Utilization management Jobs

1 - 20 of 35 Jobs

Utilization Management and Care Management (UMCM) Coordinator I | Remote | Albuquerque | ContractJob Title - Utilization Management and Care Management (UMCM) Coordinator I | Remote | Albuquerque | Contract

Walker HealthforceCompany Name - Walker Healthforce

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Albuquerque, New Mexico, USA

Contract

Utilization Management and Care Management (UMCM) Coordinator I | 3Yearsof Experience | Remote in Albuquerque | Contract Walker Healthforce is seeking aUtilization Management and Care Management (UMCM) Coordinator I with 3Years of Experience to support a Healthcare Payor Client remotely based out of the Albuquerque.This is a 12month contract opportunity. MUST BE LOCAL TO:Albuquerque, NM RATE RANGE: $36- $38 START DATE: July 21, 2025 HOURS/SCHEDULE:M-F; 8AM to 5PM WORKER TYPE:W-2 CORE REQUIREM

Medical DirectorJob Title - Medical Director

Pyramid Consulting, Inc.Company Name - Pyramid Consulting, Inc.

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Remote

Contract

Immediate need for a talented Medical Director. This is a 06+months contract opportunity with long-term potential and is located in U.S(Remote). Please review the job description below and contact me ASAP if you are interested. Job ID: 25-77682 Pay Range: $100 - $115/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: "Provides medical leadership of all for util

Care Manager - Health PlanJob Title - Care Manager - Health Plan

EnpowerTekCompany Name - EnpowerTek

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Remote

Full-time

Job Title: Care Manager - Health PlanLocation: Remote (CST hours)Schedule: Monday Friday, 8:00 5:00 pm CST Job Overview:This position focuses on comprehensive care management, including assessment, care planning, and coordination of services for members with moderate to high behavioral health needs. The Care Manager will oversee the delivery of person-centered care plans, monitor outcomes, and collaborate with internal and external resources to ensure quality, cost-effective services. Key Respon

Case Manager - RN - Inpatient Units- Brooklyn Methodist - DaysJob Title - Case Manager - RN - Inpatient Units- Brooklyn Methodist - Days

NewYork-PresbyterianCompany Name - NewYork-Presbyterian

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Brooklyn, New York, USA

Full-time

Discover Where Amazing Works Case Manager - RN - Inpatient Units- Brooklyn Methodist - Days Located in Park Slope, Brooklyn, this acute-care teaching hospital has been providing outstanding medical care to the surrounding communities for over 135 years. The Case Manager is responsible for all aspects of discharge planning and utilization management/review for an assigned group of patients to determine the appropriateness of the admission and continued stay, assist in the development of the pl

Case Manager - RN - Inpatient Units- Brooklyn Methodist - DaysJob Title - Case Manager - RN - Inpatient Units- Brooklyn Methodist - Days

NewYork-PresbyterianCompany Name - NewYork-Presbyterian

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Brooklyn, New York, USA

Full-time

Utility Engineer in TrainingJob Title - Utility Engineer in Training

Ferrovial S.E.Company Name - Ferrovial S.E.

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Atlanta, Georgia, USA

Full-time

Join Ferrovial: Where Innovation Meets Opportunity Are you ready to elevate your career with a global leader in infrastructure solving complex problems and generating a positive outcome on people's lives? At Ferrovial, we are not just a company; we are a community of innovators and trailblazers. Listed on three major stock markets: Nasdaq (US), Euronext Amsterdam (Netherlands) and IBEX 35 (Spain), we are also member of the Dow Jones Sustainability Index and FTSE4Good. We operate in more than 15

PBM Sr Clinical Manager, Preferred Drug ListJob Title - PBM Sr Clinical Manager, Preferred Drug List

Gainwell Technologies LLCCompany Name - Gainwell Technologies LLC

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Austin, Texas, USA

Full-time

It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you've honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you'll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work

PBM Sr Clinical Manager, Preferred Drug ListJob Title - PBM Sr Clinical Manager, Preferred Drug List

Gainwell Technologies LLCCompany Name - Gainwell Technologies LLC

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Dallas, Texas, USA

Full-time

PBM Sr Clinical Manager, Preferred Drug ListJob Title - PBM Sr Clinical Manager, Preferred Drug List

