securing new contracts. 17. Develops and maintains relationship with facility management team and staff as a representative of Powerback Rehabilitation. ... of the rehabilitation department, including oversight related to case management , quality improvement, care planning, clinical utilization , and patient… more
    Genesis Healthcare (05/21/25)
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  • Warehouse Director - SYGMA

    Sysco (Burlington, KY)
    …all warehouse and distribution operations to promote safe, efficient, and optimal utilization of our facilities, equipment, and personnel. Maintain the areas in a ... + Oversee, hire, train, develop, evaluate and ensure accountability of the warehouse management team and the warehouse associates. + Serve as the role model of… more
    Sysco (07/03/25)
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