Utilization Assessment Jobs in USA

Job DescriptionWe are seeking a Clinical Care Manager who is passionate about advancing highquality compliant patientcentered care through precise and timely Utilization this role you will apply clinical expertise and regulatory knowledge to evaluate healthcare services ensure medically necessary c...

Job DescriptionWe are seeking a Clinical Care Manager who is passionate about advancing highquality compliant patientcentered care through precise and timely Utilization this role you will apply clinical expertise and regulatory knowledge to evaluate healthcare services ensure medically necessary c...

Job DescriptionWe are seeking a Clinical Care Manager who is passionate about advancing highquality compliant patientcentered care through precise and timely Utilization this role you will apply clinical expertise and regulatory knowledge to evaluate healthcare services ensure medically necessary c...

Under limited supervision gathers and analyzes user needs for developing and modifying clinical or business applications in the healthcare environment. Includes providing complex application support writes documentation and specifications. Analyzes complex results proposes solutions and/or recommend...

Were seeking a Sr. ACO Performance Analytics Analyst to join our Medicare Value-Based Care Programs(VBC) Analytics team. The roles primary focus is to support our Accountable Care Organizations(ACOs) in the MSSP program. The candidate must have hybrid experience knowledgeable in both business and te...

Where Youll WorkDignity Health MSO offers an outstanding Total Rewards package that integrates competitive pay with a state-of-the-art flexible Health & Welfare benefits package. Our cafeteria-style benefit program gives employees the ability to choose the benefits they want from a variety of option...

Thanks for your interest in Childrens Mercy!Do you envision finding a meaningful role with an inclusive and compassionate team At Childrens Mercy we believe in making a difference in the lives of all children and shining a light of hope to the patients and families we serve. Our employees make the d...

SummaryAs the Acquisition Utilization Specialist you will serve as the medical center liaison and advisor on contract related services focusing on critical clinical and healthcare services product acquisition and support services required by project managers program managers upper management and sta...

SummaryThe Primary Purpose of the Position is to serve in the capacity as a Management Assistant to the Chief of Medicine Service the Administrative Officer and Supervisory Management Analyst and support the day to day operations of their assigned section(s) as well as the Medicine Service in genera...

Req ID: 45260Team: C106 QUALITY/NDTEntity: Newport News ShipbuildingUS Citizenship Required for this Position:YesFull-TimeShift: 1stRelocation: No relocation assistance availableVirtual/Telework Opportunity: No - Not eligible for teleworkTravel Requirement:NoClearance Required:No - Clearance Not Req...

Position OverviewThe Sr. Analyst 1 QC Sample Control works independently with limited supervision and guidance from their manager to ensure all samples managed by the Sample Control team are handled and documented in accordance with applicable internal procedures. This role is responsible for handli...

DescriptionNaval Information Warfare Center (NIWC) LANT is one major organization responsible for the research development testing and evaluation (RDT&E) of new and emerging technologies to enhance and increase Navy SIGINT capabilities. This support includes but is not limited to; research and ident...

At EY were all in to shape your future with confidence.Well help you succeed in a globally connected powerhouse of diverse teams and take your career wherever you want it to go. Join EY and help to build a better working world.Job Title: Business Systems Analyst --Service Delivery Center AnalystEY i...

SummaryFor more information on the Department of Justice and the United States Attorneys Offices visit At the full performance level you will be responsible for planning implementing and administering the full spectrum of budget and financial management services. If selected for this...

SummaryThis vacancy is for a GSBudget Analyst located in the Department of Homeland Security U.S. Coast Guard TRACEN CAPE MAY COMPTROLLER BRANCH in CAPE MAY New Jersey.DutiesThis position is in the Comptroller Branch of the Mission Support Division U.S. Coast Guard Training Center (TRACEN) Cape May...

Job DescriptionClaims Compliance AnalystJob SummarySeeking a highly skilled and experienced Claims Compliance Analyst to join a growing team. This role is integral to ensuring compliance with claims regulations across all 50 states and federal jurisdictions. You will work closely with internal claim...

SummaryTo submit your resume for this Direct Hire opportunity click here.For additional information on other USSF direct hire opportunities visit the Air Force Civilian Careers Space Force website and follow USSF on LinkedIn.Duties The United States Space Force (USSF) Space Systems Co...

Department:34102 ACH Enterprise - Nursing Float PoolStatus: Full timeBenefits Eligible:YesHours Per Week:36Schedule Details/Additional Information:0.9 FTE Nights; holiday track and every third weekend.Pay Range$38.20 - $57.30Position Requirements:Pediatric CRU II (RN) 2yrs RN Experience - NICU Speci...

About Umpqua HealthAt Umpqua Health were more than just a healthcare organization; were a community-driven Coordinated Care Organization (CCO) committed to improving the health and well-being of individuals and families throughout our region. Umpqua Health serves Douglas County Oregon where we prior...

Job DescriptionThe Manager of Utilization Review is responsible for overall policy and operational accountability for utilization review to meet system strategic goals and directions. This position oversees utilization for all patient encounters. This includes management of the department budget hir...