Utilization Management jobs

Seal Beach, California

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Today

Experienced Structural Repair Engineer Company: The Boeing Company The Boeing Commercial Airplanes (BCA) is seeking an Experienced Structural Repair Engineer to join their team in Seal Beach, CA. As a Structural Repair Engineer, you will provide support in the development of the Structural Repair Manual (SRM). You'll be responsible for participating in the development of practical and economical retrofit and repair plans to meet customer needs, which will be incorporated into the SRM. Positi

Full-time

USD 111,350.00 - 150,650.00 per year

Structural Analysis Engineer (Senior or Expert)

Everett, Washington

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Today

Structural Analysis Engineer (Senior or Expert) Company: The Boeing Company The Boeing Commercial Airplanes (BCA) Structures Certification Organization is looking for an Structural Analysis Engineer (Senior or Expert) who is an experienced Engineering Unit Members with 25.562(seats) authorization to join our team in Everett, WA. The selected candidate will be Authorized to make compliance findings as related to 14 CFR 25.562 Dynamic Seat Testing. This job role will require you to both support

Full-time

USD 135,150.00 - 182,850.00 per year

Software Certification Engineer (Experienced and Senior)

Seattle, Washington

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Today

Software Certification Engineer (Experienced and Senior) Company: The Boeing Company The Boeing Company is currently seeking Software Certification Engineer (Experienced and Senior) to support our BCA Software Certification Team (Interior/Cabin system) located in Seattle or Everett, Washington. The ideal candidates will contribute to all phases of the software development and lifecycle (planning, requirements, implementation, and verification, and certification). The Software Certification Eng

Full-time

USD 124,100.00 - 167,900.00 per year

Telecom Specialist

Rochester, New York

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Today

Telecom / Voice Systems Technician (ON-SITE) LOCATION: ROCHESTER, NY Overview We are seeking an experienced Telecom / Voice Systems Technician to support and maintain enterprise voice, data, and video services in a 24x7 environment. The ideal candidate will have hands-on experience with VOIP and NEC phone systems, Distributed Antenna Systems (DAS), and end-to-end voice troubleshooting. This role involves system programming, documentation, infrastructure updates, and working closely with interna

Full-time

USD 25.00 - 40.00 per hour

Sr Aerospace Engineer - Aircraft Certification

Remote or Plano, Texas

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Today

The ISR (Intelligence, Surveillance & Reconnaissance), Aviation, and Security (IAS) business area is a leader in ISR and aviation, it is a leading prime manned and unmanned aircraft systems integrator for innovative, high-performance ISR and aviation systems. Its end-to-end Command, Control, Computers, Communications and Intelligence, Surveillance & Reconnaissance (C4ISR) capabilities encompass design, integration, test, certification, ground/flight training and complete logistics support. IAS t

Full-time

Telecom Specialist

Rochester, New York

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Today

Telecom Specialist - On-Site | Rochester, NY | Contract-to-Hire Employment Type: Contract-to-Hire (6 months) Pay Range: $25-$40/hr (based on experience) Workplace: Telecom / Data Center Environment Schedule: Full-time, includes on-call rotation Why You'll Love This Role This is a unique opportunity to join a highly stable organization with a long-standing, well-structured telecom environment. You'll step into a position where your expertise truly matters - supporting voice, data, and telecom

Full-time

USD 25.00 - 40.00 per hour

Telecom Specialist

Rochester, New York

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Today

Top Skills' Details 1. Voice and telephone systems (2 yrs) - Candidate should have VOIP and NEC experience, understand fundamentals, enterprise telephone and NEC phone systems. 2. Distributed Antenna Systems (DAS) and Voice Infrastructure Support - candidate should understand how DAS works, troubleshooting coverage and performance issues, working with carriers. 3. Voice-Focused Troubleshooting and Programming - Candidate should be able to troubleshoot voice issues end to end, understand programm

Full-time

USD 25.00 - 40.00 per hour

Solution Architect

Dallas, Texas

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Today

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You'll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have

Full-time

USD 150,000.00 - 190,000.00 per year

Senior SOC Analyst

Washington, District of Columbia

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Today

Job Description ECS is seeking a Senior SOC Analyst to work in our Washington, DC office. Lead, facilitate and advise via the Incident Response lifecycle across the Bureau of the Census within the Department of Commerce against 24/7 threats/vulnerabilities/events. Provide leadership w/ security and cybersecurity intelligence, posture/capabilities status, ways-forward, trend analysis and personnel readiness to enhance cyber security and incident response. Advise leadership through multi-vector

