Utilization Management Jobs in USA

keywords
locations Please select the country where you want to search for a job.
Please select the country where you want to search for a job.
Please enter keywords to search relevant jobs
  • City filter icon
  • Experience filter icon
  • Job Type filter icon
  • Posting Date filter icon
Clear All

3.2k Jobs Found | Sort By : Relevance | Posted Date

Not-Found

Less results matching your search!

Try removing some of the filters to get more results

Reset Filters
Not-Found

No results matching your search!

Try removing some of the filters to get more results

Reset Filters

Manage Simulation Laboratory

Trinity Health

profile Hartford - USA

Employment Type:Full timeShift:Day ShiftDescription:Manager Center for Innovation and LearningOverviewSaint Francis Hospital is seeking an experienced forward-thinking Manager Center for Innovation and Learning to lead our simulation training and educational technology operations. This role oversees...

2 days ago
Full Time

Production Operator Fill (11pm 730am)

Baxter

profile Round Lake - USA

This is whereyour work makes a difference.At Baxter we believe every personregardless of who they are or where they are fromdeserves a chance to live a healthy life. It was our founding belief in 1931 and continues to be our guiding principle. We are redefining healthcare delivery to make a greater...

2 days ago
Full Time

Senior Medical Director, Clinical Development

Deciphera Pharmaceuticals

profile Waltham - USA

Role SummaryWe are seeking a dynamic and strategic Senior Medical Director Clinical Development to join our Clinical Development team. This critical leadership role will provide clinical direction across one or more programs in early and/or late-stage development while also representing Clinical Dev...

2 days ago
Full Time

Health Services Coding Analyst

Wellmark, Inc.

profile Des Moines - USA

As a Health Services Coding Analyst you will provide clinical leadership and subject-matter expertise to support the analysis configuration and administration of complex medical policy content within claims processing systems including Plan General Exclusion (PGE) rules and FACETS table maintenance....

2 days ago
Remote

Health Services Coding Analyst

Wellmark, Inc.

profile Sioux Falls - USA

As a Health Services Coding Analyst you will provide clinical leadership and subject-matter expertise to support the analysis configuration and administration of complex medical policy content within claims processing systems including Plan General Exclusion (PGE) rules and FACETS table maintenance....

2 days ago
Remote

Health Services Coding Analyst

Wellmark, Inc.

profile Cedar Rapids - USA

As a Health Services Coding Analyst you will provide clinical leadership and subject-matter expertise to support the analysis configuration and administration of complex medical policy content within claims processing systems including Plan General Exclusion (PGE) rules and FACETS table maintenance....

2 days ago
Remote

Social Worker Lcsw, Oncology Full Time Days

Northwestern Memorial Healthcare

profile Chicago - USA

The Social Worker LCSW reflects the mission vision and values of NM adheres to the organizations Code of Ethics and Corporate Compliance Program and complies with all relevant policies procedures guidelines and all other regulatory and accreditation standards.A licensed masters-prepared social worke...

2 days ago
Full Time

Principal Staff Software Engineer, Capacity Infras...

Linkedin

profile Mountain View - USA

At LinkedIn our approach to flexible work is centered on trust and optimized for culture connection clarity and the evolving needs of our business. The work location of this role is hybrid meaning it will be performed both from home and from a LinkedIn office on select days as determined by the busi...

2 days ago
Full Time

Regional Field Manager

Lmk Recruiting Solutions

profile Nashville - USA

About Filta Filta and specifically the FiltaClean division specializes in the heavy-duty sanitation and deep cleaning of commercial kitchen environments. We act as an operational partner to business owners by taking on time-intensive maintenance tasks such as specialized fryer management and facili...

2 days ago
Full Time

Field Marketing Manager New York

Flagright

profile New York City - USA

About Flagright:Flagright is an AI operating system for financial crime compliance used globally by Fortune 500 companies large banks fintechs and fast growing startups. Flagright enables real-time risk detection automated investigations and intelligent decisioning helping compliance teams operate a...

3 days ago
Full Time

Field Gutter Manager

Leaf Home

profile Phoenix - USA

Meet Leaf Home. We turn complex home improvement projects and endless to-dos into achievements. With more than 50% of homeowners worried about the cost and effort of home maintenance we deliver remarkable end-to-end experiences. And get the job done right at every step. Bringing innovative products...

3 days ago
Hourly

Physician Clinic Medical Director

Select Medical

profile Grandview - USA

OverviewBonus Potential! Monthly and Quarterly Bonus Incentives!Are you looking for a physician practice with a family environment but with the benefits and support a large organization can provide Where daily patient care is backed by evidenced based medicine and career options are limitless then l...

3 days ago
Full Time

Medical Directorphysician Administrator 3 For Mt. ...

State Of Ohio

profile Mount Vernon - USA

May be exposed to unpredictable resident behavior and communicable diseases.The State of Ohio is an Equal Employment Opportunity Employer and prohibits discrimination and harassment of applicants or employees as defined in applicable federal law state law and any effective executive order.To request...

3 days ago
Full Time

Health Plan Data And Medical Policy Clinician (reg...

Martin's Point Health Care

profile Portland - USA

Join Martins Point Health Care - an innovative not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force ofpeople caring for people Martins Point employees are on amission to transform our health care system while creating a healthier com...

3 days ago
Full Time

Case Manager-rn Case Management Day

Wellspan Health

profile Chambersburg - USA

DescriptionGeneral SummaryPerforms a variety of duties and applies utilization and case management techniques to determine the most efficient use of resources to facilitate a patients progression of care and the provision of appropriate cost effective and quality health care. Works in a team model w...

3 days ago
Part-Time

Medical Management Specialist I

Elevance Health

profile Des Moines - USA

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...

3 days ago
Full Time

Business Development Analyst I

Plains Marketing

profile Midland - USA

Job Type:RegularPlains is an industry-leading transportation and midstream provider specializing in transportation storage processing and marketing solutions for crude oil. We own an extensive network of pipeline transportation terminalling storage and gathering assets in key oil producing basins an...

3 days ago
Full Time

Director Of Care Management Rn

Community Health Systems

profile Carlsbad - USA

DescriptionWhy Join UsSign-On Bonus and/or Relocation Reimbursement OfferedCompetitive CompensationComprehensive Medical Dental Vision & Life InsuranceGenerous Paid Time Off & Extended Illness BankMatching 401(k) Retirement PlanOpportunities for Career Grown & AdvancementRecognition & Reward Program...

3 days ago
Full Time

Utilization Review And Appeals Nurse

Martin's Point Health Care

profile Portland - USA

Join Martins Point Health Care - an innovative not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force ofpeople caring for people Martins Point employees are on amission to transform our health care system while creating a healthier com...

3 days ago
Full Time

Rn Case Manager

Healthpartners

profile Bloomington - USA

DescriptionHealthPartnes is hiring an RN Case Manager. This position exists to provide support to patients their families and physicians in addressing medical and social concerns; educate and empower patients and families to make informed personal health care decisions; and facilitate communication...

3 days ago
Full Time