Utilization management jobs

Baltimore, Maryland

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Today

We are looking for Utilization Management Specialist for our client in Baltimore, MD Job Title: Utilization Management Specialist Job Location: Baltimore, MD Job Type: Contract Job Description: Pay Range: $43.21hr - $48.21hrThe Utilization Management Specialist determines medical necessity and appropriateness of services using nationally recognized clinical guidelines, regulatory requirements, benefit information, and medical policies.This role conducts clinical research and analysis to support

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Contract, Third Party

Depends on Experience

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

MCNCE VISTA- Veteran & Military Student Success Data Analyst

Montana

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Today

MCNCE VISTA- Veteran & Military Student Success Data Analyst The Military and Veteran's Service Office (MVSO) located on the University of Montana campus in Missoula supports student veterans and their families. UM is home to nearly 1000 military-affiliated students, and UM is the nation's 3rd highest percent of veterans on campus per capita in the nation. The goal of the VISTA project is to help student veterans and their families break the cycle of poverty and low-income occupations through i

Full-time

Senior Systems Safety Engineer

Mesa, Arizona

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Today

Overview We are seeking a full-time Senior Aircraft Systems Safety Engineer in our Mesa,AZ location. In this role, you will be responsible for overseeing the aircraft system safety assessment process and generating and approving the required analyses in support of Garmin STC projects. Essential Functions Work with system safety analysts to establish the system safety approach and documentation necessary to show compliance for Garmin STCSupport the generation and UM approval of System Safety Ass

Full-time

Technical Lead EMC Engineer

Olathe, Kansas

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Today

Overview We are seeking a full-time Technical Lead EMC Engineer in our Olathe, KS or Cary, NC location. In this role, you will be responsible for being a key technical contributor and/or project manager for Electromagnetic Compatibility (EMC) Certification and/or testing related to complicated projects and will serve as a mentor and provides guidance to less experienced EMC engineers. Essential Functions Reviews new project proposals and provides guidance to resolve any issuesDemonstrates good

Full-time

Aetna Technology 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

Engineer (Sr./Specialist) - Avionics and Electrical Systems Unit Member

Wichita, Kansas

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Today

JOB SUMMARY: The Avionics and Electrical Systems UM is responsible for ensuring that all engineering type design is compliant with applicable government regulations utilizing the Textron Aviation ODA processes. Duties include but are not limited to: Coordinating within the ODA and FAA, supporting resolution of certification issues, determination of certification basis, writing and reviewing certification plans and test plans, witnessing certification testing, documenting testing results and maki

Full-time

Engineer, Analog Design Engineering

Wilmington, Massachusetts

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Today

About Analog Devices Analog Devices, Inc. (NASDAQ: ADI ) is a global semiconductor leader that bridges the physical and digital worlds to enable breakthroughs at the Intelligent Edge. ADI combines analog, digital, and software technologies into solutions that help drive advancements in digitized factories, mobility, and digital healthcare, combat climate change, and reliably connect humans and the world. With revenue of more than $9 billion in FY24 and approximately 24,000 people globally, ADI

Full-time

USD 86,400.00 - 118,800.00 per year

Chief Medical Officer

Hartford, Connecticut

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12d ago

Who Are We? Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it. Job Category Claim Compensation Overview The annual base salary range provided for this position is a nationwide m

Full-time

USD 262,900.00 - 404,200.00 per year

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

Experienced or Senior Airworthiness & Regulatory Engineer (Regulatory Compliance)

Everett, Washington

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Today

Experienced or Senior Airworthiness & Regulatory Engineer (Regulatory Compliance) Company: The Boeing Company The Boeing Commercial Airplanes (BCA) Applicant & Safety Excellence team is seeking an Experienced (Level 3) or Senior (Level 4) Airworthiness & Regulatory Engineer to join our team in Everett, Washington. The Applicant & Safety Excellence team is growing to meet the need to "Strengthen the Applicant" by harnessing the power of the functional Safety & Airworthiness organization. The A

Full-time

USD 114,750.00 - 155,250.00 per year

Experienced Structural Repair Engineer

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

Google Cloud Platform - Google Cloud Platform and Power Platform Developer

Remote or Irving, Texas

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Today

Full-time

USD 60,300.00 - 145,860.00 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

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

Sr. Software Engineering Manager

Anchorage, Alaska

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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 108,000.00 - 155,000.00 per year

Director Reporting & Analytics - Hybrid (PA/NJ/DE)

Philadelphia, Pennsylvania

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Today

Are you an innovative analytics leader with a passion for healthcare and a talent for mentoring emerging analysts? Do you thrive on tackling challenges with optimism and resourcefulness? As Director of Reporting & Analytics, you will play a pivotal role in advancing IBX's clinical, medical management, and value-based initiatives by leading the development of reporting and analytical solutions that drive measurable impact across the organization. Reporting to the Chief Analytics Officer and Vice

Full-time

Depends on Experience

Sr. Performance Improvement Program Manager (RN)

Newark, Delaware

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Today

Sr. Performance Improvement Program Manager (RN) Monday-Friday - (Day Shift) Newark DE ChristianaCare is seeking a Senior Performance Improvement Program Manager (RN) to join our team. This healthcare quality professional will provide leadership and support for systemwide performance improvement initiatives that align with our organizational mission, priorities, and goals. Key responsibilities include: - Performance Improvement - Oversight of outcome measure reporting. - Management of quality,

Full-time

Compensation information provided in the description

AMS Verification Engineer

Wilmington, Massachusetts

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Today

Full-time

USD 108,800.00 - 149,600.00 per year

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Utilization management jobs