- Cipla (Fall River, MA)
- Job Title MDI Operations Specialist Organization Name InvaGen Pharmaceuticals, Inc. Location Fall River location Employment Type Full Time Shift Second Shift Salary ... disability (LTD), parental leave, employee discounts, and other benefits. Work Hours/ Shift/ Remote General Shift: 15:00 - 23:30 (may vary based on business needs)… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** Utilizing key principles of utilization management , the Utilization Review Specialist will perform prospective, ... Preferred **Experience:** 5 years Clinical nursing experience. 2 years Care Management and/or Utilization Management . **Preferred Qualifications:** + … more
- Spectrum Billing Solutions (Skokie, IL)
- …mental and behavioral health treatment services. Utilization Review Specialist | Utilization Management Specialist | UR Specialist | Revenue ... in a cohesive and rewarding environment. This is a remote or office/home hybrid position. Your Responsibilities: + Review... Utilization Review Specialist | ABA Utilization Management Specialist | ABA… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The Remote PRN Clinical Utilization Review Specialist is responsible for evaluating the necessity, appropriateness, and efficiency of ... hospital services to ensure compliance with utilization management policies. This role conducts admission and continued stay reviews, supports denials and… more
- Ascension Health (Austin, TX)
- **Details** + **Department:** Utilization Management + **Schedule:** Monday - Friday, Days + **Location:** Remote + **Pay:** $93,857 - $126,983 + Eligible ... assist with the budgeting process. + Serve as content specialist for staff in the areas of utilization...years of related experience is required. **Additional Preferences** + Utilization management experience strongly preferred. **Why Join… more
- UPMC (Pittsburgh, PA)
- …+ Provide innovative ideas for new and existing clinical program development, utilization management , formulary management , provider education, and ... Health Plan has an exciting opportunity for a Senior Clinical Pharmacy Specialist in the Pharmacy Services department. This is primarily a work-from-home position… more
- Henry Ford Health System (Troy, MI)
- …records and related documentation. + Current working knowledge of hospital operations, utilization management , case management , and managed care ... The purpose of the Central Authorization Specialist position is to centrally facilitate the successful...is obtained from back end coding, billing and denial management resources and distributed to ordering physicians and authorization… more
- Trinity Health (Boise, ID)
- …appropriate service authorizations and will contact the physician and Case Management / Utilization Review personnel, as necessary. + Informs patient/guarantor of ... is full-time working office hours (Monday-Friday). The Financial Clearance Specialist obtains and/or verifies demographic, clinical, financial and insurance… more
- Siemens (Peachtree Corners, GA)
- …ID:** 484477 **Position Title:** Assistant Project Management , Smartsheet Systems Specialist **Location:** Peachtree Corners, GA ( Remote ) **Are you looking ... skills and stay competitive. Create a better tomorrow with us! The Project Management Digital Tools Specialist will be instrumental in driving continuous process… more
- Sharecare (Oklahoma City, OK)
- …and HIPAA regulations. This role also provides support to team members and management by serving as a subject matter expert, trainer, and escalation point. The ... or system issues. + Assists with administrative tasks such as queue management and work assignments. + Produce reports and metrics as requested. **Qualifications:… more
- ManpowerGroup (San Francisco, CA)
- **Job Title:** Kinaxis Planning Solution Architect **Location:** Remote **Minimum Qualifications:** **Kinaxis Certifications (Preferred):** + **Contributor Level 1** ... Kinaxis implementations** , with emphasis on supply planning, demand planning, and inventory management . + At least **3 years in a techno-functional role** , with… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …and Blue Shield of Minnesota Position Title: RN Specialist Complex Case Management - Transplant Location: Remote Career Area: Health Services About Blue ... Transplant Management ! Utilizing key principles of case management , the RN Specialist will research and...* 2+ years of managed care experience; eg case management /health coach, utilization management and/or… more
- Veterans Affairs, Veterans Health Administration (Harlingen, TX)
- …For more information, refer to Required Documents below. The Clinical Pharmacy Specialist (CPS) serves in comprehensive medication management (CMM) needs for ... assigned clinic area under a scope of practice designing comprehensive medication management for patients. Serves as an authoritative information source on drugs and… more
- CareFirst (Baltimore, MD)
- …care. + Reviews the performance of provider partners based on utilization , trends, and quality metrics to develop rate/reimbursement solutions. Ensures that ... geographically competitive, offers broad access, and meets cost and trend management objectives. **Regulatory and Healthcare Landscape** + Monitors and remains… more
- Veterans Affairs, Veterans Health Administration (Lebanon, PA)
- Summary This position serves as a Supervisory Inventory Management Specialist for expendable (EX) assets/materials for the Logistics Service within the VA Health ... is not a virtual position. Position Description/PD#: Supervisory Inventory Management Specialist /PD99808S Relocation/Recruitment Incentives: Not Available Requirements… more
- Battelle Memorial Institute (Tyndall AFB, FL)
- …**Job Summary** Battelle's National Security Business Unit is seeking a **Wastewater Management Technician Specialist ** to support Research, Development, Test & ... located on-site at Tyndall Air Force Base, near Panama City, FL. The Technician Specialist will be a self-starter with experience in processes and systems for water… more
- HCA Healthcare (Dallas, TX)
- …Case Management and the Rehab Medical Director. The Clinical Rehabilitation Specialist works closely with hospital case management to ensure a responsive ... **Description** **Medical City Healthcare** Clinical Rehabilitation Specialist PRN Position serves all of the Division...rehab through their assigned case manager. + Once Case Management has completed the Patient Choice process and the… more
- Tri-State Generation and Transmission Association, Inc. (Westminster, CO)
- …of crucial advanced applications software associated with the Tri-State Energy Management System (EMS). This includes Supervisory Control and Data Acquisition ... at one of four job grade levels: Grid Operations Specialist I, job grade 8; Grid Operations Specialist...+ Assist in developing a strategy for optimizing asset utilization in an open market. + Take a leading… more
- Arc Allegany-Steuben (Bath, NY)
- …money, why wait to be paid! Job Summary The Self Direction Billing Specialist is responsible for ensuring timely, accurate, and compliant billing for services ... requires proficiency with EVero software to manage billing processes, track utilization , reconcile records, and ensure all billing is submitted to accounting… more
- Corza Medical (Albany, NY)
- Clinical Specialist , Field Operations, Wound Closure **Location of Work** Albany, New York; Atlanta, GA; Baltimore, MD; Charlotte, NC; Cincinnati, Ohio; Cleveland, ... Newark, NJ; New York, NY; Philadelphia, PA; Raleigh, NC; Remote , Arizona; Remote , Atlanta; Remote ,...everything they do. **Job Purpose Summary** As a Clinical Specialist , you are responsible for delivering in-service training, hands-on… more
