- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** Utilizing key principles of utilization management , the Utilization Review Specialist will perform prospective, ... benefit coverage. Leveraging clinical expertise and critical thinking skills, the Utilization Review Specialist , will analyze clinical information, contracts,… more
- Henry Ford Health System (Troy, MI)
- …case information to payers as needed. * Maintain a current knowledge of Utilization Management through interaction with staff and payor portal representatives. * ... The support specialist is a support role crucial to the centralized Utilization Review team for time sensitive authorization tracking and resolution process.… more
- Veterans Affairs, Veterans Health Administration (North Charleston, SC)
- Summary As the Acquisition Utilization Specialist you will serve as the medical center liaison and advisor on contract related services focusing on critical ... is not a virtual position. Position Description/PD#: Acquisition & Utilization Specialist /PD07899A Relocation/Recruitment Incentives: Not Required Requirements… more
- Veterans Affairs, Veterans Health Administration (IN)
- …Remote 100% Within Area. Position Description/PD#: Acquisition & Utilization Specialist /PD99810S Relocation/Recruitment Incentives: Not Authorized Permanent ... Northeast Ohio Healthcare System is recruiting for an Acquisition Utilization Specialist . This position will function...are not limited to: Experience with supervisory and inventory management experience. Experience may be gained in a grocery… more
- St. Luke's University Health Network (Allentown, PA)
- …serve, regardless of a patient's ability to pay for health care. The Denials Management Specialist reviews inpatient CMS and third party denials for medical ... billing with information needed to obtain payment of claims. Remote within local geography after orientation. JOB DUTIES AND...+ Prefer minimum of 2-5 years' experience in case management and/or utilization management . +… more
- Sanford Health (ND)
- …- 28.00 **Department Details** Opportunity to work remotely. **Job Summary** Monitors the utilization of resources, risk management and quality of care for ... dedicated to the work of health and healing across our broad footprint.** **Facility:** Remote ND (Central Time) **Location:** City - Remote ND, ND **Address:**… more
- Beth Israel Lahey Health (Boston, MA)
- …you're making a difference in people's lives.** This position is available for an on-site/ remote hybrid work arrangement and a minimum of 2 days per week on-site is ... Employees must reside in MA, NH, or RI. Job Summary: The Clinical Pharmacy Specialist serves as a leader in clinical pharmacy practice in an endocrinology practice.… more
- St. Luke's University Health Network (Allentown, PA)
- …a patient's ability to pay for health care. The Surgical Review Specialist prospectively reviews, validates, and audits procedure code assignment in accordance with ... lost with feedback to respective departments + Conduct concurrent review with utilization review department for post op surgical cases with potential status issues,… more
- Koniag Government Services (Chantilly, VA)
- …LLC,** a Koniag Government Services company **,** is seeking a Lead Communication Specialist to support Kadiak and our government customer. **This is a Remote ... purpose of this position is to serve as a Program and Management Analyst specialized in Communications and oversees the successful planning, scheduling, execution,… more
- Henry Ford Health System (Troy, 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
- Holcim US (Houston, TX)
- Carbon Capture Utilization Storage Integration Manager Requisition ID: 9456 Location: Houston, TX, US, 77547 Pay Type: Salary Travel Requirement: 31-40% **ARE YOU ... & Products. Description: **ABOUT THE ROLE** The Carbon Capture Utilization and Storage Integration Manager will report to the...This role will serve as a technical leader and specialist on various cement plant integration topics, including water… more
- Legrand NA (New London, CT)
- …Specialistto join theLegrand Data, Power & ControlDivision. This is a REMOTE position.The Senior Marketing Communication Specialistwill identify, plan, and manage ... product launches, marketing campaigns, trade shows, and website updates. Project management responsibilities include the coordination and completion of projects on… more
- Vanderbilt University Medical Center (Nashville, TN)
- …**Responsibilities:** **Certifications:** Certified Coding Associate - American Health Information Management Association, Certified Coding Specialist - American ... Health Information Management Association, Certified Coding Specialist - Physician - American Health Information Management Association, Certified Outpatient… more
- Beth Israel Lahey Health (Burlington, MA)
- …you're making a difference in people's lives.** Job Summary: The Clinical Pharmacy Specialist serves as a leader in clinical pharmacy practice in a specific clinical ... by hospital needs. Specialists provide comprehensive clinical and distributive medication management services and will utilize their advanced clinical skills in the… more
- Trinity Health (Columbus, OH)
- …Minimum of 5 years acute care medical or surgical experience required;** ** Utilization /Case Management , managed care, or Clinical Documentation and experience ... the multi-disciplinary team, including physicians, patient care services, case management , coding specialists and other healthcare disciplines regarding clinical… more
- Molina Healthcare (Las Vegas, NV)
- …position. Please highlight this experience on your resume.** **KNOWLEDGE/SKILLS/ABILITIES** The Specialist , Provider Quality contributes to one or more of these ... and empower members and impact health outcomes; may include initiation and management of provider interventions (eg, removing barriers to care.) + Helps practices… more
- CVS Health (Nashville, TN)
- …We have an exciting opportunity available for highly motivated individuals as Medicare Sales Specialist . The position will be a part of a specialized team who will ... all sales presentations. + Servicing of existing members and inquiries related to utilization of their product, benefits, etc. + Cross selling applicable products to… more
- Anywhere Real Estate (Los Angeles, CA)
- The **Commercial** **Sales Specialist ** participates in and supports sales management efforts, by assisting the **Commercial Director** in a range of agent ... and detail-oriented + Must be proficient with technology tools and teaching agents on utilization of tools + Must have a valid Real Estate or Broker's license… more
- Fairview Health Services (St. Paul, MN)
- **Overview** _Overview_ This is a remote position under Revenue Cycle Management that is responsible for obtaining all medical necessity approvals for a ... reviews and appeals in conjunction with revenue cycle, care teams, utilization review, and patients/guarantors. + Maintain knowledge of current payer requirements… more
- GROWMARK, Inc. (Bellefonte, PA)
- …related technologies. This position provides administrative and operational support to management staff regarding technology used within the agronomy business (both ... FUNCTIONS_* * _ _* Assists sales and operations staff with proper utilization of current technology platforms. This will include promoting customer facing… more