- Spectrum Billing Solutions (Skokie, IL)
- …mental and behavioral health treatment services. Utilization Review Specialist | Utilization Management Specialist | UR Specialist | Revenue ... in a cohesive and rewarding environment. This is a remote or office/home hybrid position. Your Responsibilities: + Review... Utilization Review Specialist | ABA Utilization Management Specialist | ABA… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The Remote PRN Clinical Utilization Review Specialist is responsible for evaluating the necessity, appropriateness, and efficiency of ... hospital services to ensure compliance with utilization management policies. This role conducts admission and continued stay reviews, supports denials and… more
- Penn Medicine (Lancaster, PA)
- …Medicine Lancaster General Health is looking for an experienced RN to join our Utilization Management Specialist team! In this critical role, you'll advocate ... day. Are you living your life's work? **LOCATION:** Fully remote position after 12-week onsite orientation **HOURS:** Full Time...we'd love to hear from you!_ **Summary** : The Utilization Management Specialist - Admissions… more
- RTX Corporation (Des Moines, IA)
- …various team members and stakeholders, track progress, and escalate issues. The Cutover Specialist will be expected to follow project management processes and ... United States of America **Location:** UTIA1: Iowa - Corp Remote 123 Iowa Corporate Remote Location ,...utilization throughout the cutover process. + Proactive risk management : identify, assess, mitigate, and monitor potential risks with… more
- Henry Ford Health System (Detroit, MI)
- …records and related documentation. + Current working knowledge of hospital operations, utilization management , case management , and managed care ... The purpose of the Central Authorization Specialist position is to centrally facilitate the successful...is obtained from back end coding, billing and denial management resources and distributed to ordering physicians and authorization… more
- TEKsystems (West Des Moines, IA)
- …within Medicaid is required. Description The Insurance Billing and Follow Up Specialist II will be responsible for performing all billing and follow-up functions, ... ability around complex claims processing workflows and regulations that requires utilization of data coming from multiple resources. To evaluate billing and… more
- Sharecare (Oklahoma City, OK)
- …and HIPAA regulations. This role also provides support to team members and management by serving as a subject matter expert, trainer, and escalation point. The ... or system issues. + Assists with administrative tasks such as queue management and work assignments. + Produce reports and metrics as requested. **Qualifications:… more
- CareFirst (Baltimore, MD)
- …care. + Reviews the performance of provider partners based on utilization , trends, and quality metrics to develop rate/reimbursement solutions. Ensures that ... geographically competitive, offers broad access, and meets cost and trend management objectives. _Regulatory and Healthcare Landscape_ + Monitors and remains current… more
- Veterans Affairs, Veterans Health Administration (Harlingen, TX)
- …For more information, refer to Required Documents below. The Clinical Pharmacy Specialist (CPS) serves in comprehensive medication management (CMM) needs for ... assigned clinic area under a scope of practice designing comprehensive medication management for patients. Serves as an authoritative information source on drugs and… more
- Renesas (Morrisville, NC)
- Sr Staff Project/Program Management Specialist Job Description **Applicants for this position must be currently authorized to work in the United States on a ... We are seeking a highly experienced and strategic **Sr Staff Project/Program Management Specialist ** to lead multiple, concurrent development projects globally.… more
- Battelle Memorial Institute (Tyndall AFB, FL)
- …**Job Summary** Battelle's National Security Business Unit is seeking a **Wastewater Management Technician Specialist ** to support Research, Development, Test & ... located on-site at Tyndall Air Force Base, near Panama City, FL. The Technician Specialist will be a self-starter with experience in processes and systems for water… more
- TEKsystems (Edison, NJ)
- Description TEKsystems is seeking a Vendor Management Specialist (VMO Analyst), BioMed and Clinical Engineering. This role will partner closely with BioMed ... leadership to drive commercial governance, performance management , and contracting discipline across biomedical engineering, diagnostic imaging maintenance, and… more
- Revere Copper Products, LLC (Rome, NY)
- IT Project Management Specialist /Business Analyst (Manufacturing) Rome, NY (http://maps.google.com/maps?q=One+Revere+Park+Rome+NY+USA+13440) Job Type Full-time ... workflows to enhance computer-based business applications for best resource utilization . Reviews and evaluates data, forecasts, methodologies, schedules, systems,… more
- State of Minnesota (Blackduck, MN)
- **Working Title: NR Forestry Specialist ** **Job Class: Natural Resources Forestry Specialist ** **Agency: MN Department of Natural Resources** + **Job ID** : ... opportunities. The DNR, Division of Forestry is seeking to fill a Forestry Specialist position in Blackduck, MN. Depending on internal movement, this posting may be… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Skills and Experience * 2+ years of managed care experience; eg case management /health coach, utilization management and/or auditing experience (may be ... Cross and Blue Shield of Minnesota Position Title: RN Specialist Complex Case Manager Location: Remote Career...Impact You Will Have Utilizing key principles of case management , the RN Specialist will research and… more
- Ford Motor Company (Marshall, MI)
- …of the automotive industry. What You'll Do 1. Equipment Maintenance & Reliability Management : . Lead and manage the preventive and corrective maintenance plan for ... PMHVs and Material Handling equipment, minimizing downtime. . Optimize maintenance equipment utilization and costs in accordance with budgets and cost objectives. .… more
- Corza Medical (AZ)
- Clinical Specialist , Field Operations, Wound Closure, West Region **Location of Work** Remote , Arizona; Remote , California; Remote , Chicago, IL; ... Remote , Colorado; Remote , Minnesota; Remote , Seattle, WA; Remote , Texas **Employment Type**...everything they do. **Job Purpose Summary** As a Clinical Specialist , you are responsible for delivering in-service training, hands-on… more
- Boehringer Ingelheim (Portland, OR)
- **Description** The PCP/Endo Business Specialist is responsible for developing and implementing a plan for maximizing net sales of BIPI and co-promoted diabetes ... and with BIPI guidelines, policies, and directives. The PCP/Endo Business Specialist will conduct their business with key targeted healthcare providers and… more
- Air National Guard Units (Cheyenne, WY)
- …SERVICE POSITION. This National Guard position is for an AIR TRAFFIC CONTROL SPECIALIST (TERMINAL), Position Description Number D1799000 and is part of the WY 243d ... GENERAL EXPERIENCE: Applicants must possess valid Air Traffic Control Specialist Certificate and/or Control Tower Operator Certificate and capable of… more
- Oracle (Harrisburg, PA)
- …from requirement intake, design, build, testing and deployment. + Works closely with management - Portfolio Manager and the roles within the pods (eg, Business ... Analyst, Integration Specialist , QA, etc.) and contribute to strategic planning, direction,...for the department or function in collaboration with senior management . + Drive the deployment of Customers workloads to… more
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