Utilization Management Jobs in Ohio

Be visionaryTeledyne Technologies Incorporated provides enabling technologies for industrial growth markets that require advanced technology and high reliability. These markets include aerospace and defense factory automation air and water quality environmental monitoring electronics design and deve...

Current Employees: If you are currently employed at any of the Universities of Wisconsin log in to Workday to apply through the internal application process.Job Category:Academic StaffEmployment Type:RegularJob Profile:Outreach Program CoordinatorJob Summary:This position will join the Center for He...

Erie Home is hiring a Field Marketing Manager to build coach and lead a team of door-to-door field marketers driving performance and generating leads for industry-leading home improvement solutions that practically sell themselves. Our exclusive roofing systems offer unmatched durability energy eff...

Allocation PlannerJoin Us at PuraReimagining Fragrance for the FutureAt Pura we believe life is better when it smells good. Fragrance has the unique power to transform spaces elevate moods and create lasting memories. But we know it can do even more. Thats why were pioneering the future of fragrance...

New Year New Career at Cassia! Ready for a fresh start Join a team that values you and helps you grow.Apple Valley Village Health Care Centera Cassia senior communityis hiring aRegistered Nurse (RN)to join our team as a Health Plan Nurse!Join our team where your clinical skills compassion and commit...

Help us change livesAt Exact Sciences were helpingchange how the world prevents detects and guides treatment for cancer. We give patients and clinicians the clarity needed to make confident decisions when they matter most. Join our team to find a purpose-driven career an inclusive culture and robust...

DescriptionWork Schedule:100% FTE Day/Evening shifts. Core working hours are between 6:30 am and 5 pm Monday Sunday. Employee will work four 10-hour shifts per week. The weekend assignment is every third Saturday and Sunday.Pay:Pay range is based on a full-time (100%) position.Additional components...

DescriptionWork Schedule:100% FTE Day/Evening shifts. Core working hours are between 6:30 am and 5 pm Monday Sunday. Employee will work four 10-hour shifts per week. The weekend assignment is every third Saturday and Sunday.Pay:Pay range is based on a full-time (100%) position.Additional components...

RN Patient Flow & Care Management Emergency DeptLocation: Bronx NY 10461 Contract Length: 13 Weeks Schedule: 5 Days/Week Day Shift Department: Emergency ServicesWeekly Gross: $2779.87Summary This role supports patient throughput and transitions of care through care coordination and utilization man...

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...

Location: Devou Park Department: Billing Services Position Reports to: Director of Billing Services Position Supervises: n/a Profile Last Updated: December 5 2025 QUALIFICATIONS Minimum of 2 years experience working in verification of insurance benefits. Familiarity with behavioral health s...

About NetskopeToday theres more data and users outside the enterprise than inside causing the network perimeter as we know it to dissolve. We realized a new perimeter was needed one that is built in the cloud and follows and protects data wherever it goes so we started Netskope to redefine Cloud Net...

Anticipated End Date:Position Title:Medical DirectorJob Description:Medical Director Location: This role enables associates to work virtually full-time with the exception of required in-person training sessions providing maximum flexibility and autonomy. This approach promotes productivity supports...

OverviewUtah State Universitys STARS GEAR UP program is hiring a College Advisor (Program Coordinator II) to support students in three federal GEAR UP grants. As part of the Gaining Early Awareness and Readiness for Undergraduate Program (GEAR UP) the program provides academic preparation services t...

Calpine a business unit of Constellation Energy Corporation (Nasdaq: CEG) is Americas largest generator of electricity from natural gas and geothermal resources with operations in competitive power markets. With 79 energy facilities in operation Calpines fleet has the capacity to generate approximat...

Heathcare Utilization & Authorization Operations Analyst (UM/PA) Location: Mason OH 45040 (100% Onsite) Duration: 3 Months with possible extension Estimated Hours per Week: 40 Work Schedule: 8:30 AM 5:30 PM (flexible) Pay Rate: $21.43/hr. W2 All inclusive BRIEF DESCRIPTION OF WORK:...

DescriptionThe Support Coordinator plays a vital role in assisting the Activities Coordinator with planning and executing weekly camp activities skits and events that align with the camps themes and values. They are responsible for preparing and organizing materials decorations and props for theme d...

ESSENTIAL FUNCTIONS: Monitor utilization of services and optimize reimbursement for the facility while maximizing use of the patients provider benefits for their needs. Conducts and oversees concurrent and retrospective reviews for all patients. Act as a liaison between Medicaid reviewers and the st...

DescriptionCenturion is proud to be the provider of comprehensive medical careto the Florida Department of Corrections.We are currently seeking a Medical Director to join our team at theTaylor Correctional Institution located in Perry FL.The Medical Director provides the clinical direction needed to...

DescriptionCenturion Health is proud to be the provider of comprehensive healthcare services to the Missouri Department of Corrections.We are currently seeking a full-time Site Medical Director to join our team at Northeast Correctional Center located in Licking Missouri.The Medical Director provide...