Utilization Management Jobs in 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...

At Saputo we bring good to the table by making high-quality products investing in our people and supporting communities around the world . As a top 10 global dairy processor we value contributions that matter and strive to foster an inclusive growth-driven work environment. Ready to bring your bestT...

Anticipated End Date:Position Title:Medical Director Associate- Psychiatrist- Pennsylvania MedicaidJob Description:Medical Director Associate- Psychiatrist- Pennsylvania MedicaidLocation: This role enables associates to work virtually full-time with the exception of required in-person training sessi...

Career CategoryValue and AccessJob DescriptionAt Amgen if you feel like you are 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 world of biotech in our fight against the worlds to...

Case Manager Intake (Arizona Medicaid)Location: Phoenix AZ 85004Employment Type: Full-TimeEstimated Salary: $58000$72000 annually Bonus EligibilityAbout the RoleA growing Medicaid home care agency in the Phoenix metro area is seeking a Case Manager Intake to support referral coordination and inta...

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...

Inspire health. Serve with compassion. Be the difference.Job SummaryThe Prisma Health Physician is responsible for the provision of quality medical services to patients of Prisma Health-University Medical GroupAccountabilitiesEngages in the diagnosis prevention or treatment of disease defects or inj...

Anticipated End Date:Position Title:Manager Behavioral Health ServicesJob Description:Shift: Friday Tuesday; 11:30pm 8:00am ESTLocation: Virtual; Alternate locations may be considered if candidates reside within a commuting distance from an officeVirtual:This role enables associates to work virtua...

Anticipated End Date:Position Title:Behavioral Health Care Manager I - VirginiaJob Description:The Behavioral Health Care Manager I Virginia is responsible for managing psychiatric and substance abuse or substance abuse disorder facility-based and outpatient professional treatment health benefits t...

Anticipated End Date:Position Title:Clinical Quality Auditor LeadJob Description:Clinical Quality Auditor Lead*Must Have An Active Clinical License.Location: Virtual - This role enables associates to work virtually full-time except for required in-person training sessions providing maximum flexibili...

DescriptionOversee the Research Center or Program which serves as the research administrative base for a small to medium size research program(s) potentiallyinvolving multicenter clinical trial/research groups with national/international participation. Provides leadership management and direction an...

U.S. - The best version of meBy playing this video you consent to Google/YouTube processing your data and using cookies Learn more.Position Description:We are seeking a Healthcare Subject Matter Expert (SME) Payer who brings deep expertise in payer-domain operations and processes. This individual...

Job ResponsibilitiesUnder the supervision of the Director of School and Community Initiatives the Dual Enrollment Coordinator coordinates activities of the dual enrollment program for high school students; handles multiple projects simultaneously and interprets operating policies and administers dut...

The ARCHES Project is seeking a Program Coordinator to join their team! The Program Coordinator provides direct support to sheltering services for The ARCHES Project. The ARCHES Project operates transitional housing shelters for individuals and families who are experiencing homelessness. The Program...

OverviewFred Hutchinson Cancer Center is an independent nonprofit organization providing adult cancer treatment and groundbreaking research focused on cancer and infectious diseases. Based in Seattle Fred Hutch is the only National Cancer Institute-designated cancer center in Washington.With a track...

We are seeking a Program Coordinator to provide our client with administrative and document control support functions. You will report into the Support Services Department Manager and will take direction from the Client Program Manager and Eichleays Site Lead at the client site. This position is bas...

Job ResponsibilitiesUnder the supervision of the Director of School and Community Initiatives the Dual Enrollment Coordinator coordinates activities of the dual enrollment program for high school students; handles multiple projects simultaneously and interprets operating policies and administers dut...

OverviewFred Hutchinson Cancer Center is an independent nonprofit organization providing adult cancer treatment and groundbreaking research focused on cancer and infectious diseases. Based in Seattle Fred Hutch is the only National Cancer Institute-designated cancer center in Washington.With a track...

We are seeking a Program Coordinator to provide our client with administrative and document control support functions. You will report into the Support Services Department Manager and will take direction from the Client Program Manager and Eichleays Site Lead at the client site. This position is bas...

ABOUT THE POSITIONRiverside University Health System (RUHS) Behavioral Health is currently recruiting for a Registered Nurse II/III/IV to support the Quality Improvement (QI) Inpatient Program. This recruitment will fill a Registered Nurse vacancy located in Riverside.Duties may include but are not...