- Merck & Co. (North Wales, PA)
- …support the EDSA review process. Manages programs (patient support, educational or risk management ) to support appropriate and safe utilization of Our Company ... decision makers and will have a focus on the US , while also supporting the Rest of the World...congress planning, and advisory boards Serves as the medical representative within Product Development sub-teams (including Clinical, V&I, Commercial,… more
- Avet Pharmaceuticals Inc (East Brunswick, NJ)
- …supply chain function, overseeing the supply chain process at all Avet US and overseas manufacturing sites, CMO suppliers to maximize supply chain efficiencies ... for acquisition of materials, planning, distribution of finished goods, and utilization of resources. Leads procurement, planning, and logistics to support… more
- Nevada System of Higher Education (Las Vegas, NV)
- …visit our website at www.nevada.edu. The Nevada System of Higher Education hires only United States citizens and non-citizens lawfully authorized to work in the ... Student Affairs (ASA) department. The individual serves as a confidential representative and liaison with senior management , faculty, system-wide administration… more
- Elevance Health (Mason, OH)
- ** Utilization Management Representative I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person ... unless an accommodation is granted as required by law._ The ** Utilization Management Representative I** will be responsible for coordinating cases… more
- University of Rochester (Rochester, NY)
- …can thrive. **Job Location (Full Address):** 601 Elmwood Ave, Rochester, New York, United States of America, 14642 **Opening:** Worker Subtype: Regular Time ... 500183 Health Insurance Counseling Work Shift: UR - Day ( United States of America) Range: UR URC...problems that include but are not limited to pre-certifications, Utilization Management , Medicaid Pending, third party payer… more
- University of Rochester (Rochester, NY)
- …can thrive. **Job Location (Full Address):** 601 Elmwood Ave, Rochester, New York, United States of America, 14642 **Opening:** Worker Subtype: Regular Time ... 500183 Health Insurance Counseling Work Shift: UR - Day ( United States of America) Range: UR URC...payer regulations for the coordination of benefits. + Notify Utilization Management of clinical requests by third… more
- Luke Staffing (GU)
- …of clinical nursing experience is required. One year of previous experience in Utilization Management is required. Full time employment in a nursing field ... of this position, it must be directly related to referral/ utilization management . + **Licensure:** Current, full, active,...OR Registered Nurse in any one of the 50 States , the District of Columbia, the Commonwealth of Puerto… more
- Boehringer Ingelheim (Chicago, IL)
- …rental vehicle Eligibility Requirements: + Must be legally authorized to work in the United States without restriction. + Must be willing to take a drug ... along with further development of technical product knowledge is imperative. Effective utilization and management of internal and external resources is expected.… more
- Cedars-Sinai (Beverly Hills, CA)
- …+ Acts as liaison coordinating administrative support activities including facilities management , patient billing, utilization management , quality ... **Job Description** The Senior Patient Service Representative - PACT (Float Pool) at Cedars-Sinai Medical...out-of-pocket expenses. A solid understanding of all Health Information Management (HIM) related activities is integral to the role.… more
- Cedars-Sinai (Los Angeles, CA)
- …workflows. + As liaison coordinates administrative support activities including facilities management , patient billing, utilization management , quality ... **Job Description** The Senior Patient Service Rep is responsible for positive patient relations, accurate...plans and other departments. + Actively participate in lean management processes by detailing, monitoring and updating department specific… more
- Cedars-Sinai (Santa Monica, CA)
- …support activities to address physician and staff concerns such as facilities management , patient billing, utilization management , quality management ... **Job Description** The Lead Patient Service Representative functions as an administrative team lead for...experience in an outpatient medical office setting required. **About Us ** Cedars-Sinai is a leader in providing high-quality healthcare… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Skills and Experiences * 2+ years of managed care experience; eg case management /health coach, utilization management and/or auditing experience (may be ... of Minnesota Position Title: RN Specialist Complex Care Case Management Location: Remote Career Area: Health Services About Blue...If you are ready to make a difference, join us . The Impact You Will Have Blue Cross and… more
- University of Rochester (Rochester, NY)
- …can thrive. **Job Location (Full Address):** 601 Elmwood Ave, Rochester, New York, United States of America, 14642 **Opening:** Worker Subtype: Regular Time ... 500183 Health Insurance Counseling Work Shift: UR - Day ( United States of America) Range: UR URC...payer regulations for the coordination of benefits. + Notifies Utilization Management of clinical requests by third… more
- CareFirst (Baltimore, MD)
- …role will focus specifically on optimizing end-to-end business processes within Utilization Management . **ESSENTIAL FUNCTIONS:** + Provide deep subject matter ... expertise in all areas of Utilization Management (UM), including pre-service, concurrent review,...of initiatives. Serve as the subject matter expert and representative for the clinical products team across corporate initiatives… more
- MAPFRE Insurance (Webster, MA)
- Auto Damage Insurance Claim Rep (Hybrid or Remote) Date: Oct 6, 2025 Location: Webster MA or Work from Home, MA, US Company: MAPFRE **Job Summary:** **Position ... Damage Department. In this role as Auto Damage Claim Rep , you will be responsible for adjusting 1st party...with contribution to the Departmental tNPS score + Telephone Management - Effectively manage ACD telephone system/features by complying… more
- Medtronic (Orlando, FL)
- … (excl. PR) locations (USD):80000 The base salary range is applicable across the United States , excluding Puerto Rico and specific locations in California. The ... guidance you need to own your future success. Join us for a career in sales that changes lives....benefits information pertains solely to candidates hired within the United States (local market compensation and benefits… more
- Dignity Health (Chandler, AZ)
- …emphasis will be on care coordination, communication and collaboration with utilization management , nursing, physicians, ancillary departments, insurers and post ... problem-solving skills. + Collaborate effectively with multiple stakeholders + Understand how utilization management and case management programs integrate.… more
- Ochsner Health (Lafayette, LA)
- …(CCM), Certified Professional Utilization Review (CPUR), Certified Professional in Utilization Management (CPUM) or Certified Professional in Healthcare ... in the delivery of patient care. Preferred - Experience in case management or utilization review. **Certifications** Required - Current Registered Nurse… more
- United Rentals (Charlotte, NC)
- …mark with the world's largest equipment rental provider, **come build your future with United Rentals!** As an Outbound Sales Rep , you'll be instrumental in ... and communication skills This position is deemed Safety Sensitive for purposes of United Rentals' policies and procedures. **_Why join us ?_** We don't just… more
- Hillside Family of Agencies (Rochester, NY)
- …communicated effectively to meet agency and regulatory requirements. + Facilitate Agency Utilization Management meetings to ensure residential youth continue to ... Collect, aggregate, and analyze data to identify unmet needs, utilization trends, and opportunities for improvement of existing services...that are aligned with those of the organization. + Management : Aligns the right work with the right people;… more
