Utilization management jobs

Product Owner with "UM"/"CM" - "Case Management"/"Utilization Management"

Remote

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Today

Position: Product Owner with "UM"/"CM" - "Case Management"/"Utilization Management" Location: Remote Job Description: Owns product vision, roadmap, prioritization, and delivery outcomes.Resource should have 10 years of experienceResource should have healthcare domainWrite user stories, manage backlog, define roadmap, perform market research, align stakeholders, support UX, ensure value delivery.Agile, ADO/Jira, roadmap tools, UX fundamentals, analytics, API understanding, stakeholder management.

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Full-time

Up to $90,000

Technical Analyst - Population Health

Remote

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7d ago

Job Title: Technical Analyst - Population Health Location: St Louis, MO(Remote) Mandatory skills - Population Health & Care Management, medicare/Medicaid Job Description: Must demonstrate strong domain expertise, particularly in the Payor-Provider ecosystem, with a solid understanding of Medicare, Medicaid, and other relevant healthcare programs o Works with stakeholders to discover, clarify, and document current and future data needs o Performs mapping of Population Health and Care Managemen

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Contract, Third Party

Depends on Experience

Sr. Project Manager - 100% Remote

Remote or Eden Prairie, Minnesota

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Today

Genesis10 is currently seeking a Sr Project Manager with PBM for a 10-month contract role with our healthcare client located in Eden Prairie, MN. 100% Remote. Compensation: $60.00 - 65.00 per hour, depending on skill and experience level. Summary: Agile project delivery self-starter able to lead amidst ambiguity executive presence. Project is for "Client's" GPI Reclassification Process Improvement. GPI stands for Generic Product Identifier. The project is the process of reclassifying a drug's th

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Full-time

USD 60.00 - 65.00 per hour

Yield Enhancement Electrical Failure Analysis Engineer

Boise, Idaho

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Today

Our vision is to transform how the world uses information to enrich life for all. Micron Technology is a world leader in innovating memory and storage solutions that accelerate the transformation of information into intelligence, inspiring the world to learn, communicate and advance faster than ever. At Micron-Boise, ID, we are undergoing a historic $15 billion investment in semiconductor manufacturing; construction began in early 2023, with DRAM production slated for the second half of the dec

Full-time

Test Pilot, Avionics Engineering (Onsite - KCID)

Cedar Rapids, Iowa

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Today

Date Posted: 2025-08-20 Country: United States of America Location: HIA32: Cedar Rapids, IA 400 Collins Rd NE , Cedar Rapids, IA, 52498-0505 USA Position Role Type: Onsite U.S. Citizen, U.S. Person, or Immigration Status Requirements: Security Clearance: None/Not Required Collins Aerospace is seeking an experienced flight test pilot to support the development and certification of its cutting edge avionics product lines. This position is responsible for the development, planning, execution and

Full-time

USD 147,000.00 per year

Data Analyst II Healthcare Analytics

Remote or Missouri

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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 55,100.00 - 99,000.00 per year

KC-46 Airplane Integration Office (AIO) Certification Engineer (Senior or Senior Lead)

Everett, Washington

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Today

KC-46 Airplane Integration Office (AIO) Certification Engineer (Senior or Senior Lead) Company: The Boeing Company The Boeing Defense, Space & Security (BDS) is seeking a KC-46 Airplane Integration Office-AIO (Senior or Lead) Certification Systems Engineer within the KC-46 Airplane Integration Office. This position is located in Everett, WA. This role requires the selected candidate to lead Military Certification integration between KC-46 engineering teams, the customer, and regulatory agenci

Full-time

USD 138,550.00 - 187,450.00 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

Solution Architect

Houston, Texas

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Today

Full-time

USD 150,000.00 - 190,000.00 per year

Solution Architect

Austin, Texas

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Today

Full-time

USD 150,000.00 - 190,000.00 per year

Aircraft Certification Engineer

Fort Worth, Texas

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Today

We're more than aviation experts, we're pioneers. We challenge what's possible. From breaking the sound barrier to advanced tiltrotor systems. Today, Bell is shaping the future of aviation through specialized engineering . And we want you. We are developing the future of Army Aviation with the Bell Future Long-Range Assault Aircraft (FLRAA) part of the US Army's Future Vertical Lift (FVL) modernization effort. We are also developing the Bell 525 Relentless and Bell's High-Speed Vertical Take-Of

