- Community Health Systems (Franklin, TN)
- …secure timely authorizations and reduce potential denials, utilizing input from the Utilization Review Clinical Specialist . Monitors and updates case management ... Job Summary The Utilization Review Coordinator ensures efficient and effective management... Review Coordinator ensures efficient and effective management of utilization review processes, including denials and appeals activities. This… more
- Teleflex (Morrisville, NC)
- …role bridges marketing, sales, and operations, focusing on process optimization, technology utilization , and administrative accuracy. The Specialist plays a key ... Comercial Marketing Operations Specialist (Raleigh-Durham) **Date:** Nov 21, 2025 **Location:** Morrisville, NC, US **Company:** Teleflex **Expected Travel** : Up to… more
- UnitedHealth Group (Dallas, TX)
- …activities primarily focus on the application of clinical knowledge in various utilization management activities with a focus on pre-service benefit and coverage ... benefits. The collaboration often involves the member's primary care provider or specialist physician. It is the primary responsibility of the medical director to… more
- Cipla (Fall River, MA)
- Job TitleMDI Operations Specialist Organization NameInvaGen Pharmaceuticals, Inc. LocationFall River location Employment TypeFull Time ShiftSecond Shift Salary Range ... coordinating materials, equipment, and workforce allocation for optimal resource utilization . Identify areas for operational improvements, focusing on reducing waste… more
- Houston Methodist (Sugar Land, TX)
- At Houston Methodist, the Senior Denials Management Specialist position is responsible for performing utilization review activities, and monitoring the clinical ... team partners. This position uses sound clinical judgement in the Utilization Management process and knowledge of regulatory requirements to make appropriate… 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 ... clinical and scientific information and insights with target physicians Recognizes opportunities to productively challenge HCPs clinical management of patients that respects their knowledge and experience and adds value by sharing new information and offering… 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 ... clinical and scientific information and insights with target physicians Recognizes opportunities to productively challenge HCPs clinical management of patients that respects their knowledge and experience and adds value by sharing new information and offering… more
- ManpowerGroup (Plano, TX)
- Our client, a leading healthcare organization, is seeking a Verification of Benefits Specialist to join their team. As a Verification of Benefits Specialist , you ... successfully in the organization. Job Title: Verification of Benefits Specialist Location: Plano, TX Pay Range: $29/hr on w2...a plus. Minimum of 2+ years experience in a utilization review environment or similar work experience. Knowledge of… 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
- Devereux Advanced Behavioral Health (Malvern, PA)
- …consider joining the Devereux PA Adult Services team as an Employment Integration Specialist ! Being An Employment Integration Specialist at Devereux Has Its ... Advantages ! As an Employment Integration Specialist at Devereux, you will work with other dedicated...employment and social activities for participants Monitor service delivery, utilization and team cohesiveness Evaluate and use data to… 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...identifies and resolves coordination of benefits discrepancies, and notifies Utilization Management of additional clinical requests Salary Range: $19.62… more
- Canon USA & Affiliates (Hartford, CT)
- XR Clinical Applications Specialist - req1569 OVERVIEW This position is the project manager for the final implementation for clinical applications training of a CMSU ... the sales and installation is complete, the Clinical Applications Specialist takes charge of the process, and works with...and technologists at each location to assure their best utilization of CMSU products and services. Consult with physicians… more
- Community Health Systems (Birmingham, AL)
- As a Scheduling Specialist at Grandview Medical Group you'll join a team and be a part of a culture that's dedicated to providing top quality care to our patients. ... and student loan assistance for eligible roles. Job Summary The Scheduling Specialist is responsible for managing and optimizing the scheduling process for patients… 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) responsible for coordinating transport… 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 (Hartford, CT)
- …arena. We are looking for a Senior Claims Denial Prevention and Appeals Specialist for providing clinical inputs to engineering for developing the Claim Denial ... 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 experience… more
- Sanford Health (Fargo, ND)
- …36.00 Salary Range: $16.50 - $26.50 Job Summary The Patient Access Specialist reviews and validates insurance eligibility, prior authorization and/or referral of ... periods. Documents work in case management module; provides direction to utilization management, case management, and nursing regarding what action needs to… more
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