Utilization Management Jobs in USA

OverviewVersiti is a fusion of donors scientific curiosity and precision medicine that recognize the gifts of blood and life are precious. We are home to the world-renowned Blood Research Institute we enable life saving gifts from our donors and provide the science behind the medicine through our di...

ROLE SUMMARYAs the US Medical Director for maternal vaccines the incumbent will be responsible for supporting the US Medical Affairs Lead for Maternal Immunization in the development and execution of strategic medical and scientific activities. The incumbent should be experienced with designing eval...

DescriptionCenturion is proud to be the provider ofcomprehensive healthcare services to theTennessee Department of Correction.We are currently seeking a full time Site Medical Directorto join our team at Morgan County Correctional Complexlocated in Wartburg TN.The Site Medical Director provides the...

Inspire health. Serve with compassion. Be the difference.Job SummaryProvides primary health care to a specific patient population within the guidelines of written protocols. Follows established nursing standards procedures and practices.AccountabilitiesEngages in the diagnosis and treatment of dise...

Inspire health. Serve with compassion. Be the difference.Job SummaryProvides assistant surgical services in the operating room as well as other selected medical services under the direction of the surgeon.AccountabilitiesProvides general surgical assistant services in operating room.10%Assists surg...

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...

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...

Job DescriptionWhat Will Your Job Look LikeThe Strategic Rideshare Specialist will focus on supporting the companys Independent Driver Providers (IDPs) starting from sourcing through the onboarding training processes corrective action and offboarding for their respective market. The Strategic Ridesh...

St. Lukes is proud of the skills experience and compassion of its employees. The employees of St. Lukes are our most valuable asset! Individually and together our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the...

DescriptionYour experience mattersAt Sycamore Springswe are committed to empowering and supporting a diverse and determined workforce who can drive quality scalability and significant impact across our hospitals and your role youll support those that are in our facilities who are interfacing and pr...

The position is described below. If you want to apply click the Apply Now button at the top or bottom of this page. After you click Apply Now and complete your application youll be invited to create a profile which will let you see your application status and any communications. If you already have...

The Senior Program Manager on the GOSS Capital Management Business Excellence and Analytics team serves as a strategic leader responsible for establishing and executing the measurement infrastructure that powers data-driven decision-making across Amazons $30B capital portfolio. This individual will...

Operations is at the heart of Amazons business. We are known for our speed accuracy and exceptional service. Our buildings deliver tens of thousands of products to hundreds of countries worldwide every day. The Reliability & Maintenance Engineering (RME) team are the business partners that work tire...

We have engineered our workflow to respect your expertise and protect your time: Clinical Stewardship: We provide the infrastructure; our medicine is guided by your expertise. You have the medical freedom to lead our team in providing high-quality compassionate care. Balanced Leadership: Dedicated...

At least 3 years of experience in Immunology with experience in Managed Health Care Payer Account Management and/or Access and ReimbursementThorough understanding of the technical payer policy processes systems and requirements for coverage coding and payment for specialty medicinesDemonstrated unde...

JOB POSITION SUMMARYUnderstand and manage the districts scope of services for large projects including but not limited to project scope customer interface supervision material equipment and resource planning activities. Also manage the safety requirements and financial performance of each project.RE...

The New York City Department of Sanitation (DSNY) keeps New York City healthy safe and clean by collecting recycling and disposing of waste cleaning City streets and vacant lots and clearing snow and ice. DSNY is the nations largest municipal sanitation agency with nearly 10000 employees 59 district...

The Associate Medical/Scientific Director National Medical Partnerships is a strategic scientific leader responsible for direct engagement with Aesthetic Leadership Decision-Making Stakeholders (ALDS) across top national accounts. This highly visible field-based role leads the development and execut...

The Associate Medical/Scientific Director National Medical Partnerships is a strategic scientific leader responsible for direct engagement with Aesthetic Leadership Decision-Making Stakeholders (ALDS) across top national accounts. This highly visible field-based role leads the development and execut...

Job SummaryUnder general direction assists in the provision of the highest service level possible to patients/customers to ensure their satisfaction. Participates in activities with third party payors in order to maximize reimbursement.Essential FunctionsUnderstands and accesses insurance websites....