Gainwell Technologies LLCCompany Name - Gainwell Technologies LLC

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Houston, Texas, USA

Full-time

Agile Product Owner Senior AdvisorJob Title - Agile Product Owner Senior Advisor

CignaCompany Name - Cigna

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Remote

Full-time

Role Summary: This role is for an Agile Product Owner within the Clinical IT Product Management team. This position will specifically be filling a Product Owner role within Agile/Scrum and the Scaled Agile Framework (SaFe) delivery process for primarily support of the UM/CM applications and any supporting or extension applications. This position will support up to 3 scrum teams. The Product Owner will be tasked with working with our business partners to understand and prioritize scope, engage i

Data Analyst II Medical EconomicsJob Title - Data Analyst II Medical Economics

Centene CorporationCompany Name - Centene Corporation

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Florida, USA

Full-time

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

Senior Airworthiness & Regulatory EngineerJob Title - Senior Airworthiness & Regulatory Engineer

Boeing CompanyCompany Name - Boeing Company

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Everett, Washington, USA

Full-time

Senior Airworthiness & Regulatory Engineer Company: The Boeing Company The Boeing Company's Regulatory Administration organization within Product, Services and Safety (P&SS) is in search for a Senior Airworthiness & Regulatory Engineer to join its team in Everett, WA. This job is in the Unit Member (UM) Administration group within Regulatory Administration. The primary responsibility is working with the Certifications Leaders, the Safety and Airworthiness (SAW) organization as well as the E-U

Data Analyst IV Medical EconomicsJob Title - Data Analyst IV Medical Economics

Centene CorporationCompany Name - Centene Corporation

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Missouri, USA

Full-time

Data Analyst II Medical EconomicsJob Title - Data Analyst II Medical Economics

Centene CorporationCompany Name - Centene Corporation

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Michigan, USA

Full-time

Senior Aircraft Systems Safety EngineerJob Title - Senior Aircraft Systems Safety Engineer

GarminCompany Name - Garmin

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Olathe, Kansas, USA

Full-time

Overview We are seeking a full-time Senior Aircraft Systems Saftey Engineer in our Olathe, KS; Wichita, KS; or Chandler, 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

Systems Administrator IV, Health Systems - Epic, MyChart, Tapestry UMJob Title - Systems Administrator IV, Health Systems - Epic, MyChart, Tapestry UM

Kaiser PermanenteCompany Name - Kaiser Permanente

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Greenwood Village, Colorado, USA

Full-time

Job Summary: Our team supports KP HealthConnect, our electronic medical record. Specifically, the Web & Mobile (kp.org/MyChart), Tapestry UM (Referrals), and Population health (dealing with large cohorts of patients for common conditions like Diabetes or cancer care). Teir 3 support for our medical record system. Including incident support, ongoing maintenance, and investment. In addition to the responsibilities listed below, this position is responsible for system build, testing, validation, a

HARP Care Manager (with additional 10% field differential)Job Title - HARP Care Manager (with additional 10% field differential)

MetroPlusHealthCompany Name - MetroPlusHealth

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New York, New York, USA

Full-time

Empower. Unite. Care. MetroPlusHealth is 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. About NYC Health + Hospitals MetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products

Data Analyst III Medical EconomicsJob Title - Data Analyst III Medical Economics

Centene CorporationCompany Name - Centene Corporation

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Missouri, USA

Full-time

Senior Structural and Payload Design Engineer - CertificationJob Title - Senior Structural and Payload Design Engineer - Certification

Boeing CompanyCompany Name - Boeing Company

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North Charleston, South Carolina, USA

Full-time

Senior Structural and Payload Design Engineer - Certification Company: The Boeing Company Boeing Commercial Airplanes (BCA) is seeking Senior Structural and Payload Design Engineer - Certification (Level 4) to join our Payloads Interior Certification team based in North Charleston, South Carolina. The Certification Engineer works shoulder to shoulder with the Interior Arrangement Engineering Unit Member (E-UM). You will provide the showing of compliance for all interior design groups to the I

Structural and Payload Design Engineer - Certification (Experienced or Senior)Job Title - Structural and Payload Design Engineer - Certification (Experienced or Senior)

Boeing CompanyCompany Name - Boeing Company

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North Charleston, South Carolina, USA

Full-time

Structural and Payload Design Engineer - Certification (Experienced or Senior) Company: The Boeing Company Boeing Commercial Airplanes (BCA) is seeking Structural and Payload Design Engineer - Certification (Experienced or Senior) to join our Payloads Interior Certification team based in North Charleston, South Carolina. The Certification Engineer works shoulder to shoulder with the Interior Arrangement Engineering Unit Member (E-UM). You will provide the showing of compliance for all interio