- Elevance Health (Indianapolis, IN)
- **Title: Utilization Management Representative I** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live ... within 50 miles of one of our PulsePoint locations. The ** Utilization Management Representative I** will be responsible for coordinating cases for… more
- Wolters Kluwer (Philadelphia, PA)
- … for our select largest and most strategic accounts that stretch across the United States and within our Government accounts and is responsible for ensuring ... **Location** : this is a hybrid role open to US applicants located in commuting-distance to one of our...branding & tailoring, pulling reports, and customer training. **Ongoing Utilization Management ** + Oversee customer utilization… more
- Cedars-Sinai (Los Angeles, CA)
- …workflows. + As liaison coordinates administrative support activities including facilities management , patient billing, utilization management , quality ... **Job Description** The Senior Patient Service Rep is responsible for positive patient relations, accurate...plans and other departments. + Actively participate in lean management processes by detailing, monitoring and updating department specific… more
- Cedars-Sinai (Los Angeles, CA)
- …hire and existing staff. + Coordinates administrative support activities including facilities management , patient billing, utilization management , quality ... their family members?** **Join our world-class team!** The Clinical Patient Access Representative is the primary clinical point of contact for patients accessing… more
- Highmark Health (Wilmington, DE)
- …drug policy, therapeutic alternatives, medication adherence strategies, Medication Therapy Management , utilization management , immunizations, specialty ... Delivery + Managed Care + Healthcare + Care Planning + Continuous Improvement + Utilization Management + Healthcare Management + Utilization Review… more
- Elevance Health (Tampa, FL)
- …health professional within the scope of practice in applicable state(s) or territory of the United States . + Requires a HS diploma or equivalent and a minimum of ... to other areas of the business unit or as representative on enterprise initiatives. **Ideal candidate **MUST** reside and...3 years acute care clinical experience or case management , utilization management or managed… more
- Trinity Health (Farmington Hills, MI)
- …physicians and their office staff, Patient Access, Medical Records/Health Information Management , Utilization Review/Case Management , Managed Care, Ancillary ... time **Shift:** Day Shift **Description:** **POSITION PURPOSE** The Customer Service Representative handles customer inquiries in a timely, professional manner to… more
- CDM Smith (New York, NY)
- …Background checks are conducted after an offer of employment has been made in the United States . The timing of when background checks will be conducted on ... and announcements, archive data, and manage SharePoint site space utilization . * Data Management : General understanding of...candidates for positions outside the United States will vary based on country… more
- Virginia Mason Franciscan Health (Seattle, WA)
- …emphasis will be on care coordination, communication and collaboration with utilization management , nursing, physicians, ancillary departments, insurers and ... effectively with multiple stakeholders + Professional communication skills. + Understand how utilization management and case management programs integrate. +… more
- Bayer (OH)
- …hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification form upon ... Rep III - Northwestern Ohio** **Technology Development Representative II - Northwestern Ohio** **Your Tasks and Responsibilities**...hire. Bayer is an E-Verify Employer. **Location:** United States : Ohio : Residence Based… more
- Amazon (Seattle, WA)
- …track record of exceeding sales goals Preferred Qualifications - Experience with pipeline management skills to include utilization of Salesforce or other CRM ... imagination and a healthy disregard for the impossible. Join us in building and celebrating the value of Amazon...success. AB3P is seeking a dynamic and motivated Sales Representative for our third-party direct sales team. The Sales… more
- MyFlorida (Key West, FL)
- 838290 OPS EMPLOYMENT SECURITY REP II - 40099842 Date: Oct 29, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... . Requisition No: 838290 Agency: Commerce Working Title: 838290 OPS EMPLOYMENT SECURITY REP II - 40099842 Pay Plan: Temp Position Number: 40099842 Salary: $20 hourly… more
- Ryder System (Nashville, TN)
- …competitive advantage is our people. _CULTURE- INTEGRITY- FAMILY_ . As a Rental Sales Rep ., you'll be part of a dynamic team, equipped to succeed and empowered to ... develop your sales, management , operations, or customer service career. You thought that...? We have the largest EV footprint in the US In addition to that, **Verizon** has recognized Ryder… more
- MAPFRE Insurance (Webster, MA)
- Auto Damage Insurance Claim Rep (Hybrid or Remote) Date: Oct 29, 2024 Location: Webster MA or Work from Home, MA, US Company: MAPFRE **Position is Hybrid, within ... to 5:00 pm EST.** As An Auto Damage Claim Rep , you will be responsible for adjusting 1st party...with contribution to the Departmental tNPS score + Telephone Management - Effectively manage ACD telephone system/features by complying… more
- Fallon Health (Worcester, MA)
- …include products, benefits, claims, referral and eligibility verification processes, utilization management guidelines, etc. Activities include conducting both ... **Overview** **About us :** Fallon Health is a company that cares....procedures for products, benefits, claims, referral, and eligibility and utilization management . + Co-lead internal and external… more
- Marriott (Savannah, GA)
- …Savannah Downtown, 110 Ann Street, Savannah, Georgia, United States , 31401VIEW ON MAP ... Group is set to hire a Director of Revenue Management to join us ! The Ann Savannah,...on 3rd party web sites Oversee the implementation and utilization of revenue management systems and tools.… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …our providers to obtain authorization for retail pharmacy, home infusion and medical utilization management requests. These requests are received via fax, phone ... Ready to help us transform healthcare? Bring your true colors to...+ Receive, process, and archive Home Infusion Therapy and Utilization Management Medical requests accurately using MHK… more
- LA Care Health Plan (Los Angeles, CA)
- Supervisor, Authorization Technician Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US , 90017 Position Type: Full Time ... achieve that purpose. Job Summary The Supervisor, Authorization Technician supports the Utilization Management (UM) Specialist by handling all administrative and… more
- Veterans Benefits Administration (Winston Salem, NC)
- …be required. For more information on these qualification standards, please visit the United States Office of Personnel Management 's website at ... Summary The Supervisory Veterans Service Representative Assistant Veterans Service Center Manager (AVSCM) shares in the responsibility of managing Veterans Service… more
- Sage Hospitality Group (Savannah, GA)
- **Why us ?** Sage Hospitality Group is set to hire a **Director of Revenue Management ** to join us ! The Ann Savannah, Apartments by Marriott Bonvoy will be ... us ! **Job Overview** Seeking a Director of Revenue Management with pre-opening experience who isn't afraid to have...3rd party web sites * Oversee the implementation and utilization of revenue management systems and tools.… more
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