- Novo Nordisk Inc. (Irvine, CA)
- About the Department The Diabetes Sales Team leads the US sales efforts for Novo Nordisk's robust cardiometabolic product portfolio, which includes world class ... ) and key customers. Relationships Externally, the Specialty Field Sales Representative maintains relationships with physicians, pharmacists, nurses, and other key… 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
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Skills and Experience * 2+ years of managed care experience; eg case management /health coach, utilization management and/or auditing experience (may be ... Shield of Minnesota Position Title: RN Specialist Complex Case Management - Transplant Location: Remote Career Area: Health Services...If you are ready to make a difference, join us . The Impact You Will Have This role will… more
- Boehringer Ingelheim (Santa Cruz, CA)
- …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 (Los Angeles, 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 (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 /Lead Call Center Scheduler functions as an administrative team lead for the office. This position… 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
- Magellan Health Services (Boise, ID)
- …appropriate for complex case management and timely completion of all utilization management activities. Involvement in the development of case management ... plans. + Develops and implements a Utilization Management program and action plan, which includes strategies that...of Surgery (MBBS) international degree with successful completion of United States based internship and residency (and… 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
- Dignity Health (Phoenix, AZ)
- …emphasis will be on care coordination, communication and collaboration with utilization management , nursing, physicians, ancillary departments, insurers and post ... + Collaborate effectively with multiple stakeholders + Understand how utilization management and case management ...patients have traveled from outside of Arizona and the United States to seek treatment at St.… more
- Dignity Health (Gilbert, 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
- MAPFRE Insurance (Webster, MA)
- Auto Damage Insurance Claim Rep (Hybrid or Remote) Date: Dec 2, 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
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …bilingual Spanish speaker * 1+ years of managed care experience; eg case management /health coach, utilization management and/or auditing experience. * ... If you are ready to make a difference, join us . The Impact You Will Have This position exists...continuum of care by leveraging member partnership, pre-service clinical utilization review, case and disease management processes,… more
- Medtronic (Charleston, SC)
- …(excl. PR) locations (USD):45000-45000 The base salary range is applicable across the United States , excluding Puerto Rico and specific locations in California. ... Compensation and benefits information pertains solely to candidates hired within the United States (local market compensation and benefits will apply for… 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
- Corning Incorporated (Wilmington, NC)
- …initiatives. * Ensure effective utilization of Glassmaking asset utilization through management of experimentation, downtime, wareflow, and operator ... Operations Engineer **Date:** Nov 13, 2025 **Location:** Wilmington, NC, US , 28405 **Company:** Corning Requisition Number: 70913 **The company built on… more
- BJC HealthCare (St. Louis, MO)
- …of Patient Care Services. The CM Service is comprised of three departments: Case Management , Utilization Management , and Social Work. Through the Triad Model ... ranked as one of the nation's top hospitals by US News & World Report. Barnes-Jewish Hospital's staff is...identify and resolve issues. Performs and provides consultation regarding Utilization Management and Performance Improvement programs in… 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 ... Ambassador and Guest Services Work Shift: UR - Day ( United States of America) Range: UR URCA...**Responsibilities:** GENERAL PURPOSE With general direction of the Ambassador Management Team and with latitude for independent initiative and… more
