- Huron Consulting Group (Chicago, IL)
- …our team as the expert you are now and create your future. The Manager of Utilization Management is responsible for planning, organizing, developing, and ... directing implementation of the Utilization Review Plan and the...results and implementing corrective actions to address deficiencies. + Contract and Resource Management: Understands contract language… more
- Beth Israel Lahey Health (Plymouth, MA)
- …a job, you're making a difference in people's lives.** Full Time **Job Description:** ** Utilization Review & Denials management manager - Full Time** **Who We ... and Serve Your Community!** **In your role as a Utilization Review & Denials Management Manager , you...of clinical denials. + Maintains current knowledge of payer contract changes as they pertain to level of care… more
- Ochsner Health (Jefferson, LA)
- …your future today!** This job manages expense management, vendor relationships, contract management, standardization and consolidation processes and utilization ... cost reduction initiatives throughout the organization by serving as a project manager and consultant to the clinical and non-clinical areas; tracks the system… more
- Guthrie (Sayre, PA)
- …approaches and make recommendations for alternate levels of care. The Acute Case Manager also performs Utilization Management throughout the continuum of care in ... Sign On Bonus For Qualified RNs! Position Summary: The Acute Case Manager utilizes industry accepted processes for achieving optimal patient, clinical, and… more
- City of New York (New York, NY)
- …contracting and fiscal functions within the Office of Community Outreach. The Contract Manager is responsible for the utilization of fiscal and contract ... monitoring and oversight, and program-side responsibilities related to contract administration for NYC Benefits contracts . DSS...(1) Administrative Staff Analyst NM to function as a Contract Manager . Under the direction of the… more
- CH Robinson (Houston, TX)
- …+ Lead processes, project management, and operations across multiple regions + Active utilization of Manager Effectiveness Toolkit + Ensure that all assigned ... CH Robinson is looking for a ** Manager , Global Service Delivery** to join our Robinson...global teams on actions to address identified gaps + Utilization of "Operational Excellence" in management of KPIs for… more
- Henkel (Bay Point, CA)
- … (KAM) for assigned customers and support the Global Quality Key + Account Manager . Drive the proper utilization of the global customer requirements and customer ... Quality Assurance Manager **_About_** **_this_** **_Position_** At Henkel, you'll be...quality processes including scorecards, specifications, complaints, portals, questionnaires and contracts . + Coordinate responses to customer requests with key… more
- The County of Los Angeles (Los Angeles, CA)
- … 10, ISD. The Opportunity The Equity in County Contracts Program Manager will serve as a centralized contract authority with specific responsibility for ... EQUITY IN COUNTY CONTRACTS PROGRAM MANAGER (ADMINISTRATIVE MANAGER...contract tiering opportunities in solicitations to divide large contract into multiple smaller contracts as a… more
- EAC Network (Garden City, NY)
- …Nonprofit - Social Services Description Join EAC Network as a Budgets and Contracts Manager ! EAC Network, a not-for-profit social service agency that empowers, ... across Long Island and NYC, seeks a Budgets and Contracts Manager to join our Finance department....documentation of approved allocations and monitor for ongoing compliance. Contract Management + Review executed contracts and… more
- Trace Systems Inc (Tampa, FL)
- Job Overview Job Title: Senior Contracts Manager Job Location: Tampa, FL Job Responsibilities Trace Systems is seeking an experienced Senior Contracts ... to prioritize requirements and meet deadlines. Desired Qualification + A Certified Professional Contracts Manager (CPCM) certification or MBA or MS, Contracts… more
- CommonSpirit Health (Phoenix, AZ)
- **Job Summary and Responsibilities** This is a remote position. The IT Contract Manager has overall responsibility for developing and managing portfolio of all ... to ensure timely and well-coordinated development, negotiation, and processing of new contracts , contract amendments, renewals, and transactions. + Lead large,… more
- Belcan (Moncks Corner, SC)
- …aspects of the plant value stream(s) under the direction of the Operations Manager to include associate development, utilization of team consensus to evaluate ... Value Stream Manager Job Number: 361757 Category: Administrative Description: Job...world's most respected enterprises. We offer excellent opportunities for contract , temporary, temp-to-hire, and direct assignments. We are the… more
- Triangle Inc. (Malden, MA)
- Position: Contracts Manager Reports to : Chief Financial Officer Pay: $70,000 to $80,000 Hours: 40 hours per week Location: Malden, MA Triangle's Expectation of ... functions : + Assist in preparation and oversight of contracts with state, local and private funding sources +...+ Maintain and update roster database for billing and utilization + Prepare and maintain credentialing application for billing… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Registered Nurse I Department: Utilization Management Location: Rochester General Hospital Hours Per Week: 40 hours (Full-Time) Schedule: Monday - Friday, ... as needed. Responsibilities include concurrent (as needed) and retrospective reviews. The Utilization Management Nurse will act as a resource on denial management as… more
- Elevance Health (Costa Mesa, CA)
- **JR177558 Behavioral Health Care Manager I** The Behavioral Health Care Manager I is responsible for conducting utilization management reviews for mental ... cost-effective setting in accordance with UM Clinical Guidelines and contract . + Refers cases to Peer Reviewers as appropriate....Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- State of Massachusetts (MA)
- …Procurement Activities:* * * Collaborate and coordinate with Manager of Contracts and assigned highway managers on contract and procurement needs and ... * Provide guidance to highway staff in the proper utilization of OSD statewide contracts and MassDOT...contract activity and expiration dates for all highway contracts and work with manager on the… more
- Elevance Health (Columbus, GA)
- **Title: Utilization Management Representative III** **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 III** is responsible for coordinating cases for precertification… more
- Elevance Health (West Des Moines, IA)
- ** Utilization Management Representative II** **Location:** The selected candidate for this position must reside in Iowa. **_Virtual:_** This role enables associates ... unless an accommodation is granted as required by law._ The ** Utilization Management Representative II** is responsible for managing incoming calls, including… more
- US Tech Solutions (Columbia, SC)
- **Duration: 3+** Months (Possible contract to hire) **Job Description:** + Onsite training - will last up to six weeks but could be extended. + A typical day would ... of clinical information to support and determine medical necessity criteria and contract benefits. + Utilizes allocated resources to back up review determinations.… more
- MTC (Anson, TX)
- …rotation. + Refer patients for specialty consultations and treatment through the utilization manager process. + Utilize established corporate, facility and ... Monitor all potential catastrophic illnesses. + Implement basic cost containment and utilization management for patient care and facility operations. + Comply with… more