Utilization Management Jobs in USA

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...

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...

People. Passion. Purpose.P3 Health Partners is a population health management group founded and led by fellow physicians who want to shift the industrys focus from managing illness to cultivating wellness. We are health plan agnostic and work with most plans in our markets. As the conduit between yo...

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...

Job Title: Care Management ManagerLocation: Johnson County Hospital Tecumseh NEDepartment: NursingReports To: CNOPosition Summary: The Care Management Manager is responsible for the operational and clinical oversight of the hospitals Care Management program including Utilization Review (UR) care coo...

Anticipated End Date:Position Title:Legal Counsel Carelon ContractingJob Description:Legal Counsel Carelon ContractingLocation: This role requires associates to be in-office 1 - 2 days per week fostering collaboration and connectivity while providing flexibility to support productivity and work-lif...

REQUIREMENTS AND PREFERENCESThe Broward County Board of County Commissioners is seeking qualified candidates for Program/Project Coordinator (Aviation Screening & Detection Specialist) at the Fort Lauderdale-Hollywood International Airport.THIS JOB ANNOUNCEMENT WILL REMAIN OPEN UNTIL SUFFICIENT NUMB...

Online applications must be received before 11:59pm on:January 28 2026If a date is not listed above review the Applicant Instructions below for more details.Available Title(s):1132-YNADMINPRO - Extension CoordinatorBusiness Title:WSU Extension Cowlitz County Master Gardener Program CoordinatorEmploy...

The Residential Program Coordinator enhances the quality of life for a caseload of people with intellectual or developmental disabilities who live in a host home setting. Supports people receiving services in creating the lives they desire by facilitating successful Host Home partnerships and settin...

Job Description: Learning Program CoordinatorCommercial Utility Programs Customer-Facing Learning Delivery SupportLocation: On-site Minneapolis MNReports To: Program Manager Instructional Design LeadType: Full-timeAbout C² TechnologiesC² Technologies delivers workforce training and performance sol...

Job DescriptionUW MEDICINE IT SERVICES has an outstanding job opportunity for a Technical Project Coordinator 3.WORK SCHEDULE100% FTE 40 hours per weekDay Shift UW MEDICINE ITS SERVICES CORE HOURS ARE 08:00 17:00 (PST) Monday-FridayDEPARTMENT DESCRIPTIONUW Medicine IT Services (ITS) is a shared s...

Site: The General Hospital CorporationMass General Brigham relies on a wide range of professionals including doctors nurses business people tech experts researchers and systems analysts to advance our mission. As a not-for-profit we support patient care research teaching and community service strivi...

DescriptionWe are dedicated to growing a culture of belonging through our values:Respect Trust Diversity Equity InclusionAt theDepartment of Licensing (DOL) we recognize the importance of work life harmony and strive to create a culture where employees feel valued and respected. Our employees ar...

The Childrens University Medical Group (CUMG) supports the faculty practice plan for both Seattle Childrens and the University of Washington School of Medicine. This role requires extensive coordination across all three organizations and close partnering with executives directors and diverse stakeho...

ATTENTION MILITARY AFFILIATED JOB SEEKERS- Our organization works with partner companies to source qualified talent for their open roles. The following position is available toVeterans Transitioning Military National Guard and Reserve Members Military Spouses Wounded Warriors and their Caregivers. I...

Program Coordinator - HCBS Hills & Dales is a non-profit organization committed to building meaningful lives for individuals with disabilities including those with complex behavioral needs. We are seeking a dedicated and compassionate leader to join our team in Dubuque IA. You would have the opportu...

Full-timeDescriptionProgram CoordinatorPosition Type: Full-Time ExemptReports To: President and CEOSummary: Work under the guidance of the leadership of the Foundation to successfully implement several programs that will provide the community with an opportunity to connect with causes that matter to...

Solutions Manager (EMR Workflow Design) What were looking forHumata Health is seeking a Solutions Manager with deep Epic workflow expertise to join our Customer Success team. This is a hybrid individual contributor and people leadership role. You will be the strategic workflow design partner for hea...

Job Posting TitleChief Medical OfficerAgency807 HEALTH CARE AUTHORITYSupervisory OrganizationEGIDJob Posting End Date Refer to the date listed at the top of this posting if available. Continuous if date is blank.Note: Applications will be accepted until 11:59 PM on the day prior to the posting end d...