- Community Health Systems (Franklin, TN)
- Job Summary The Clinical Utilization Review Specialist is responsible for evaluating the necessity, appropriateness, and efficiency of hospital services to ... and collaborates with healthcare providers to facilitate efficient patient care. The Clinical Utilization Review Specialist monitors adherence to hospital … more
- Community Health Systems (Franklin, TN)
- …to secure timely authorizations and reduce potential denials, utilizing input from the Utilization Review Clinical Specialist . Monitors and updates case ... Job Summary The Utilization Review Coordinator ensures efficient and effective management of utilization review processes, including denials and appeals… more
- UnitedHealth Group (Dallas, TX)
- …Cardiology, Endocrinology, radiation oncology (other specialties will be considered) Experience in utilization and clinical coverage review Reside in Nebraska or ... Clinical Services operations, the organization responsible for the initial clinical review of service requests for Enterprise Clinical Services. The Medical Director… more
- Houston Methodist (Sugar Land, TX)
- …Senior Denials Management Specialist position is responsible for performing utilization review activities, and monitoring the clinical denial management and ... Seven years clinical nursing/patient care experience which includes three years in utilization review , case management or equivalent revenue cycle clinical role… more
- Novo Nordisk Inc. (Lubbock, TX)
- …appropriate patients that would benefit in order to ensure early trial and utilization Generates advocacy for Novo Nordisk products and services by sharing approved ... by not exceeding the Novo Nordisk points threshold assigned based on review of Motor Vehicle Records. Qualifications Bachelor's or equivalent degree, and/or Pharm… more
- Novo Nordisk Inc. (Irvine, CA)
- …appropriate patients that would benefit in order to ensure early trial and utilization Generates advocacy for Novo Nordisk products and services by sharing approved ... by not exceeding the Novo Nordisk points threshold assigned based on review of Motor Vehicle Records. Qualifications Bachelor's or equivalent degree, and/or Pharm… more
- ManpowerGroup (Plano, TX)
- …required; AA degree is a plus. Minimum of 2+ years experience in a utilization review environment or similar work experience. Knowledge of private insurance, ... leading healthcare organization, is seeking a Verification of Benefits Specialist to join their team. As a Verification of...Workers Compensation, and Medicare guidelines related to utilization review . Proficient with Microsoft Office (Word… more
- Pfizer (Sacramento, CA)
- …patients. What You Will Achieve The Rare Cardiac, Amyloidosis Multi-disciplinary Specialist (AMS), will target health care providers (HCPs), spanning primary care ... will report into the Area Business Manager (ABM). Amyloidosis Multi-disciplinary Specialist (AMS) will demonstrate strong business acumen, and an expert… more
- Battelle Memorial Institute (San Diego, CA)
- …business line is seeking a highly motivated, full-time **Senior Strength and Conditioning Specialist ** to join our team in support of our government customer, US ... support for those who serve. As a Senior Strength and Conditioning Specialist , you will contribute to impactful research and analytics that drive evidence-based… more
- Quality Technology Services, LLC (Ashburn, VA)
- …invoices, warranties, and maintenance agreements. Generate reports and analytics on asset utilization , costs, and compliance status for management review . Ensure ... The IT Asset Specialist will be responsible for managing and optimizing...employees and key stakeholders. Generate regular reports on asset utilization , performance, and compliance. Document IT asset-related processes, policies,… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- …**Work from Home Appeals and Grievance Specialists** . The Appeals and Grievance Specialist plays a key role in helping members navigate and understand their ... benefits related to Appeals, External Medical Review , and the Fair Hearing process. Acts as the...+ Inputs EMR and Fair Hearing data into the Utilization Management system with accuracy and completeness per established… more
- Oracle (Hartford, CT)
- …inpatient stays. Knowledge of third-party payor rules and regulations. 2-3 years of Utilization Review experience in a healthcare setting preferred; 1-2 years of ... accredited college and AHIMA Certified RHIT credentials preferred Certification in Utilization Review , case management, and healthcare quality preferred… more
- CUNY (New York, NY)
- Finance Accounts Payable Specialist , FPCM (2 Vacancies) POSITION DETAILS The City University of New York's Department of Facilities Planning, Construction, and ... Reporting to the Facilities Budget Accounts Manager, the Finance Accounts Payable Specialist supports the department's financial operations by performing a range of… more
- Cardinal Health (Atlanta, GA)
- Job Description Senior Consultant, Product Sales Specialist - NPHS The territory will cover 7 pharmacies along the eastern seaboard, with cities that include ... should ideally sit in Philadelphia or Charlotte. The Product Sales Specialist is responsible for developing opportunities, selling, growing and maintaining product… more
- Highland Hospital (Rochester, NY)
- 16795BR Title: Health Insurance & Authorization Specialist I Department/Cost Center: 846 - Business Office/Cashiers Job Description: The Health Insurance and ... Authorization Specialist is responsible to assess and perform quality control...is on file and accurately documented. These activities include review diagnosis and history for correct insurance coverage, insurance… more
- KBR (Colorado Springs, CO)
- Title Special Operations Strength and Conditioning Specialist (Colorado Springs, CO) Belong. Connect. Grow. with KBR! KBR is a company of innovators, thinkers, ... and services. We are seeking a stellar Strength and Conditioning Specialist that will establish and administer effective strength and conditioning protocols… more
- Kuehne+Nagel (Bensenville, IL)
- …contribution counts in more ways than we imagine. ? The Operational Care Specialist is responsible for managing the coordination of shipments accurately and timely, ... meeting customer transit time requirements. The Operational Care Specialist is part of a team (Operational Care Centers)...in KN systems, including financial data, such as costs Review and clarify CCL instructions if there are conflicts… more
- Battelle Memorial Institute (San Diego, CA)
- …(HRA) business line is seeking a highly motivated, full-time **Strength and Conditioning Specialist ** to join our team in support of our government customer, US ... comprehensive support for those who serve. As a Strength and Conditioning Specialist , you will contribute to impactful research and analytics that drive… more
- Oracle (Carson City, NV)
- …Manager and the roles within the pods (eg, Business Analyst, Integration Specialist , QA, etc.) and contribute to strategic planning, direction, and goal setting ... procedures, contractual budgets, providing expert-level insight on the development, utilization , and revision of contractual agreements. Maintains customer relations,… more
- J&J Family of Companies (Atlanta, GA)
- …Job Description: We are searching for the best talent for an Oncology Sales Specialist to be in Atlanta, GA. About Oncology Our expertise in Innovative Medicine is ... of the way. Learn more at https://www.jnj.com/innovative-medicine The Oncology Specialist (OS) in the CAR-T franchise is a Field...this role, the OS is responsible for driving appropriate utilization of J&J's CAR-T therapy within the account and… more
Related Job Searches:
Clinical Utilization Review Specialist,
Nurse Specialist Utilization Review,
Physician Utilization Review Specialist,
RN Utilization Review Specialist,
Review,
Review Specialist,
Specialist,
Utilization,
Utilization Review,
Utilization Review Specialist Behavioral