Utilization Management Jobs in Douglas Qld

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Clinical Pharmacist Data Analytics

Elevance Health

profile Atlanta - USA

Anticipated End Date:Position Title:Clinical Pharmacist - Data AnalyticsJob Description:Work location - Hybrid 1This role requires associates to be in-office 1 - 2 days per week fostering collaboration and connectivity while providing flexibility to support productivity and work-life balance. This a...

18 days ago
Full Time

Psych Nurse Practitioner Non-crisis Phoenix, Mesa,...

Community Bridges

profile Phoenix - USA

Psychiatric Mental Health Nurse Practitioner (Crisis / OSC Expedited Care)Community Bridges INCFull Job DescriptionCommunity Bridges Inc. (CBI) is an integrated behavioral healthcare agency offering a variety of different programs throughout Arizona. CBI provides residential outpatient inpatient pat...

18 days ago
Full Time

Insurance Clearance Rep Sr

Advocate Health And Hospitals Corporation

profile Milwaukee - USA

Department:10338 Enterprise Revenue Cycle - PreArrival AuthorizationStatus: Full timeBenefits Eligible:YesHours Per Week:40Schedule Details/Additional Information:Remote Position--Monday to Friday 9:30am to 600pmPay Range$22.90 - $34.35Major Responsibilities:Acquires and maintains current knowledge...

18 days ago
Full Time

Nurse Case Mgr Sr

Elevance Health

profile Ashburn - USA

Anticipated End Date:Position Title:Nurse Case Mgr SrJob Description:Location: This role requires associates to be in-office 4 days per week fostering collaboration and connectivity while providing flexibility to support productivity and work-life balance. This approach combines structured office en...

18 days ago
Full Time

Cmo

Civic Minds

profile Memphis - USA

Required Qualifications Education & Certification MD or DO from an accredited medical school Board Certified in one of the following: Internal Medicine OR Endocrinology OR Family Medicine/Family Practice Active and unrestricted medical license (state to be confirmed) DEA licensure Experience M...

19 days ago
Full Time

Provider Engagement Associate Consultant

Wellmark, Inc.

profile Des Moines - USA

About the role: As a Provider Engagement Associate Consultant you will support the development and maintenance of strong collaborative relationships with health care organizations participating in Wellmarks partnership with Provider Engagement leadership and Provider Engagement Consultants (PECs) y...

19 days ago
Full Time

Practice Success Manager

Guidehealth

profile Atlanta - USA

The Practice Success Manager serves as the operational owner of assigned provider relationships across Guidehealths partner networks ensuring successful engagement sustained performance and accountability at the practice level. This role functions as the primary operational and relationship partner...

19 days ago
Remote

Director Of Utilization Management

Blue Cross Blue Shield Of Minnesota

profile Eagan - USA

About Blue Cross and Blue Shield of MinnesotaAt Blue Cross and Blue Shield of Minnesota we are committed to paving the way for everyone to achieve their healthiest life. We are looking for dedicated and motivated individuals who share our vision of transforming healthcare. As a Blue Cross associate...

19 days ago
Full Time

Sr Appeals Nurse Specialist

Johns Hopkins Medicine

profile Baltimore - USA

Make it happen atHOPKINS!This position is eligible for remote work if you live in one of the following states: Maryland Virginia Delaware Pennsylvania Florida or Washington DC.Full-TimeShift: DayThe mission of Johns Hopkins Medicine is to improve the health of the community and the world by setting...

19 days ago
Full Time

Substance Use Medical Director

State Of Illinois

profile Chicago - USA

Job Requisition ID:56519Opening Date: 06/08/2026Closing Date: 06/29/2026Agency:Department of Human ServicesClass Title:MEDICAL ADM II OPT D - 26403Skill Option:Special License - IL License to Practice Medicine - Family PracticeBilingual Option:NoneSalary: Anticipated Salary: $25092 - $27092 per mont...

19 days ago
Full Time

Director, Project Management Office (pmo) – Credit...

Cgi

profile Fairfax - USA

Position Description:CGI is one of the largest independent IT and business consulting services firms in the world. Through industry expertise innovative technology solutions and a collaborative culture CGI helps clients across industries achieve measurable business outcomes while empowering professi...

19 days ago
Full Time

Contracts & Pricing Strategy, Senior Manager Repat...

Amgen

profile Thousand Oaks - USA

Career CategorySales & Marketing OperationsJob DescriptionJoin Amgens Mission of Serving PatientsAt Amgen if you feel like youre part of something bigger its because you are. Our shared missionto serve patients living with serious illnessesdrives all that we do.Since 1980 weve helped pioneer the wor...

20 days ago
Full Time

Director Market Access Payer & Provider Strategic ...

Gsk

profile Philadelphia - USA

Position Summary - Director Market Access Payer & Provider Strategic Contract AnalyticsAt GSK we are focused on uniting science technology and talent to get ahead of disease together. As Director Market Access Payer & Provider Strategic Contract Analytics you will play a critical leadership role sha...

20 days ago
Full Time

Medical Director – New York Commercial

Elevance Health

profile New York City - USA

Anticipated End Date:Position Title:Medical Director New York CommercialJob Description:Medical Director New York Commercial Location: This role enables associates to work virtually full-time with the exception of required in-person training sessions providing maximum flexibility and autonomy. Thi...

20 days ago
Full Time

Operation Manager

Dsv

profile Salt Lake - USA

DSV - Global transport and logisticsIn 1976 ten independent hauliers joined forces and founded DSV in Denmark. Since then DSV has evolved to become the worlds 3rdlargest supplier of global solutions within transport and logistics. Today we add value to our customers entire supply chain by transporti...

20 days ago
Contract

Operations Manager- 2nd Shift

Dsv

profile Carteret - USA

DSV - Global transport and logisticsIn 1976 ten independent hauliers joined forces and founded DSV in Denmark. Since then DSV has evolved to become the worlds 3rdlargest supplier of global solutions within transport and logistics. Today we add value to our customers entire supply chain by transporti...

20 days ago
Contract

Supervisor Utilization Management

Cambia Health Solutions

profile Lewiston - USA

Supervisor Utilization Management Hybridrole(3days/weekin office)atourBurlington Renton Spokane Vancouver Portland Medford Salt Lake City Boise Lewiston or Fargooffices. Candidates mustresidewithin commutable distance of that location or be willing torelocate. Build a career with purpose. JoinourCau...

21 days ago
Full Time

Clinical Utilization Management Pharmacist

Point32health

profile Canton - USA

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...

21 days ago
Full Time

Utilization Management Inpatient Clinical Speciali...

Cambia Health Solutions

profile Lewiston - USA

Utilization Management Inpatient Clinical SpecialistWork from home within Washington Oregon Idaho or UtahBuild a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system.Who We Are Looking For:Every day Cambias dedicated team ofUtilization Manage...

21 days ago
Full Time

Physician Advisor And Cmio Role

Ochsner Lsu Health System

profile Shreveport - USA

The Physician Advisor (PA-Utilization Management) serves as the physician leader in matters relating to patient care. The PA will partner to reduce length of stay ensure appropriate use of level of care determinations (inpatient observation outpatient and other classifications as identified) support...

21 days ago
Full Time