Full-time

Care Management Coordinator/RN

Philadelphia, Pennsylvania

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30+d ago

Innova Solutions has a client that is immediately hiring for a Care Management Coordinator. Position type: Full time - Contract Duration: 3+ Months Location: Philadelphia, PA As a Care Management Coordinator, you will:Perform telephonic utilization management for inpatient admissions .Use the medical software criteria, establish the need for inpatient, continued stay and length of stay.Direct the delivery of care to the most appropriate setting, while maintaining quality.Contact attending phy

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Contract

Depends on Experience

Clinical Business Analyst

Remote

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6d ago

Position: Clinical Business AnalystExperience:10+ YearsLocation: RemoteRate: $52/hr on W2 or $60/hr on 1099 OverviewWe are seeking an experienced Clinical Business Analyst with a strong background in clinical operations, healthcare workflows, and IT systems within payer or provider environments. The ideal candidate will support requirements gathering, process optimization, and solution design for clinical and care management platforms. Experience working with EHR/EMR systems, clinical data model

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Contract

Depends on Experience

Cyber Defense Incident Responders - Senior

Washington, District of Columbia

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Today

Job Description ECS is seeking a Cyber Defense Incident Responder - Senior 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 leadershi

Full-time

USD 56.00 - 56.00 per hour

Data Management Strategy & Governance Senior Manager (Clinical Quality) - Evernorth Health Services - Remote

Remote

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Today

Job Overview: This role is responsible for driving the Clinical Quality data acquisition strategy and data product support within the Enterprise Quality & Accreditation organization. The data being acquired will be used to measure clinical quality results that ultimately allow Cigna to benchmark against competitors, and drive improvements in patient outcomes. This data will feed into HEDIS (healthcare effectiveness data and information set) and NCQA (national committee for quality assurance) ac

Full-time

USD 130,400.00 - 217,400.00 per year

Data Analyst II Medical Economics

Remote or Missouri

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Today

Full-time

USD 55,100.00 - 99,000.00 per year

Life Sciences Business Architect / Domain Consultant

California

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Today

Job Summary (List Format): - Serve as a subject matter expert in pre-authorization (pre-auth) processes within the life sciences and healthcare industry. - Advise pharmaceutical, biotech, and med-tech clients on transforming pre-auth workflows to improve speed, compliance, and patient experience. - Analyze current business processes, identify gaps, and design improved operating models for pre-authorization. - Collaborate with technology teams to design and implement digital and AI-based pre-a

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Full-time, Contract, Third Party

$DOE

Product Manager with healthcare

Remote

•

Today

Skills Mandatory : Healthcare "UM"/"CM" - "Case Management"/"Utilization Management"\ Salary : keep low as possible Position: Product Manager with Healthcare "UM"/"CM" - "Case Management"/"Utilization Management" Term : Long Term Contract/Fulltime/Permanent Location: Remote About Infinite: Infinite is a global leader in digital engineering and IT services, with over 20 years of experience driving digital transformation. We partner with leading Fortune 1000 companies to deliver innovative, scal

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Full-time

Up to $110,000

Business Analyst

Parsippany-Troy Hills, New Jersey

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5d ago

Need a BA to support our growing healthcare technology initiatives. The ideal candidate will bring strong domain expertise in FHIR (Fast Healthcare Interoperability Resources), Electronic Medical Records (EMR), and Healthcare Interoperability. Key Experience Areas: FHIR Standards & API Integration:Proven experience working with HL7 FHIR specifications, including resource modeling, API design, and implementation for clinical data exchange.Lead requirements gathering and gap analysis for FHIR-base

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Contract

Depends on Experience

Busines Sytems Analyst

Remote or St. Louis, Missouri

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Today

job summary: We have a 6 month contractor opportunity for a Senior Business Systems Analyst (Case Management Focus). This role is fully remote but must work CST business hours. Summary: The Clinical Analyst serves as a subject matter expert on data quality and availability, ensuring interoperability of clinical data. This role focuses on case management and utilization review workflows, providing technology solutions and driving process improvements. location: Telecommute job type: Contract

Contract

USD60 - USD65

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Utilization management jobs