- Legend Biotech USA, Inc. (Atlanta, GA)
- …on the Job: 60%.Overnight travel, including some weekend commitments.Comfort with utilization of computer, company applications, and remote technology.The MSL ... healthcare professionals treating oncology patients on clinical data, adverse event management , and mechanism of action for commercial and pipeline assets.The MSL… more
- Actalent (Minnetonka, MN)
- Remote Utilization Management Nurse...Vacation or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position ... Job Description As a Utilization Management Nurse for Post Acute care, you will be...navigate multiple computer applications. Work Environment This position is remote , requiring 40 hours per week. Candidates must have… more
- UPMC (Pittsburgh, PA)
- …UMPC Health Plan is seeking a licensed MD or DO for a fully remote Medical Director, Utilization Management role. The Medical Director, Utilization ... remote role._ Responsibilities: + Actively participates in the daily utilization management and quality improvement review processes, including concurrent,… more
- CVS Health (Columbus, OH)
- …difference in the lives of patients facing complex medical journeys. As a Utilization Management (UM) Nurse Consultant specializing in Medical Review, you'll ... through thoughtful clinical review and collaboration with providers. This fully remote position offers the opportunity to...etc. and clinical documentation systems. + 1+ Year of Utilization Review Management and/or Medical Management… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …help us transform healthcare? Bring your true colors to blue. The RoleThe RN Utilization Management Reviewer is responsible for facilitating care for members who ... to provide the best quality care. The TeamThe RN Utilization Management Reviewer is part of a...eWorker, Mobile, and Resident personas. This position can be fully remote with an in-office requirement to… more
- State of Michigan (Lansing, MI)
- Medicaid Utilization Analyst 12 - HSA Psychotropic Medication Oversight Unit (FC-PMOU) Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/5143934) ... Apply Medicaid Utilization Analyst 12 - HSA Psychotropic Medication Oversight Unit...Biweekly Location Lansing, MI Job Type Permanent Full Time Remote Employment Flexible/Hybrid Job Number 3901-26-HSA-MCMCS-001-EST Department Health and… more
- CenterWell (Austin, TX)
- …+ Prior clinical experience, managed care experience, DME, Florida Medicaid **OR** utilization management experience + Demonstrates Emotional Maturity + Ability ... Orthopedic procedures + Compact License preferred + Previous experience in utilization management within Insurance industry + Previous Medicare… more
- Actalent (Eagan, MN)
- …Your main role will be utilizing your clinical skills to complete utilization management reviews (Prior authorizations, Coverage Exceptions, Quantity Limit ... * Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to close on… more
- Motion Recruitment Partners (San Francisco, CA)
- …**100% Remote ** Contract $56/hr - $57.93/hr Exciting new fully remote contract position for a Workforce Management Analyst with an established firm. ... Workforce Management Analyst / Contract / Remote ...This is a fully remote role. This role will partner...dashboards and reports to provide insights into staffing trends, utilization , and gaps. + Serve as a point of… more
- Actalent (Santa Barbara, CA)
- …Nurse assigned to various Health Services operational units. These units include Utilization Management , Case Management , Enhanced Care Management ... Child Model, and Population Health programs. The role involves performing utilization management activities, including telephonic or onsite clinical reviews,… more
- Envista Holdings Corporation (San Diego, CA)
- …+ Ability to effectively manage assigned accounts in terms of driving utilization , customer relationship management , problem resolution, and business and ... + Ability to effectively manage assigned accounts in terms of driving utilization , customer relationship management , problem resolution, and business and… more
- World Insurance Associates, LLC. (Miami, FL)
- …and bonding, employee benefits, financial and retirement services, and human capital management solutions. At World Insurance, you'll be part of a collaborative team ... and contractual information for current and prospective clients ranging from fully insured to self-funded arrangements. You'll prepare financial deliverables, model… more
- Envista Holdings Corporation (New Orleans, LA)
- …+ Ability to effectively manage assigned accounts in terms of driving utilization , customer relationship management , problem resolution, and business and ... utilizes sales and educational strategies, aids, and approaches, to increase customer utilization and educational activity in their territory. + Influence doctor and… more
- Sharecare (Albany, NY)
- …/ new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status, including but not limited to medical, ... the Family Health Advocate is an exciting and innovative remote role newly created to provide meaningful support to...+ Claims adjustments + Grievances and appeals submissions + Utilization management intake or status + Complex… more
- Community Health Systems (Franklin, TN)
- …attendance. + Complies with all policies and standards. + This is a fully remote position. **Requirements:** + Bachelor's Degree in Business Administration, ... (Full Time, Remote ) The Materials Management Manager oversees...utilization , and supply chain resiliency. + Oversees inventory management , ensuring appropriate stock levels and minimizing waste while… more
- Capital One (Honolulu, HI)
- Sr. Manager, Technical Writer - Capital One Software ( Remote ) Ever since our first credit card customer in 1994, Capital One has recognized that technology and data ... to go all-in on the public cloud, Capital One needed to build cloud and data management tools that didn't exist in the marketplace to enable us to operate at scale… more
- Nestle (Bridgewater, NJ)
- …NJ office location for a hyrbid work schedule, however we are flexible to fully remote work. \#LI- remote #LI-DL1 **Key Responsibilities** + Develop and ... research enabling an integrated approach to product development, launch, and lifecycle management . As RWE Leader, you will develop and implement real-world clinical… more
- Abbott (New York, NY)
- …and key. + performance indicators for assigned customers/accounts + Champion the utilization of remote support tools to proactively improve instrument uptime ... a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of...executives, and scientists. **The Opportunity** + This position is remote . + Qualified candidates **must** currently live in the… more
- Sedgwick (Shreveport, LA)
- …hybrid schedule. Candidates located outside of this radius will be considered for a fully remote arrangement. **PRIMARY PURPOSE OF THE ROLE:** We are looking for ... - Workers Compensation | Jurisdiction: Multi State | TX/FL/OK/LA License preferred ( Remote /Hybrid) Are you looking for an opportunity to join a global industry… more
- Mindoula Health (FL)
- …for outcome based care. + Participates in interdisciplinary team meetings and utilization management rounds and provides information to assist with safe ... Mindoula Health is seeking Independent Licensed Therapists to provide remote services for our Washington State Substance Use Disorder...needed to ensure the patient's needs and choices are fully represented and supported by the healthcare team. +… more
