Utilization management jobs

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

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

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

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

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 Analyst to design, build, optimize, and support UM processes focused on authorizations and referrals. The ideal candidate is Epic Tapestry UM Certified, has practical experience with Tapestry Care Link, and is

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Full-time

USD 80.00 - 90.00 per hour

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 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

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Full-time

USD 80.00 - 85.00 per hour

Salesforce Developer with System Integration and Health cloud

Remote

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Yesterday

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

Certified Pharmacy Technician

Pittsburgh, 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

Senior Data Scientist - Remote, W2

Remote

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5d 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+

Data Analyst II Healthcare Analytics

Remote or Michigan

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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

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

Chief Medical Officer

Hartford, Connecticut

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2d 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

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

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Utilization management jobs