Utilization Management Jobs in USA

We are seeking an experienced Beverage Production Manager to oversee the daily operations of our production this critical role you will lead a team of production and maintenance staff to ensure efficient manufacturing of high-quality Cannabis-Infused beverages including soft drinks juices RTD teas...

As a Health Services Coding Analyst you will provide clinical leadership and subject-matter expertise to support the analysis configuration and administration of complex medical policy content within claims processing systems including Plan General Exclusion (PGE) rules and FACETS table maintenance....

As a Health Services Coding Analyst you will provide clinical leadership and subject-matter expertise to support the analysis configuration and administration of complex medical policy content within claims processing systems including Plan General Exclusion (PGE) rules and FACETS table maintenance....

As a Health Services Coding Analyst you will provide clinical leadership and subject-matter expertise to support the analysis configuration and administration of complex medical policy content within claims processing systems including Plan General Exclusion (PGE) rules and FACETS table maintenance....

If you are a current associate you will need to apply through our internal career site. Please log into Workday and click on the Jobs Hub app or search for Browse Jobs.BluePearl Pet Hospital in South Charlotte NC (formerly Skyline Veterinary Specialty and Emergency) is seeking a collaborative engage...

YORK PREPARATORY ACADEMYSouth Carolina Public Charter School District TITLE: After School Program Coordinator POSITION TYPE: ExemptAGREEMENT TERMS: Paid over 10 Months August through May 183 work days Monday-Friday...

Sellers are a critical part of Amazons ecosystem to deliver on our vision of offering the Earths largest selection and lowest prices. These Sellers offer hundreds of millions of unique products providing a broad and diverse inventory of products from Books Electronics and Apparel to Consumables and...

*WE DO URGENT CARE DIFFERENTLY - Come See How!**WHY YOULL LOVE IT HEREA Culture That Actually Cares:teammates whove got your back leaders who listen and zero bureaucracy. We believe in collaboration not competition!Team Performance Bonus:When the team thrives you share in the success! Monthly perfor...

OverviewAre you ready to take your career to new heights At Concentra you will be a vital member of our patient care team and play a crucial role in providing exceptional care to our patients. Our mission is to improve the health of Americas workforce one patient at a time. Join us at Concentra and...

Working with UsChallenging. Meaningful. Life-changing. Those arent words that are usually associated with a job. But working at Bristol Myers Squibb is anything but usual. Here uniquely interesting work happens every day in every department. From optimizing a production line to the latest breakthrou...

Join us as a Medical Director DVM at VCA Avondale Veterinary Hospital in Des Moines IA and youll quickly discover that youre well supported by world-class medicine technology facilities and a talented team. Youll be empowered to do your best work with a team you can count on. At VCA the future of ve...

Your Future Evolves HereEvolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care we seek to connect the pieces of fragmented health care system and ensure people get the same lev...

Find your calling at Mercy!The Care Manager as part of the interdisciplinary team assess plans advocates and coordinates care from admission to discharge ensuring a safe transition post hospitalization. Performs duties and responsibilities in a manner consistent with the Mercy mission values and se...

St. Lukes is proud of the skills experience and compassion of its employees. The employees of St. Lukes are our most valuable asset! Individually and together our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the...

Job DetailsWorking under minimal supervision the Clinical Pharmacist is responsible for managing the prescription benefit program for all lines of business for Health Partners. The incumbent uses clinical pharmacy expertise as well as approved criteria in administering the prescription prior author...

About the RoleWere looking for a Director of Paid Media who is exceptional at two things: managing people and managing client relationships. Youll lead a team of Associate Directors own the health of our paid media accounts and be the person clients trust when the stakes are high. If youre someone w...

Anticipated End Date:Position Title:LTSS Service Coordinator - Case Manager (Region A: Bay/Escambia/Santa Rosa)Job Description:LTSS Service Coordinator Sign on Bonus: $1500.00Schedule: Monday-Friday 8am-5pm ESTLocation: This is primarily a field based position. Candidate would need to reside in one...

Anticipated End Date:Position Title:LTSS Service Coordinator - Case Manager (Region C: Pasco/Pinellas)Job Description:LTSS Service Coordinator (Bilingual in Spanish/English)Sign on Bonus: $1500.00Schedule: Monday-Friday 8am-5pm ESTLocation: This is primarily a field based position. Candidate would n...

Anticipated End Date:Position Title:LTSS Service Coordinator - Case Manager (Region B: Citrus/Duval/Hernando/Lake)Job Description:LTSS Service Coordinator (Bilingual in Spanish/English)Sign on Bonus: $1500.00Schedule: Monday-Friday 8am-5pm ESTLocation: This is primarily a field based position. Candi...

Anticipated End Date:Position Title:LTSS Service Coordinator - Case Manager (Region I: Miami-Dade/Monroe County)Job Description:LTSS Service Coordinator (Bilingual in Spanish/English)Sign on bonus $1500.00Schedule: Monday-Friday 8am-5pm ESTLocation: This is primarily a field based position. Candidat...