Utilization Management Jobs in USA

Job DescriptionGeneral Summary:The Senior Medical Director will define the clinical development strategy of an asset work with cross-functional multidisciplinary teams to define overall asset strategy as well as clinical trials strategy design and execution and may serve as the Medical Lead for clin...

Job DescriptionGeneral Summary:The Clinical Development Medical Director will serve as the Medical Lead for Vertex clinical trials working with cross-functional multidisciplinary study teams on clinical trial strategy design and execution and serving as the Medical Monitor responsible for monitoring...

Job DescriptionVertex is seeking 3 regional field medical pharmaceutical leaders to stand up a high performing field medical science liaison (MSL) team to support our aspirations of bringing Povetacicept to patients for the treatment of Immunoglobulin A Nephropathy (IgAN). With several innovative me...

Where Youll WorkCHI Memorial a member of CommonSpirit is an award-winning not-for-profit faith-based health care organization dedicated to the healing ministry of Jesus Christ. Founded by the Sisters of Charity of Nazareth we offer a comprehensive continuum of care from preventative and primary care...

Anticipated End Date:Position Title:Medical Management Specialist IJob Description:Medical Management Specialist ILocation: 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 pr...

Anticipated End Date:Position Title:Medical Management Specialist IJob Description:Medical Management Specialist ILocation: 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 pr...

Anticipated End Date:Position Title:Medical Management Specialist IJob Description:Medical Management Specialist ILocation: 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 pr...

Anticipated End Date:Position Title:Medical Management Specialist IJob Description:Medical Management Specialist ILocation: 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 pr...

Anticipated End Date:Position Title:Medical Management Specialist IJob Description:Medical Management Specialist ILocation: 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 pr...

DescriptionThe System Outcome and Optimization UM Team Lead supports the System Director of Utilization Management by providing ongoing system-wide support to the Program Network through data retrieval analysis and report distribution. This role requires advanced analytical skills and the ability to...

This position is accountable for leadership and management of the performance of the Care Coordination Division for the Department of Nursing Services and Patient Care within University of Iowa Health Care and Clinical Enterprise to develop and implement care coordination as a foundation of a new mo...

Where Youll WorkDignity Health MSO offers an outstanding Total Rewards package that integrates competitive pay with a state-of-the-art flexible Health & Welfare benefits package. Our cafeteria-style benefit program gives employees the ability to choose the benefits they want from a variety of option...

DescriptionInova Fairfax Hospital Behavioral Health is looking for a dedicated Social Worker Case Manager 1 to join the Case Management Behavioral Therapy Programs Team. This role will be PRN (as needed) Day shift Monday-Friday and some weekends.Inova is consistently ranked a national healthcare lea...

ENL Case ManagementCompensation range:$57.13 - $77.13Your rate of pay will be based on applicable experienceShift: Days Days off: Variable Hours per pay period: 80 Shift length: 10 HoursEnloe Hea...

OverviewPresbyterian is seeking a Care Coordinator - Las Cruces NMFacilitates a team approach including the Interdisciplinary Care Plan team to ensure appropriate interventions cost effective delivery of quality care and services across thecontinuum. Collaborates with the interdisciplinary care plan...

Hi were Oscar. Were hiring a Senior Manager Medical Economics to join our Medical Economics.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 company...

Hi were Oscar. Were hiring a Senior Manager Medical Economics to join our Medical Economics.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 company...

DescriptionPay Range $31 to $38 depends on experienceJob Description- Social Service Assistant The Social Services Social Service Assistant assist the Social Services Director in operation of the Social Services department in accordance with the National Association of Social Workers (NASW) Code of...

SHIFT:7:30 AM - 4:00 PM eastern :: Th-Fr-Sa-Su-Mo (off Tu-We)THE ROLE:Were looking for a Pharmacy Customer Service Representativewho is motivated by our mission to unlock transformational healthcare outcomes. To simplify the healthcare experience for employers and members we have created a single di...

Its more than a career its a callingWI-SSM Health St. Marys Hospital - MadisonWorker Type:RegularJob Highlights:The schedule for this role will be five 8hr shifts one week and four 8 hours shifts the next. The day off during the week will be Tues Wed or Thurs.Job Summary:Assesses develops plans impl...