- Elevance Health (San Antonio, TX)
- …personalized support throughout the consumer's treatment journey. **Title:** Utilization Management Representative II - Prior Authorization **Location:** Onsite ... Health location. **Build the Possibilities. Make an extraordinary impact.** The Utilization Management Representative II - Prior Authorization is responsible for… more
- Lockheed Martin (Englewood, CO)
- …Subcontract Administration, Subcontract Management , Negotiation, and/or Category Management \) * Prior professional experience managing the performance, ... specialized materials, complex assemblies, and equipment within the Defense industry * Prior professional experience with Earned Value Management \(EVM\) *… more
- Sanford Health (SD)
- …of care medical necessity reviews within patient's medical records. Performs utilization management (UM) activities in accordance with UM plan to assure compliance ... the implementation, ongoing evaluation, and improvements to UM and/or prior authorization processes with applicable. Completes activities relating to determination… more
- Sanford Health (WI)
- …$21.50 - $28.00 **Job Summary** Monitors the utilization of resources, risk management and quality of care for patients in accordance to established guidelines ... multiple administrative duties including accurate record keeping and electronic data management when needed. Ability to work with growth and development needs… more
- Children's Hospital Boston (Boston, MA)
- …+ MA licensed Pharmacy Technician + Minimum of 1 year experience in prior authorization management in a healthcare setting Boston Children's Hospital offers ... 79748BRJob Posting Title: Prior Auth Coordinator Pharmacy TechnicianDepartment:Patient Services-PharmacyAutoReqId:79748BRStatus:Full-TimeStandard Hours per Week:40… more
- Texas A&M University System (Dallas, TX)
- …+ Prior academic, post-doctoral, or professional experience in urban water management . + Prior research experience integrating stormwater management , ... Job Title Assistant Professor, Sustainable Urban Water Management Agency Texas A&M Agrilife Research Department Dallas Proposed Minimum Salary Commensurate Job… more
- L3Harris (Goleta, CA)
- …DoD Secret Security Clearance + Bachelor's Degree and a minimum of 12 years of prior relevant Program Management experience. Graduate Degree and a minimum of 10 ... years of prior related Program Management experience. In lieu of a degree, minimum of 16 years of prior related Program Management experience. + Earned… more
- PenFed Credit Union (Mclean, VA)
- …highly technical subject matter into clear, effective presentation-quality communications to senior management . + Prior knowledge or experience with PolyPath is ... is hiring a (Hybrid) Sr. Director, Financial Model Risk Management at our Tysons, Virginia location. The purpose of...lead a critical component of the second-line Model Risk Management (MRM) function, overseeing Quantitative Risk Management … more
- University of Washington (Seattle, WA)
- …**DESIRED QUALIFICATIONS** * **Proven leadership and expertise in enrollment management :** Prior administrative and leadership experience consistent with ... to serve as the next Vice Provost for Enrollment Management (VPEM). The Division of Enrollment Management ...Enrollment Management (VPEM). The Division of Enrollment Management consists of the Office of Undergraduate Admissions, Office… more
- American Medical Association (Chicago, IL)
- …forecast accuracy, pipeline development, quantitative/qualitative campaign analysis experience and expense management . + Prior people management required; ... Director PPD Sales & Account Management Chicago, IL (Hybrid) The American Medical Association...in Chicago for a Director PPD Sales & Account Management on our Health Solution team. This is a… more
- CTG (Richland, WA)
- …processes, including work management , operations, HR, finance, accounting, and project management . + Prior BWR nuclear power experience in Project Controls ... **CTG is seeking to fill an Earned Value Management System Analyst opening for our client in...**Duties:** + Provide subject matter expertise in Earned Value Management (EVM) and Project Controls best practices. + Promote… more
- Humana (Louisville, KY)
- …Responsible for directing the activities and performance of the utilization management staff; direct performance regarding prior authorization, medical necessity ... + Partner with the SIU Team to assure that service guidance to utilization management staff, prior authorization team members ensuring that the service provided… more
- Northrop Grumman (Cape Canaveral, FL)
- …years of experience total), + Able to take direction and work independently + Prior experience in Program/Project Management + Prior experience working with ... cross-functional organizations (Program Office, Engineering, Manufacturing, Purchasing, Business Management , Field Operations, etc.) + Proficiency with Microsoft Office… more
- Zions Bancorporation (Seattle, WA)
- …Must have at least a high school diploma + Experience with treasury and cash management + Prior banking experience is required. + Positive team attitude with the ... of Washington is currently seeking the optimal candidate to fill a Treasury Management Operations Specialist position in Seattle, WA. This position is a fully in… more
- KBR (Washington, DC)
- …and well-developed time management and multitasking abilities + Collection Management : Prior collection management experience on intelligence issues ... Title: Senior Collection Management Officer Belong. Connect. Grow. with KBR! KBR's...at the forefront of engineering, logistics, operations, science, program management , mission IT and cybersecurity solutions. + Collaborative Environment:… more
- Humana (Columbus, OH)
- …writing, creating, and/or running queries + Certification in Six Sigma or Project Management + Prior Experience in healthcare or insurance setting **Additional ... community and help us put health first** The Supervisor, Encounter Data Management develops business processes to ensure successful submission and reconciliation of… more
- Centene Corporation (Olympia, WA)
- …to member care, provider interactions, and facilitates operations within utilization management . + Manages prior authorization, concurrent review, and ... experience. + 2+ years supervisory experience preferred. + Knowledge of utilization management principles preferred. + Prior Authorization highly preferred +… more
- KeyBank (Cleveland, OH)
- …+ Minimum of five (5) years of experience in corporate credit Portfolio Management /Credit Risk/Relationship Management . + Prior experience with governmental ... ad hoc reports for review by internal and external examiners and executive management as required. + Participate in industry and NAFS sponsored conferences and… more
- Centene Corporation (Jefferson City, MO)
- …28 million members. **Position Purpose:** Oversee operations of the referral management , telephonic utilization review, prior authorization, and various related ... compliance with National Committee for Quality Assurance (NCQA) standards for utilization management functions, prior authorization and concurrent review units +… more
- Fannie Mae (Washington, DC)
- …* * Bachelor's degree or equivalent in finance, statistics, or engineering prefer. * Prior experience in mortgage trading or portfolio management environment * ... our team, you will contribute to the overall strategy of the management of the retained mortgage portfolio. Responsibilities include monitoring financial markets,… more
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