UM Jobs in USA

SummaryWe are currently hiring for a Managed Care Coordinator II Utilization Management to join BlueCross BlueShield of South this role as a Managed Care Coordinator II Utilization Management you will review and evaluate medical or behavioral eligibility regarding benefits and clinical criteria b...

SummaryWe are currently hiring for a Managed Care Coordinator II Utilization Management to join BlueCross BlueShield of South this role as a Managed Care Coordinator II Utilization Management you will review and evaluate medical or behavioral eligibility regarding benefits and clinical criteria b...

Hi Hope you are doing well. We are currently hiring for an RN Unit Manager for a great opportunity with Genesis Healthcare at Lebanon Nursing and Rehab located in Lebanon PA 17042. I came across your resume and wanted to check if you are currently available in the job market. Please review...

DescriptionLocation: This position is located at our Dublin OH campus. Who weareFounded in 1999 and headquartered in Central Ohio were a privately-owned independent healthcare navigation organization. We believe that no one should have to navigate the cost and complexity of healthcare alone and were...

Job Title: Registered Nurse Unit Manager (RN UM) Location: Pembroke Center Pembroke NC Contract Duration: 11 weeks Work Hours: Monday Friday 8:00 AM 4:30 PM (40 hours guaranteed) Meal Break: 30 minutes Pay Rate: $61/hour (W2) Job Overview: We are seeking a skilled RN-Unit Manager (UM) for an...

The Business Project Senior Advisor will report to the Cigna Pharmacy Business UM Operationalization team and play a critical role in leading and supporting high-profile initiatives and complex issue resolution. This role requires deep expertise in pharmacy and medical claims prior authorization (PA...

DescriptionHealthPartners is hiring a RN Clinical Review Prior Authorization UM Specialist.POSITION PURPOSE:Accurate application of HealthPartners evidence-based coverage criteria in alignment with member benefit planAppropriate management of HealthPartners fiduciary responsibilities in alignment wi...

Overall PurposeThe Medical Director Utilization Management serves as the physician leader responsible for medical oversight of the Utilization Management (UM) program at P3 Health Partners. This role ensures the quality safety effectiveness and efficiency of utilization review processes including pr...

Hi were Oscar. Were hiring a UM Affordability & Value Analytics Manager to join our UM Strategy team.Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insuranc...

Hi were Oscar. Were hiring a UM Affordability & Value Analytics Manager to join our UM Strategy team.Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insuranc...

Who We ArePoint32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality affordable healthcare. Serving nearly 2 million members Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and em...

We are looking for an experienced UM Medical Director to lead the clinical integrity of our utilization management function. This physician leader will focus specifically on inpatient and post-acute care reviews ensuring timely and appropriate care determinations for our Medicare Advantage members.R...

Hi were Oscar. Were hiring a UM Nurse Manager to join our Utilization Management team.Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we wo...

Hours:Shift Start Time:8 AMShift End Time:4:30 PMAWS Hours Requirement:8/40 - 8 Hour ShiftAdditional Shift Information:8 hour shiftsWeekend Requirements:No WeekendsOn-Call Required:NoHourly Pay Range (Minimum - Midpoint - Maximum):$36.830 - $47.530 - $53.230The stated pay scale reflects the range th...

What We Offer  A competitive total rewards compendium; to include but not limited to:Relocation available for qualified Candidates.Shift: Full Time 4 (10s)Competitive rate of payProfessional Development Opportunities & Career Ladder InsightsState of Art Equipment Medical Dental VisionRetirement Pla...

Site: Mass General Brigham IncorporatedMass General Brigham relies on a wide range of professionals including doctors nurses business people tech experts researchers and systems analysts to advance our mission. As a not-for-profit we support patient care research teaching and community service striv...