- Marshfield Clinic (Marshfield, WI)
- …come together to support the most exciting missions in the world!** **Job Title:** Utilization Review Specialist ( Remote Option in Wisconsin) **Cost ... Description:** **_Remote work available for Wisconsin residents only_** **JOB SUMMARY** The Utilization Review Specialist , Revenue Cycle Provide quality… more
- Henry Ford Health System (Warren, MI)
- The support specialist is a support role crucial to the centralized Utilization Review team for time sensitive authorization tracking and resolution process. ... Responsible for obtaining and tracking approvals, denials, and additional information requests received from third party payers within the EMR. EDUCATION AND EXPERIENCE: + High School Diploma/GED + Working knowledge of computers and software systems… more
- Spectrum Billing Solutions (Skokie, IL)
- …revenue cycle management company for healthcare organizations. We are looking to add a Utilization Review Specialist to our growing team. The Utilization ... admission and clinical information to ensure medical necessity and compliance of utilization review guidelines. + Obtain initial and continuing authorization for… more
- UPMC (Pittsburgh, PA)
- …while also considering outcomes of the programs. + Develop and conduct Drug Utilization Review (DUR) activities, Medication Therapy Management (MTM), and other ... UPMC Health Plan is hiring a full-time Clinical Pharmacy Specialist to support the Care Management team within the...through Friday 8:30am to 5:00pm EST. This is a remote position. Registration as a registered pharmacist (RPh), in… more
- Marshfield Clinic (Marshfield, WI)
- …exciting missions in the world!** **Job Title:** Business Intelligence Analyst Contract Specialist ( Remote in WI or MN) **Cost Center:** 682891544 SHP-Provider ... America) **Job Description:** **JOB SUMMARY** The Business Intelligence Analyst Specialist supports the organization in providing measurable data-driven solutions… more
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care. The Denials Management Specialist reviews inpatient CMS and third party denials for medical necessity and tracks ... outpatient denials for experimental, coding or other issues that may require record review . Provides billing with information needed to obtain payment of claims. … more
- University of Miami (Hialeah, FL)
- …Documentation Specialist 1 provides clinically based concurrent and retrospective review of inpatient medical records to evaluate the documentation and ... or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Clinical...utilization of acute care services. + Facilitates appropriate physician… more
- Integra Partners (Troy, MI)
- …do whatever it takes to get things done. PREFERRED SKILLS: + Certification in Utilization Review or Case Management + Experience with health insurance operations ... our Operations Training & Development team as an Operations UM Training Specialist , specializing in Utilization Management (UM) processes. The ideal candidate… more
- Colorado State University (Fort Collins, CO)
- …EIS language to ensure the general public's understanding of noise impacts. The Specialist will provide review and analysis of installation, airspace, range ... Posting Detail Information Working TitleNatural Resources-Range Management Specialist , Pentagon Position LocationPentagon Work LocationPosition qualifies for… more
- HCA Healthcare (Dallas, TX)
- …acute inpatient rehabilitation services prior to returning home. The Clinical Rehabilitation Specialist will review these patients daily until they have strong ... commitments to referral sources. Develops a call-plan to prioritize utilization of time. + Assists in developing the annual...we encourage you to apply for our Clinical Rehab Specialist opening. We promptly review all applications.… more
- Pfizer (St. Paul, MN)
- …patients. **What You Will Achieve** The Rare Cardiac, Amyloidosis Multi-disciplinary Specialist (AMS), will target health care providers (HCPs), spanning multiple ... will report into the Area Business Manager (ABM). Amyloidosis Multi-disciplinary Specialist (AMS) will demonstrate strong business acumen, and an expert… more
- Washington County Hospital and Clinics (Washington, IA)
- …leadership to monitor effectiveness of training efforts. Monitoring may include routine review of reports and utilization data used in the development ... Informatics Specialist Job Details Job Location Washington Co Hospital - Washington, IA Remote Type Hybrid Position Type Full Time Job Shift Day Job Category… more
- University of Michigan (Ann Arbor, MI)
- Administrative Specialist Senior/Intermediate Hlth Apply Now **Job Summary** The Gilbert S. Omenn Department of Computational Medicine & Bioinformatics (DCMB) seeks ... operations** through thoughtful office management, supply coordination, and space utilization + **Support events** working with the Department Operations… more
- Service Source (Stafford, VA)
- …change, and strengthen communities . Now Hiring: Employment Development Specialist - TANF Program Location: Fredericksburg/Spotsylvania County, VA Starting Pay: ... strengthening communities? Join our mission-centered team as an Employment Development Specialist and help low-income families overcome barriers to employment and… more
- AdventHealth (Daytona Beach, FL)
- …will be remote . **The role you'll contribute:** The Oncology Data Specialist Certified is responsible for improving quality and outcomes for the Cancer Institute ... public reporting. The ODS-C serves as the Cancer Registry content expert to review patient diagnosis, treatment, and outcomes across the care continuum. The ODS-C is… more
- Huntington National Bank (Pittsburgh, PA)
- Description Summary: The Insurance Program Senior Compliance HR Specialist position is responsible for delivering the Employee Benefits Compliance suite of services ... for clients. + Plan Document preparation services (in-house), including carrier certificate review to determine discrepancies in plan provisions as well as plan… more
- Hargrove Engineers & Constructors (Burkville, AL)
- …Duties may include performing advanced design work serving as a technical specialist for a complex design assignment. This level requires extensive progressive ... experience in electrical and instrumentation design and involves utilization of project controls for cost, schedule and quality...will include but not be limited to:** + Provide remote technical expertise for controls engineering support at BKV's… more
- Danaher Corporation (Torrance, CA)
- …(https://www.danaher.com/how-we-work/danaher-business-system) which makes everything possible. The Supply Chain Specialist is responsible for serving as an expert in ... the review , insights and analysis of business processes across the...other functional departments to improve business process and system utilization , focused on increasing efficiency and effectiveness of people,… more
- State of Arkansas (Rogers, AR)
- PARK SPECIALIST II Date: Jun 19, 2025 Req ID: 50189 Location: Rogers, AR, US, 72756 Category: DEPT OF PARKS AND TOURISM Anticipated Starting Salary: $14.00 per hour ... Trail Maintenance Coordinator advertised as Park Specialist II [Part Time] Position #: 22091990 Salary: $14.00 per hour Grade: GS03 Requisition: 50189 Location:… more
- AdventHealth (Orlando, FL)
- …that **together** we are even better. **Schedule:** Full Time (100% Remote ) **Location:** Orlando, FL **Shift** : Days, 7:30am-4:00pm/8:00am-4:30pm **The community ... and 125,000 outpatients each year **The role you'll contribute:** Oncology Data Specialist (ODS) is responsible for improving quality and outcomes for the Cancer… more