Utilization Management Jobs in Douglas Qld

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Product Manager, Authorization Services

Oscar Health

profile Los Angeles - USA

Hi were Oscar. Were hiring a Product Manager Authorization Services to join our Product 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 compan...

30+ days ago
Full Time

Sr Claims Research Analyst Pfs Claims Processing S...

Sharp Healthcare

profile San Diego - USA

Hours:Shift Start Time:8 AMShift End Time:4:30 PMAWS Hours Requirement:8/40 - 8 Hour ShiftAdditional Shift Information:Weekend Requirements:No WeekendsOn-Call Required:NoHourly Pay Range (Minimum - Midpoint - Maximum):$30.370 - $37.950 - $42.510The stated pay scale reflects the range that Sharp reas...

30+ days ago
Full Time

Reimbursement Business Manager-dermatology-columbu...

Regeneron Pharmaceuticals

profile Columbus - USA

Field Reimbursement Manager - Dermatology (Columbus OH)The Reimbursement Business Manager (RBM) is a critical front-line member of the Regeneron Commercial and Field Reimbursement Management team. We are seeking someone to support HCP offices in acquiring appropriate access to Regeneron products for...

30+ days ago
Full Time

Systems Coordinator Operating Room Integration Spe...

Mayo Clinic

profile Phoenix - USA

DescriptionIntegration Specialist is responsible for the daytoday reliability configuration troubleshooting and optimization of multivendor clinical integrations particularly those supporting operating room and procedural environments. This role provides realtime technical support for live clinical...

30+ days ago
Full Time

Systems Coordinator Surgical Services

Mayo Clinic

profile Phoenix - USA

DescriptionThe Systems Coordinator is responsible for the daytoday reliability configuration troubleshooting and optimization of multivendor clinical integrations particularly those supporting operating room and procedural environments. This role provides realtime technical support for live clinical...

30+ days ago
Full Time

Rn Case Manager

Baystate Health

profile Springfield - USA

RN Case ManagerPart Time 20 hoursBaystate Health a nationally recognized leader in healthcare quality patient safety and innovation is seeking a RN Case Manager to join the Hospital Medicine team at Baystate Medical Center (BMC) a Magnet-designated hospital for Nursing Excellence located in Springf...

30+ days ago
Part-Time

Case Manager Behavioral Health

Blue Cross & Blue Shield Of Rhode Island

profile Providence - USA

Pay Range:$73600.00 - $110400.00Please emailif you are a candidate seeking a reasonable accommodation for the application and/or interview process.At BCBSRI our greatest resource is our people.We come from varying backgrounds different cultures and unique experiences. We are hard-working caring and...

30+ days ago
Full Time

Case Manager, Rn Case Management Per Diem 8 Hour D...

University Of Southern California

profile Los Angeles - USA

In collaboration with the interdisciplinary team provides care coordination services evaluating options and services required to meet an individuals health care needs to promote cost-effective quality outcomes. Serves as a consultant to members of the health care team in the management of specific p...

30+ days ago
Part-Time

Discharge Planning Coordinator Value Based Service...

University Of Southern California

profile Los Angeles - USA

Provides department support for the Case Management team to facilitate discharge planning and ensure appropriate throughput. Works with Case Managers and Case Management Assistants to ensure discharge plans are communicated to patients and families and enables a positive patient experience with disc...

30+ days ago
Full Time

Clinical Um Pharmacist

Hf Management Services

profile New York City - USA

The Clinical UM Pharmacist is a dynamic position responsible for the review of prior authorizations for medications requested under the medical benefit. Additionally the Clinical UM Pharmacist is responsible for developing clinical criteria medical policies for provider administered medications revi...

30+ days ago
Full Time

Clinical Pharmacist Outreach Quality And Affordabi...

Premera Blue Cross

profile Mountlake Terrace - USA

Workforce Classification:HybridJoin Our Team: Do Meaningful Work and Improve Peoples LivesOur purpose to improve customers lives by making healthcare work better is far from ordinary. And so are our employees. Working at Premera means you have the opportunity to drive real change by transforming hea...

30+ days ago
Full Time

Senior Managing Consultant Aviation Environmental ...

Sidara

profile Cincinnati - USA

Landrum & Brown is a global aviation consulting firm with airports at the core of our DNA. We bring passion and creativity to solve the most complex global aviation challenges with the potential to enhance the world.Serving airports and other aviation clients for more than 70 years across all seven...

30+ days ago
Full Time

Sr. Director, Claims Operations

Curative Hr

profile Austin - USA

About CurativeCurative is building the future of health insurance with a first-of-its-kind employer-based plan designed to remove financial barriers and make care truly accessible: one monthly premium with $0 copays and $0 deductibles*. Backed by our recent $150M in Series B funding and valuation at...

30+ days ago
Full Time

Physician Advisor

Ensemble Health Partners

profile Jupiter - USA

Thank you for considering a career at Ensemble!Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solut...

30+ days ago
Full Time

Clinical Analyst

Newfire Global Partners

profile Boston - USA

Clinical Data Analyst Job Title: Clinical Data Analyst Department: Product Location: Care Lumen Remote (US Only) Employment Type: Full-time Employee Salary Range: $110000 - $156000Scope The Clinical Data Analyst is a hands-on technical role within Care Lumens Product organization reporting to...

30+ days ago
Full Time

Social Health Housing Benefit Coordinator Temporar...

Moda Health

profile Portland - USA

Lets do great things together!About ModaFounded in Oregon in 1955 Moda is proud to be a company of real people committed to quality. Today like then were focused on building a better future for healthcare. That starts by offering outstanding coverage to our members compassionate support to our commu...

30+ days ago
Full Time

Registered Dietitian

Trinity Health

profile Troy - USA

Employment Type:Full timeShift:Day ShiftDescription:Clinical Dietitian-Troy NY- Full TimeIf you are looking for a position as a clinical dietitian this could be your opportunity. Here at St. Peters Health Partners we care for more people in more places. This position is located in person at 720 Hoos...

30+ days ago
Full Time

Vice President, Head Of Payer Accounts (us Field B...

Takeda

profile Boston - USA

By clicking the Apply button I understand that my employment application process with Takeda will commence and that the information I provide in my application will be processed in line with Takedas Privacy Notice and Terms of Use. I further attest that all information I submit in my employment appl...

30+ days ago
Full Time

Software Development Engr Iii

Premera Blue Cross

profile Mountlake Terrace - USA

Workforce Classification:HybridJoin Our Team: Do Meaningful Work and Improve Peoples LivesOur purpose to improve customers lives by making healthcare work better is far from ordinary. And so are our employees. Working at Premera means you have the opportunity to drive real change by transforming hea...

30+ days ago
Full Time

Associate Medical Director – Inpatient Informatics

Boston Medical Center

profile Boston - USA

Associate Medical Director Inpatient InformaticsThe Associate Medical Director Inpatient Informatics offers a unique opportunity for a practicing General Internal Medicine or Hospital Medicine physician with Epic expertise to shape inpatient and emergency department informatics in a leading academ...

30+ days ago
Full Time