Utilization Management Jobs in Douglas Qld
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Product Manager, Authorization Services
Oscar Health
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...
Sr Claims Research Analyst Pfs Claims Processing S...
Sharp Healthcare
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...
Reimbursement Business Manager-dermatology-columbu...
Regeneron Pharmaceuticals
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...
Systems Coordinator Operating Room Integration Spe...
Mayo Clinic
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...
Systems Coordinator Surgical Services
Mayo Clinic
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...
Rn Case Manager
Baystate Health
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...
Case Manager Behavioral Health
Blue Cross & Blue Shield Of Rhode Island
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...
Case Manager, Rn Case Management Per Diem 8 Hour D...
University Of Southern California
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...
Discharge Planning Coordinator Value Based Service...
University Of Southern California
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...
Clinical Um Pharmacist
Hf Management Services
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...
Clinical Pharmacist Outreach Quality And Affordabi...
Premera Blue Cross
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...
Senior Managing Consultant Aviation Environmental ...
Sidara
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...
Sr. Director, Claims Operations
Curative Hr
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...
Physician Advisor
Ensemble Health Partners
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...
Clinical Analyst
Newfire Global Partners
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...
Social Health Housing Benefit Coordinator Temporar...
Moda Health
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...
Registered Dietitian
Trinity Health
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...
Vice President, Head Of Payer Accounts (us Field B...
Takeda
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...
Software Development Engr Iii
Premera Blue Cross
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...
Associate Medical Director – Inpatient Informatics
Boston Medical Center
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...