- Novo Nordisk Inc. (San Antonio, TX)
- …obesity to maximize sales within an assigned territory. The Obesity Care Specialist (OCS) must achieve sales goals by implementing marketing and sales strategies ... sales and marketing resources to expand the breadth and depth of appropriate utilization Novo Nordisks products, consistent with label and company policy Analyze and… more
- Merck & Co. (North Wales, PA)
- …identified growth opportunities supported by vaccine launches and through increased utilization of our inline vaccines. The Contracting and Distribution Strategies ... customer segments and commercial programs.Maintains working knowledge of promotional review systems and regulatory guidance to effectively deliver compliant… more
- Eisai, Inc (San Francisco, CA)
- …want to hear from you. Job Summary The Senior Oncology Sales Specialist is responsible for meeting/exceeding sales goals through promoting Oncology therapeutic ... territory in a compliant and appropriate manner. The Senior Oncology Sales Specialist represents and promotes assigned brand(s) in the oral markets with approved… more
- Eisai, Inc (Louisville, KY)
- …want to hear from you. Job Summary The Senior Oncology Sales Specialist is responsible for meeting/exceeding sales goals through promoting Oncology therapeutic ... territory in a compliant and appropriate manner. The Senior Oncology Sales Specialist represents and promotes assigned brand(s) in the oral markets with approved… more
- Truman Medical Centers (Kansas City, MO)
- …into myWORKDAY (http://www.myworkday.com/trumed/d/home.htmld) to search for positions and apply.** Utilization Specialist 101 Truman Medical Center **Job ... training, coaching and consulting to outside organizations. **Job Description** The Utilization Specialist will verify all financial and insurance information,… more
- Veterans Affairs, Veterans Health Administration (Salt Lake City, UT)
- …knowledge, skills, and abilities to perform successfully the duties of an Acquisition and Utilization Specialist , and that is typically in or related to the work ... Assisting in contract negotiation. Participates in post award meetings to review contract milestones and responsibilities. Responsible for Contract Quality Assurance… more
- Kelsey-Seybold Clinic (Houston, TX)
- **Responsibilities** The Utilization Review Specialist (LVN) is responsible for conducting medical reviews, benefit verification, and applying criteria to ... services requiring authorization prior to services being rendered for members. The Utilization Review Specialist (LVN) serves as a liaison in reviewing… more
- Hackensack Meridian Health (Hackensack, NJ)
- **Overview** **The Senior Utilization Review Specialist collaborates with the healthcare team in the management and resolution of activities that assure the ... in its Utilization Review (UR) Department as Senior Utilization Review Physician Specialist . Prior clinical experience and an understanding of… more
- Fairview Health Services (St. Paul, MN)
- …meets regulatory requirements. Participates in interdisciplinary communication related to utilization review issues. Educates on status. Provides all ... M Health Fairview has an immediate opening for a Utilization Management Specialist RN. This position provides...+ Current RN licensure in MN + 3-5 years utilization review or case management experience in… more
- Hackensack Meridian Health (Hackensack, NJ)
- **Overview** The Senior Utilization Review Specialist collaborates with the healthcare team in the management and resolution of activities that assure the ... population and Hackensack UMC. These include but are not limited to utilization review , hospital reimbursement, clinical compliance, case management, and… more
- BayCare Health System (Clearwater, FL)
- …responsibility and clinical excellence. **BayCare Health System** is currently seeking a ** Utilization Review Specialist Senior** to join our outstanding ... and compassionate team. **The Utilization Review Specialist Senior responsibilities include:** + Functions as the primary liaison between the funding agents… more
- Cleveland Clinic (Vero Beach, FL)
- …or visit. Some of the responsibilities of a Utilization Management Specialist include medical record review , providing clinical information to payers, UM ... May design and initiate special projects as supervised by the Team Manager. Utilization Management Specialist Join our team at Cleveland Clinic Indian River… more
- Westborough Behavioral Healthcare Hospital (Westborough, MA)
- …Time + Employee Discount Program + Employee Assistance Program Job Description: The Utilization Review Specialist is responsible for monitoring adherence to ... Westborough Behavioral Healthcare Hospital is looking for a UR Specialist to provide Per Diem coverage. Benefits Include +...the hospital's utilization review plan to ensure the effective… more
- Motion Recruitment Partners (Durham, NC)
- Utilization Management Specialist Durham, NC **100% Remote** Contract $17/hr - $17/hr Our client, a nationally recognized and award-winning company in the health ... insurance vertical, has a contract opening for a Utilization Management Specialist . They have over 4...or members to obtain the medical information for the review . * Identifies and refers organization determinations that require… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** Utilization Management Specialist MSH Case Management FT Days** This position is responsible for coordinating requests for clinical ... internal and external to the institution. Position responsibilities will include utilization management support functions for patient admissions and continuing stay.… more
- Robert Half Office Team (Durham, NC)
- …industry, located in Durham, North Carolina, and we're looking to bring a Utilization Management Specialist on board. This role involves making outbound calls ... to members and providers to review medication requests, maintaining a strong focus on organization...subject matter expert for CM& O around the non-clinical review process. * Process customer credit applications accurately and… more
- Mount Sinai Health System (New York, NY)
- …Operating Room Surgical Scheduling, Mount Sinai West - Full Time, Days** The Utilization Review Specialist coordinates scheduling of all surgical/endoscopic ... **Job Description** ** Utilization Review Admission Specialist (OR Scheduler),… more
- UCLA Health (Los Angeles, CA)
- Description As the Utilization Management & Quality Review Specialist , you will be responsible for: + Managing service requests and potential quality issue ... to all stakeholders. + Working closely with medical director, utilization management and quality review team to ensure that all cases are handled effectively.… more
- CaroMont Health (Gastonia, NC)
- …RAC for reversal of original determination. May serve on the Medical Record/ Utilization Review Committee, providing detailed logs of denial activity and appeal ... practice in NC (NC license or multi-state (compact) license). Certification in Utilization Review / Management, Quality and/or Case Management preferred. Minimum… more
- Veterans Affairs, Veterans Health Administration (IN)
- …Position is 100% remote. Position Description/PD#: Acquisition & Utilization Specialist /PD458640 Relocation/Recruitment Incentives: Not authorized. Critical ... job announcement will remain open for 8 business days. The initial application review cut-off for this job announcement is 50 applications. The first 50 applications… more
