Utilization Management Jobs in USA

Pharmacy ConsultantRequisition ID: req1371Employment Type: Unclassified Regular Full-Time (URF)Division: Health FinanceCompensation: 108036.00 - 150000.00 Annual SalaryJob Closing: 5/10/2026Location: TRS Headquarters Building 2 1900 Aldrich StreetAustin Texas 78723United States WHO WE ARE: Wit...

SUMMARY:The Product Strategy Senior Advisor provides strategic and operational advisory support for the execution optimization and ongoing maturity of the SafeGuardRx (SGRx) platform and related products. This role partners closely with Product Management leadership and crossfunctional stakeholders...

Inspire health. Serve with compassion. Be the difference.Job SummaryProvides primary health care to a specific patient population within the guidelines of written protocols. Follows established nursing standards procedures and practices.AccountabilitiesEngages in the diagnosis and treatment of dise...

OverviewHospital Name: AtlantiCare Rehabilitation Hospital - In partnership with Select MedicalPosition: Case ManagerLocation: Galloway New JerseySchedule: Per Diem/ PRNCompensation: $45.00 / hourlyNew hospital opening in August 2026A partnership between Atlanticare and Select Medical our 60-bed med...

OverviewHospital Name: AtlantiCare Rehabilitation Hospital - In partnership with Select MedicalPosition: Case ManagerLocation: Galloway New JerseySchedule:Full-timeCompensation: $72000 - $110000*based on years of experience*New hospital opening in August 2026A partnership between Atlanticare and Sel...

OverviewThis posting is open exclusively to current AL DOC incumbent employeesNaphCare Alabama Prisons LLCis hiring an experience Regional UM Reviewer to join our team at the Regional Office in Alabama.Position Summary:The Utilization Management Reviewer/ Manager performs technical and administrativ...

Inspire health. Serve with compassion. Be the difference.Job SummaryThe Prisma Health Physician is responsible for the provision of quality medical services to patients of Prisma Health-University Medical GroupAccountabilitiesEngages in the diagnosis prevention or treatment of disease defects or inj...

Inspire health. Serve with compassion. Be the difference.Job SummaryThe Prisma Health Physician is responsible for the provision of quality medical services to patients of Prisma Health-University Medical GroupAccountabilitiesEngages in the diagnosis prevention or treatment of disease defects or inj...

Inspire health. Serve with compassion. Be the difference.Job SummaryThe Prisma Health Physician is responsible for the provision of quality medical services to patients of Prisma Health-University Medical GroupAccountabilitiesEngages in the diagnosis prevention or treatment of disease defects or inj...

Inspire health. Serve with compassion. Be the difference.Job SummaryThe Prisma Health Physician is responsible for the provision of quality medical services to patients of Prisma Health-University Medical GroupAccountabilitiesEngages in the diagnosis prevention or treatment of disease defects or inj...

Inspire health. Serve with compassion. Be the difference.Job SummaryThe Prisma Health Physician is responsible for the provision of quality medical services to patients of Prisma Health-University Medical GroupAccountabilitiesEngages in the diagnosis prevention or treatment of disease defects or inj...

Inspire health. Serve with compassion. Be the difference.Job SummaryThe Prisma Health Physician is responsible for the provision of quality medical services to patients of Prisma Health-University Medical GroupAccountabilitiesEngages in the diagnosis prevention or treatment of disease defects or inj...

OverviewSelect Specialty HospitalCritical Illness Recovery Hospital (LTACH)Case ManagerFull Time: Monday-Friday 8-5pmPay Range: $Dependent Upon Years Of Prior Relevant ExperienceRequires a current licensure in a clinical discipline either as a Nurse (RN/LPN/LVN) or a Respiratory Therapist (RT) OR Me...

OverviewSelect Specialty HospitalCritical Illness Recovery Hospital (LTACH)Case ManagerFull Time: Monday-Friday 8-5pmNo Weekends Or HolidaysPay Range: $Dependent Upon Years Of Prior Relevant ExperienceRequires a current licensure in a clinical discipline either as a Nurse (RN/LPN/LVN) or a Respirato...

OverviewSelect Specialty HospitalCritical Illness Recovery Hospital (LTACH)Case ManagerFull Time: Monday-Friday 8-5pmNo Weekends Or HolidaysSIGN ON BONUS: $5000Pay Range: $Dependent Upon Years Of Prior Relevant ExperienceRequires a current licensure in a clinical discipline either as a Nurse (RN/LPN...

OverviewYour job is secure. This process simply allows us to enter your information into NaphCares payroll system quickly and accurately. After your submission you will receive a confirmation letter outlining your position and pay details for your to electronically sign. If you have any questions pl...

Job DescriptionThe Medicare Cost of Care Pharmacist supports Blue Cross NCs pharmacy cost management and affordability strategy by monitoring utilization and cost trends identifying opportunities to improve value and executing pharmacy initiatives that enhance program performance. This role collabor...

We are seeking a highly skilled and execution-focused Manager of Advanced Analytics to help shape and deliver our analytics strategy and roadmap. This role is hands-on and influential focused on designing and implementing scalable data solutions building advanced BI capabilities and enabling actiona...

OverviewYour job is secure. This process simply allows us to enter your information into NaphCares payroll system quickly and accurately. After your submission you will receive a confirmation letter outlining your position and pay details for your to electronically sign. If you have any questions pl...

DescriptionMount Sinai is one of the largest non-profit health systems in the U.S. with a strong reputation for quality of care (18th ranked academic medical center) and research/education (22nd ranked medical school). Our health system has 40000 employees working together to provide billions of dol...