• Legend Biotech USA, Inc. (Raritan, NJ)
    …in the treatment of multiple myeloma.Legend Biotech is seeking Operations Inventory Control Specialist as part of the Technical Operations team based in Raritan, New ... Jersey. Role OverviewThe Operations Inventory Control Specialist will be part of the Raritan CAR-T Operations...of process materials, subject matter expert for operations inventory management and point of contact for oversight of operations… more
    HireLifeScience (08/27/24)
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  • Eisai, Inc (San Diego, CA)
    …want to hear from you. Job Summary The Sr. Oncology Sales Specialist is responsible for meeting/exceeding sales goals through promoting Oncology therapeutic products ... assigned territory in a compliant and appropriate manner. The Oncology Sales Specialist represents and promotes assigned brand(s) in the oral markets with approved… more
    HireLifeScience (08/27/24)
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  • Eisai, Inc (Sacramento, CA)
    …impairment due to Alzheimer's disease (AD) or mild AD. TheSenior Neurology Account Specialist (Sr NAS) will be part of a diverse team of sales professionals ... all of Eisai's ethics and compliance standards. Senior Neurology Account Specialist (Sr NAS) Responsibilities Develop and maintain superior clinical expertise with… more
    HireLifeScience (09/05/24)
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  • Eisai, Inc (Fort Worth, TX)
    …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
    HireLifeScience (09/20/24)
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  • Daiichi Sankyo, Inc. (Boston, MA)
    …national payer landscapes with expertise in formulary decisions, reimbursement policy, utilization management criteria, prior authorization processes and appeal ... purpose of this role is to serve as a field-based product access specialist that provides appropriate reimbursement support to HCPs to help facilitate patient access… more
    HireLifeScience (09/24/24)
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  • Daiichi Sankyo, Inc. (Seattle, WA)
    …national payer landscapes with expertise in formulary decisions, reimbursement policy, utilization management criteria, prior authorization processes and appeal ... purpose of this role is to serve as a field-based, product access specialist that provides appropriate reimbursement support to HCPs to help facilitate patient… more
    HireLifeScience (09/24/24)
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  • Utilization Management

    Fairview Health Services (St. Paul, MN)
    **Overview** M Health Fairview has an immediate opening for a Utilization Management Specialist RN. This position provides comprehensive assessment, ... planning, coordination, implementation, and reporting of complex clinical data. The Utilization Management Specialist is responsible for the completion of… more
    Fairview Health Services (09/25/24)
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  • Per Diem Utilization Management

    FLACRA (Clifton Springs, NY)
    PER DIEM UTILIZATION MANAGEMENT SPECIALIST Finger Lakes Area Counseling & Recovery Agency Clifton Springs, NY (Onsite) Per Diem Apply Now ... one year of work experience in the behavioral health field with knowledge of utilization management practices. Valid NYS Drivers' License. Get job alerts by… more
    FLACRA (09/11/24)
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  • Utilization Management Nurse…

    LA Care Health Plan (Los Angeles, CA)
    Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position ... the safety net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II facilitates, coordinates, and approves… more
    LA Care Health Plan (09/20/24)
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  • Specialist , Utilization

    CareFirst (Baltimore, MD)
    **Resp & Qualifications** **PURPOSE:** Utilizing key principles of utilization management , the Utilization Review Specialist will perform prospective, ... (all benefits/incentives are subject to eligibility requirements). **Department** Clinical Utilization Management **Equal Employment Opportunity** CareFirst BlueCross… more
    CareFirst (10/02/24)
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  • ABA Utilization Review (UR)…

    Spectrum Billing Solutions (Skokie, IL)
    …mental and behavioral health treatment services. Utilization Review Specialist | Utilization Management Specialist | UR Specialist | Revenue ... Specialist | ABA Utilization Review Specialist | ABA Utilization Management Specialist | ABA UR Specialist | Behavioral Health Billing … more
    Spectrum Billing Solutions (07/17/24)
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  • Manager, Utilization Management

    Huron Consulting Group (Chicago, IL)
    …team as the expert you are now and create your future. **Qualifications** The Utilization Management Specialist is responsible for ensuring the appropriate ... companies to facilitate optimal patient outcomes while managing healthcare costs. The Utilization Management Specialist ensures compliance with regulatory… more
    Huron Consulting Group (09/01/24)
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  • Resource Management Specialist

    Moss Adams LLP (Portland, OR)
    …staff, human resources, and internal accounting to promote people development and maximize utilization . The Resource Management Specialist will work to ... **Resource Management Specialist ** **Description** Moss Adams brings... team to implement our people strategy, monitor staff utilization , coordinate staff schedules, and deploy people. This role… more
    Moss Adams LLP (10/01/24)
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  • State Opioid Response (SOR) Peer Support…

    Community Based Care of Brevard, Inc. (Melbourne, FL)
    …The SOR Peer Support Specialist works in partnership with the SOR Specialist , Utilization Management (UM) Program Manager, and Behavioral Health Team ... use/misuse disorders and/or other co-occurring disorders. The SOR Peer Support Specialist offers the perspective of having lived experienced and one-on-one… more
    Community Based Care of Brevard, Inc. (08/25/24)
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  • Prior Authorization Specialist Innovation…

    HonorHealth (Scottsdale, AZ)
    …of services and coordinates the timely completion of the authorization process for Utilization Management Department. The PA Specialist will review referral ... Learn more at HonorHealth.com. Responsibilities Job Summary The Prior Authorization (PA) Specialist is responsible for the review of requests for authorization… more
    HonorHealth (09/27/24)
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  • Reviewer I, Medical

    ManpowerGroup (Columbia, SC)
    …States and in the state of hire. **Job Description:** As a Medical Claims Reviewer/ Utilization Management Specialist , you will be responsible for conducting ... medical reviews using established criteria sets, performing utilization management of professional, inpatient or outpatient, facility benefits or services, and… more
    ManpowerGroup (09/21/24)
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  • Utilization Review Specialist (LVN)

    Kelsey-Seybold Clinic (Pearland, TX)
    … (LVN)** **Location: Pearland Administrative Office, Main Campus** **Department:** ** Utilization Management ** **Job Type: Full Time** **Salary Range: ... **Responsibilities** The Utilization Review Specialist (LVN) is responsible for conducting medical reviews, benefit verification, and applying criteria to… more
    Kelsey-Seybold Clinic (07/20/24)
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  • Physician Utilization Review…

    Hackensack Meridian Health (Hackensack, NJ)
    …a. Provides direction and support regarding CMS & NJDOH regulations governing Utilization Management & Clinical documentation. b. Oversight for accurate patient ... **Overview** The Senior Utilization Review Specialist collaborates with the...vs. Inpatient c. Liaison to the Medical Staff supporting Utilization Management Committee processes d. Hospital Based… more
    Hackensack Meridian Health (08/19/24)
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  • Utilization Review Specialist Senior

    BayCare Health System (Cotton Plant, AR)
    …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:** +...+ Required RN (Registered Nurse) + Preferred ACM (Case Management ) + Preferred CCM (Case Manager) **Education:** + Required… more
    BayCare Health System (07/15/24)
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  • Ops-UM Training Specialist

    Integra Partners (Troy, MI)
    …to join our Operations Training & Development team as an Operations UM Training Specialist , specializing in Utilization Management (UM) processes. The ideal ... industry standards, regulatory requirements, and best practices in clinical documentation and utilization management and update training documents as required +… more
    Integra Partners (08/10/24)
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