Utilization Management Jobs in USA

Thank you for considering a career at Ensemble!Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solut...

Workforce Classification:HybridJoin Our Team: Do Meaningful Work and Improve Peoples LivesOur purpose to improve customers lives by making healthcare work better is far from ordinary. And so are our employees. Working at Premera means you have the opportunity to drive real change by transforming hea...

Lets do great things together!About ModaFounded in Oregon in 1955 Moda is proud to be a company of real people committed to quality. Today like then were focused on building a better future for healthcare. That starts by offering outstanding coverage to our members compassionate support to our commu...

About CurativeCurative is building the future of health insurance with a first-of-its-kind employer-based plan designed to remove financial barriers and make care truly accessible: one monthly premium with $0 copays and $0 deductibles*. Backed by our recent $150M in Series B funding and valuation at...

Landrum & Brown is a global aviation consulting firm with airports at the core of our DNA. We bring passion and creativity to solve the most complex global aviation challenges with the potential to enhance the world.Serving airports and other aviation clients for more than 70 years across all seven...

Employment Type:Full timeShift:Day ShiftDescription:Clinical Dietitian-Troy NY- Full TimeIf you are looking for a position as a clinical dietitian this could be your opportunity. Here at St. Peters Health Partners we care for more people in more places. This position is located in person at 720 Hoos...

Workforce Classification:HybridJoin Our Team: Do Meaningful Work and Improve Peoples LivesOur purpose to improve customers lives by making healthcare work better is far from ordinary. And so are our employees. Working at Premera means you have the opportunity to drive real change by transforming hea...

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Associate Medical Director Inpatient InformaticsThe Associate Medical Director Inpatient Informatics offers a unique opportunity for a practicing General Internal Medicine or Hospital Medicine physician with Epic expertise to shape inpatient and emergency department informatics in a leading academ...

OverviewYou Matter Here!Heywood Healthcare values our employees! We offer competitive wages great benefits and generous earned time off. Come work where you will matter!Hours: 40-Hours Days Monday - Friday Every other weekendPay Range: $25.05 - $33.05DisclaimerWe are committed to equitable and trans...

Role Overview & Scope Care Lumen is building an AI-first healthcare platform serving complex payer workflows across Care Management Utilization Management and LTSS. We are seeking a Director of AI & Machine Learning to establish and lead our ML & AI function from the ground up. This is a foundationa...

OverviewYou Matter Here!Heywood Healthcare values our employees! We offer competitive wages great benefits and generous earned time off. Come work where you will matter!Hours: 40-Hours Days Monday - Friday Every other weekendPay Range: $25.05 - $33.05DisclaimerWe are committed to equitable and trans...

Anticipated End Date:Position Title:Medical Management Clinician SeniorJob Description:Medical Management Clinician SeniorLocation: This role enables associates to work virtually full-time with the exception of required in-person training sessions providing maximum flexibility and autonomy. This app...

Job Description SummaryThis position focuses on disease states (e.g. prostate cancer neuroendocrine tumors & etc.) being treated by Novartis Radioligand Therapies. Bringing life-changing medicines to millions of people Novartis sits at the intersection of cutting-edge medical science and innovative...

SYSTEMS BUILDER WANTEDSeeking an Operational Leader to Build the Infrastructure Behind TubeSciences Creative Engine Role: Creative Operations Lead Location: Los Angeles CA (On-site) Compensation: $110150K base performance bonus tied to operational throughput and efficiency gains Reports to: SVP St...

Anticipated End Date:Position Title:Medical Management Clinician SeniorJob Description:Medical Management Clinician SeniorLocation: This role enables associates to work virtually full-time with the exception of required in-person training sessions providing maximum flexibility and autonomy. This app...

About AnthropicAnthropics mission is to create reliable interpretable and steerable AI systems. We want AI to be safe and beneficial for our users and for society as a whole. Our team is a quickly growing group of committed researchers engineers policy experts and business leaders working together t...

About AnthropicAnthropics mission is to create reliable interpretable and steerable AI systems. We want AI to be safe and beneficial for our users and for society as a whole. Our team is a quickly growing group of committed researchers engineers policy experts and business leaders working together t...

In collaboration with the interdisciplinary team the Case Manager provides care coordination services evaluating options and services required to meet an individuals health care needs to promote cost-effective quality outcomes. Serves as a consultant to members of the health care team in the managem...

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...