Full-time

USD 110,000.00 - 130,000.00 per year

Solution Architect

Austin, Texas

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Today

Full-time

USD 150,000.00 - 190,000.00 per year

Solution Architect

Houston, Texas

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Today

Full-time

USD 150,000.00 - 190,000.00 per year

Epic Tapestry UM Analyst - 100% Remote

Remote or Eden Prairie, Minnesota

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Today

Genesis10 is currently seeking a Tapestry UM Analyst for a 3-month contract role with our client. This role will be 100% remote. Compensation: $80.00 - 90.00 per hour, W2, depending on skill and experience level. Summary: We are seeking an experienced Epic Tapestry Utilization Management (UM) Analyst to design, build, optimize, and support UM workflows focused on prior authorizations and referrals. This role partners closely with UM leadership, clinical reviewers, provider relations, care manag

Easy Apply

Full-time

USD 80.00 - 90.00 per hour

Epic Certified Tapestry Analyst

No location provided

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Today

Our nationwide remote client is seeking (4) Certified Epic Tapestry Analysts for a 3-6 month+ engagement and contract to hire starting in February. Requires Epic Tapestry certifications with CEE's. The 3 roles: Epic Tapestry Medical Management - Utilization Management (UM), Case Management (CM), Provider configuration.Epic Tapestry Claims (or) Membership AnalystEpic Tapestry Health Plan Architect Must be able to work as a W2. This position is not open to vendors To learn more about this and ot

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Full-time

Senior Unified Communications Engineer - Hybrid position

Inver Grove Heights, Minnesota

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Today

Genesis10 is seeking a Senior Unified Communications Engineer - Hybrid position located in Inver Grove Heights, MN 55077. This is a 7-month contract opportunity. Will work onsite one day per week. Compensation: $80.00 - 85.00 per hour, W2, depending on skill and experience level. Job Description: Genesis10 is seeking a Senior Unified Communications Engineer for a contract position with our client. This role will deliver modern voice and collaboration technologies supporting the organization's en

Easy Apply

Full-time

USD 80.00 - 85.00 per hour

HARP Care Manager (with up to $10,000 additional field differential)

New York, New York

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Today

MetroPlusHealthis committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day. POSITION OVERVIEW The HARP Care Manager develops, facilitates, and communicates a plan of care in partnership with the member, his/her assigned Health Home, primary caregiver, the primary and attending physicians, and various Be

Full-time

Salesforce Developer with System Integration and Health cloud

Remote

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2d ago

We're seeking a Salesforce Developer with strong experience in system integrations and Health Cloud configuration. You'll design and build secure integrations to EHRs and healthcare platforms, configure Health Cloud capabilities (Care Programs, Patient/Provider management, Assessments), and develop scalable components using Apex/LWC/Flows. What You'll Do Design, build, and maintain integrations with Health Cloud and thirdparty systems. Ensure security & compliance (HIPAA, PHI/PII), OAuth 2.0/JWT

Easy Apply

Contract

Depends on Experience

Certified Pharmacy Technician

Reading, Pennsylvania

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Today

Job DescriptionJob Title: Pharmacy Technician Direct Ship Team Department: Care Management & Coordination Location: Remote (requires residence in PA, NJ, or DE) Job Summary The Pharmacy Technician on the Direct Ship Team plays a critical role in ensuring timely, compliant, and medically appropriate medication access for members. This position is responsible for reviewing clinical documentation to assess medical necessity for pharmacy services using established criteria, clinical judgment, and in

Full-time

Clinical Advisor

Southborough, Massachusetts

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Today

Job DescriptionClinical Advisor Company Overview: Join us in our mission to transform healthcare! nirvanaHealth (under RxAdvance Corp.) is committed to bringing the art of the possible to the payer and PBM industries. We invest in our employees at every stage of life. Success radiates across all levels of our organization, driven by competitive benefits and a strong focus on employee wellness, we aim to support all aspects of employee growth. Characterized by curiosity, innovation, and an entre

Full-time

Data Analyst II Healthcare Analytics

Remote or Florida

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Today

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Analyze integrated and extensive datasets to extract value, which directly impacts and influences business decisions. Work collaboratively with key business stakeholders to identify areas of v

Full-time

USD 56,200.00 - 101,000.00 per year

Data Analyst II Healthcare Analytics

Remote or Michigan

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Today

Full-time

USD 56,200.00 - 101,000.00 per year

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Utilization Management jobs