Utilization Review Jobs in Lexington, KY

Formulary Strategy & Utilization Review PharmacistShape the drug benefit landscapeanalyze and optimize medication use.Key Responsibilities:Review prescribing trends and propose cost-saving alternatives.Maintain evidence-based formularies across multiple payers.Conduct retrospectiv More...

Become a part of our caring community and help us put health firstHumana Healthy Horizons in Kentucky is seeking a Community Management Professional 1 to join our team in the Lexington Kentucky and surrounding area. This associate actively engages with members to help address their he More...

OverviewWelcome to Saint Joseph Hospital a 433-bed hospital founded in 1877 by the Sisters of Charity of Nazareth as the first Hospital in Lexington Kentucky. Led by Sister Euphrasia Stafford the mission to provide compassionate care to the poor and underserved is still carried out to More...

Become a part of our caring community and help us put health first$10k Sign on Bonus!Benefits that start Day One of Care for those that Care for our Patients! Work / Life Harmony Flexible Daytime Schedule Career Development A Sense of Purpo More...

We are actively recruiting for an CAL RNs to join our rapidly growing Population Health team.  The primary role of the Care Manager will be to provide our patients with on-demand telephone-based care management services through a 24/7 Nurse Advice Line (i.e. telephone triage). &# More...

Title: Student Support Specialist III (Military and Veterans Services Program Coordinator/School Certifying Official)Salary Range: $3490- $4363 per monthContract Term Length:12 MonthsStandard Hours:37.5Work Location:On-SiteFLSA Status: Non-ExemptCollege: Bluegrass Community & Tech More...

We are actively recruiting for an CAL RNs to join our rapidly growing Population Health team.  The primary role of the Care Manager will be to provide our patients with ondemand telephonebased care management services through a 24/7 Nurse Advice Line (i.e. telephone triage). &#xa More...

Regional Manager Quality Review for ID/DDGeorgia remote@Orchard LLC is supporting a notforprofit corporation that partners with public and private sectors to create highquality safe and efficient delivery of health care and human services programs. Our client has multiple lines of bu More...

About USHJAThe United States Hunter Jumper Association (USHJA) is dedicated to supporting and advancing equestrian sports through comprehensive programs education and competition. We are currently seeking a Sports Program Coordinator to join our Sports Department and help drive the su More...

OverviewRecognized by Newsweek in 2024 and 2025 as one of Americas Greatest Workplaces for DiversityGrow your career with Brookdale! Our Clare Bridge Program Coordinators have opportunities for advancement by exploring a new career in positions such as Clare Bridge Program Managers Re More...

At Amazon we believe that every day is still day one. We are working to be the most customercentric company on earth. To get there we need exceptionally talented bright and driven people. If youd like to help the Disability Leave Services (DLS) team build a bestinclass professional s More...

The Utilization Review Case Manager requires effective communication and coordination with the Director of Utilization Review insurance companies and treatment team to obtain the maximum benefits for our clients.  The Utilization Review Case Manager will submit accurate utilizati More...