Utilization Management Jobs in USA

Valeris is a fully integrated life sciences commercialization partner that provides comprehensive solutions that span the entire healthcare value chain. Formed by the merger of PharmaCord and Mercalis Valeris revolutionizes the path from life sciences innovation to real-life impact to build a world...

AHCCCSArizona Health Care Cost Containment SystemAccountability Community Innovation Leadership Passion Quality Respect Courage TeamworkThe Arizona Health Care Cost Containment System (AHCCCS) Arizonas Medicaid agency is driven by its mission to deliver comprehensive cost-effective health care to Ar...

SummaryThe Department of Community and Human Services values diverse perspectives and life experiences. The Department encourages people of all backgrounds to apply including Black Indigenous and People of Color immigrants refugees women LGBTQ people with disabilities veterans and those with lived e...

Description and FunctionsOpen Until FilledGENERAL DESCRIPTION: This position is responsible for leading and managing functions related to analysis and information management for the Division of Health Care Financing requiring considerable judgment and specialized knowledge of the health and utilizat...

The PACE Associate Medical Director will promote and model the mission vision and values of Golden Valley Health Centers. Supports and directly participate in the medical delivery of care and ensures the delivery of quality health care services for the participants in the PACE program. Supports and...

For questions regarding this position please contact the Recruiter listed in the Supplemental Information section.ABOUT THE POSITIONThe County of Riversides University Health System - Behavioral Health - Facilities department seeks an Administrative Services Analyst I/II II to join their teamlocated...

JOB SUMMARY/PURPOSE Serve as an advocate for providers by ensuring they are informed supported and educated on Samaritan Health Plans procedures benefits policies and available provider tools Coordinates and provides administrative support to the Network Contracting and Relations team. Partners w...

JOB SUMMARY/PURPOSE Serve as an advocate for providers by ensuring they are informed supported and educated on Samaritan Health Plans procedures benefits policies and available provider tools Coordinates and provides administrative support to the Network Contracting and Relations team. Partners w...

OverviewPatient Account Representative Admitting and RegistrationFull Time 80 Hours Per Pay Period Day ShiftLeConte Medical Center Overview:LeConte Medical Center is a part of Covenant Health our regions top-performing healthcare network and is a 79-bed community hospital located in the heart of Sev...

Hi were Oscar. Were hiring a Manager Strategy & Operations to join our Utilization Management Optimization and Strategy team.Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the...

Hi were Oscar. Were hiring a Manager Strategy & Operations to join our Utilization Management Optimization and Strategy team.Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the...

Hi were Oscar. Were hiring a Manager Strategy & Operations to join our Utilization Management Optimization and Strategy team.Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the...

About Our CompanyWere a physician-led patient-centric network committed to simplifying health care and bringing a more connected kind of care.Our primary multispecialty and urgent care providers serve millions of patients in traditional practices patients homes and virtually through VillageMD and ou...

Inspire health. Serve with compassion. Be the difference.Job SummaryProvides assistant surgical services in the operating room as well as other selected medical services under the direction of the surgeon.AccountabilitiesProvides general surgical assistant services in operating room.10%Assists surg...

Help the companies transforming healthcare coverage move fasterpowering everything from claims modernization to member experience with cloud and AI. Run a territory like a business with real ownership executive access and the chance to shape how health insurers and payors adopt next-gen tech.This ro...

DescriptionAt EXP were driven to provide innovative solutions for the worlds built and natural environments. As a team of engineers architects designers scientists creators and a community of professionals we bring diverse and talented people together to solve the worlds most complex challenges. Her...

About Blue Cross and Blue Shield of MinnesotaAt Blue Cross and Blue Shield of Minnesota we are committed to paving the way for everyone to achieve their healthiest life. We are looking for dedicated and motivated individuals who share our vision of transforming healthcare. As a Blue Cross associate...

About Blue Cross and Blue Shield of MinnesotaAt Blue Cross and Blue Shield of Minnesota we are committed to paving the way for everyone to achieve their healthiest life. We are looking for dedicated and motivated individuals who share our vision of transforming healthcare. As a Blue Cross associate...

We are the leading provider of professional services to the middle market globally our purpose is to instill confidence in a world of change empowering our clients and people to realize their full potential. Our exceptional people are the key to our unrivaled culture and talent experience and our ab...

Position Summary:The Medical Director provides physician leadership for the clinical operations quality patient safety and strategic direction of First Flight Health Centers. As a member of the senior leadership team the Medical Director oversees clinical policies quality improvement initiatives pro...