Utilization Management jobs in Rochester, NY

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

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

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

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Contract

Depends on Experience

Aetna IT Medicaid Senior Product Manager

Remote or Downers Grove, Illinois

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Today

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health , you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. Position Summary CVS Health is embarking on a bold digi

Full-time

USD 118,450.00 - 260,590.00 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

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Full-time

USD 80.00 - 90.00 per hour

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

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

Epic Systems Analyst II (UM/Referrals exp req)- Kelsey Seybold Clinic

Remote or Pearland, Texas

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Today

Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations throughout Houston. Be part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher quality, higher pat

Full-time

USD 72,800.00 - 130,000.00 per year

Senior Data Scientist - Remote, W2

Remote

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6d ago

Senior Data ScientistRemote Seeking- senior/manager level data science candidatesThis P5 Decision Scientist will be a part of the End-to-End team. The project focuses on improving the end-to-end admission and approval process within utilization management. When patients need admission, multiple insurance approvals are required, some of which can be automated while others need human review. The goal is to streamline this pipeline, ensuring that approvals happen quickly, efficiently, and accuratel

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Contract

$70+

Authorization Specialist I

Remote

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13d ago

Immediate need for a talented Authorization Specialist I. This is a 09 Months Contract opportunity with long-term potential and is located in US (Remote). Please review the job description below and contact me ASAP if you are interested. Job ID:26-01674 Pay Range: $20 - $21/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location). Key Responsibilities: This request is for support in the a

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Contract

20 - 21

Hiring for Sr. Medical Reviewer || 100% Remote (Looking someone from IL OR TX)

Remote

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6d ago

Role: Sr. Medical Reviewer Location: (100% Remote) Duration: 12+ months (Remote) Skills & Experience: Fully Remote, but MUST reside in either TX or IL Required hours: Monday through Friday, 8a-6p intermittent occasional coverage of weekend shifts MUST have an ACTIVE Medical/Doctor License to practice in the state they reside MUST have 10+ years clinical experience with managed care and utilization management Evaluates clinical service requests made by an organization's members and providers. Use

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Contract

$50 - $60

Salesforce Developer Health Cloud / Field service Lightning (FSL/FSM)

Remote

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2d ago

Position : Salesforce Developer Health Cloud / Field service Lightning (FSL/FSM) 100% Remote About the Role 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 integr

Easy Apply

Contract

Depends on Experience

Cognos Developer - W2 ONLY

Remote

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4d ago

This is a W2 opportunity, and candidates who don't require visa sponsorship are allowed to apply for this role Title: BI Programmer - Cognos (Healthcare Business Intelligence) Terms of Employment W2 Contract, 12 Months This is a Remote Opportunity Overview Our Client is looking for a Senior Health Intelligence Programmer who is responsible for developing, enhancing, and maintaining the core data processing platforms of the company, driving business solutions by querying existing databases to cre

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Contract

Depends on Experience

Data Analyst III Medical Economics

Remote or Missouri

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Today

Full-time

USD 70,100.00 - 126,200.00 per year

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Utilization Management jobs in Rochester, NY, USA