Utilization Management Nurse Specialist

Position: Vice President Account Management (Payer) Experience: 15+ Years Location: United States Role Overview Strategic Account Management role responsible for expanding Healthcare Payer accounts while positioning Clinical Services and Technology-enabled Healthcare solutions. Responsibilities Grow existing Healthcare Payer accounts. Sell Clinical Operations, Utilization Management, Care Management, Medical Management and Technology solutions. Develop executive relationships.

Fraud, Waste, and Abuse (FWA) Medical Record ReviewerCandidate from approved states ONLY: DC, MD, VA, PA, DE, WV, & NC Work Mode: First week or 2, onsite 5 days per week for collaboration purposes / training / meeting the team. Then mainly WFH with occasional meetings onsite when necessary. No expenses Paid for any Travel. Elite Technical is seeking a Fraud, Waste, and Abuse (FWA) Medical Record Reviewer! We are seeking an experienced healthcare fraud investigator and medical record reviewer wit

Role: Clinical Applications Trainer & Support Specialist (Behavioral Healthcare)Work Location: 100% Remote WorkDuration: Long Term Contract Key Responsibilities Training & Adoption Deliver instructor-led, virtual, and one-on-one training for clinical and operational staff. Develop and maintain role-based training materials, job aids, quick reference guides, and workflow documentation. Conduct training needs assessments and identify skill gaps across user populations. Support super user, key user

Company Description Lumen SolutionsGroupInc. is a technology consulting Services company based inFlorida. Weprovidea wide array of experienced business and IT professionals supporting clients from solution design to implementation and support.We specialize in professional IT consulting services, IT Staffing, Business/IT Strategy, Business Process Blueprints, Enterprise Architecture, and EnterpriseTransformation. Job Title:ServiceNow Knowledge Management Strategist Location: 100% Remote Job Type