Utilization Management Jobs in USA
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Life Sciences Advisory Manager
Rsm
We are the leading provider of professional services to the middle market globally our purpose is to instill confidence in a world of change empowering our clients and people to realize their full potential. Our exceptional people are the key to our unrivaled culture and talent experience and our ab...
Rn Senior Medical Reviewer Alj Clinician (read Pos...
Cgs Administrators
SummaryActs as Team Lead for specialty programs medical review utilization management and case management areas by providing assistance and support to unit supervisor/manager by giving direction/guidance/training to staff. Ensures appropriate levels of healthcare services are provided.DescriptionWh...
Rn Senior Medical Reviewer Alj Clinician (read Pos...
Bluecross Blueshield Of South Carolina
SummaryActs as Team Lead for specialty programs medical review utilization management and case management areas by providing assistance and support to unit supervisor/manager by giving direction/guidance/training to staff. Ensures appropriate levels of healthcare services are provided.DescriptionWh...
Immersive On-site Program Coordinator Summer 2026
Codepath
CodePath is reprogramming higher education to create the first generation of AI-native engineers CTOs and founders.We deliver industry-vetted courses and career support centered on the needs of first-generation and low-income students. Our students train with senior engineers intern at top companies...
Junior Ranger Program Coordinator Senior
City Of Boulder
Its a great time to join the City of Boulder!Application Deadline:January 26 2026Compensation Details:Full Pay Range22.98 - 33.32Generally the hiring range is from the minimum up to 80% of the is a full-time hourly position.Scheduled Weekly Hours:40Benefit Eligibility Group:Seasonal MaxLocate the B...
Utilization Management Nurse (prn) (71469)
Centurion Health
DescriptionCenturion is proud to be the provider of comprehensive healthcare servicesto theMissouri Department of Corrections.We are currently seeking a PRNUtilization Review Nurse to join our Missouri Regional Office Team located in Jefferson Missouri.The Utilization (UM) Nurse performs the review...
Onsite Utilization Management Primary Care Physici...
Centurion Health
DescriptionCenturion Health contracts with state and local governments nationwide to provide comprehensive healthcare services to correctional facilities state hospitals and other community settings. Our dedication to making a difference and our passionate team of the best and the brightest healthca...
Unique And Rewarding Statewide Medical Director Op...
Centurion Health
DescriptionCenturion Health is proud to be the provider of comprehensive healthcare services to the Tennessee Department of Correction.We are currently seeking a full-time primary care physician to join our team as a Statewide Medical Director. This position is based out of our Tennessee Regional Of...
Job Description Field Reimbursement Manager (immun...
Johnson & Johnson
At Johnson & Johnsonwe believe health is everything. Our strength in healthcare innovation empowers us to build aworld where complex diseases are prevented treated and curedwhere treatments are smarter and less invasive andsolutions are our expertise in Innovative Medicine and MedTech we are unique...
Field Operations Manager Gas
Hydromax Usa
DescriptionJob Title:Field Operators Manager (Gas)Location: Spokane WACompensation:$75000 - $85000About Hydromax USA:Were seeking talented individuals to help us grow in the rapidly expanding utility industry. Since 2003 weve led the way in advanced field services and solutions empowering utilities...
Senior Manager, Social Communities
Viking Cruises Us
Job SummaryThe Sr. Manager Social Communities will lead Vikings Social Communities teaman essential function that serves as one of the brands frontline voices reputation guardians and guest experience amplifiers. This role is responsible for ensuring Vikings brand reputation on social media is activ...
Medical Director (67335)
Centurion Health
DescriptionCenturion Health is proud to be the provider of healthcare services to the Illinois Department of Corrections.We are currently seeking a full-time Site Medical Director to join our team at East Moline Correctional Center located in East Moline Illinois. East Molineis located 6 miles from...
Director, Medical Economics — Corporate
Oscar Health
Hi were Oscar. Were hiring a Director Medical Economics Corporate to join our Actuarial.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 we...
Medical Director (70246)
Centurion Health
DescriptionCenturion is proud to be the provider of comprehensive healthcareservicesto the Maryland Department of Public Safety and Correctional Services.We are currently seeking a full-timeSite Medical Director forclinical services provided to the Maryland incarcerated population atJessup Correctio...
Medical Director (67797)
Centurion Health
DescriptionCenturion Health is proud to be the NEW provider of healthcare services to the Illinois Department of Corrections.We are currently seeking afull-timeSite Medical Directorto join our team at Dixon Correctional Center located in Dixon Illinois. Dixon is located 40 miles from Rockford Illino...
Medical Director (67344)
Centurion Health
DescriptionCenturion Health is proud to be the provider of healthcare services to the Illinois Department of Corrections.We are currently seeking afull-timeSite Medical Directorto join our team at Sheridan Correctional Center located in Sheridan Illinois. Sheridan is located less than 30 minutes fro...
Medical Director-20,000 Bonus (61326)
Centurion Health
Description$20000 BONUS FOR JOINING OUR MEDICAL LEADERSHIP TEAM IN LANSING KS!Centurion is proud to partner with Correctional Healthcare Experts as the provider of comprehensive healthcare services to the Kansas Department of Corrections.We are currently seeking a full-timeMedical Director to join o...
Site Medical Director Ware Sp Waycross, Georgia (4...
Centurion Health
DescriptionCENTURION IS EXPANDING IN GEORGIACOME GROW WITH US!Since 1997 Centurion has proudly partnered with the Georgia Department of Corrections to provide mental health services. We are excited to announce that we will now also be expanding our services to include medical are currently seeking...
Medical Director (54124)
Centurion Health
DescriptionCenturion is proud to be the NEW provider of comprehensive healthcareservicesto the Maryland Department of Public Safety and Correctional Services.We are currently seeking a full-timeSite Medical Director forclinical services provided to the Maryland Incarcerated population at MarylandCor...
Cardiac Intensive Care Medical Director
Pediatrix
OverviewExceptional medical director opportunity within a high-growth environment!ResponsibilitiesPediatrix is seeking an experienced and visionaryCICU Medical Directorto help lead our expanding pediatric cardiac intensive care program. This is a unique opportunity to shape arapidly growing servicel...