Utilization management Jobs

1 - 5 of 5 Jobs

Utilization Management SpecialistJob Title - Utilization Management Specialist

Ampcus IncCompany Name - Ampcus Inc

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Baltimore, Maryland, USA

Contract

Ampcus Inc. is a certified global provider of a broad range of Technology and Business consulting services. We are in search of a highly motivated candidate to join our talented Team. Job Title: Utilization Management Specialist Location(s): Baltimore, MD (Hybrid) Job Description: Utilizing key principles of utilization management, the Utilization Review Specialist will perform prospective, concurrent and retrospective reviews for authorization, appropriateness of care determination and benefit

Utilization Management RepresentativeJob Title - Utilization Management Representative

TEKsystemsCompany Name - TEKsystems

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Remote or Tampa, Florida, USA

Full-time

Job DescriptionJob DescriptionDescription On a day to day basis, a person in this role will review dental prior authorizations and dental referrals. Make sure the members history does not have any conflicting info, make sure the proper attachments (xray of tooth) are on claims, work thru the system and finalize cases as needed. Additional Skills & Qualifications -2+ years of dental insurance experience -utilization management -prior authorization, referrals -front office dental experience -treat

Director, Medicare & Medi-Cal Utilization ManagementJob Title - Director, Medicare & Medi-Cal Utilization Management

Blue Shield of CaliforniaCompany Name - Blue Shield of California

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Rancho Cordova, California, USA

Full-time

Your Role Reporting to the Sr. Director, Utilization Management, the role of the Director, Medicare & Medi-Cal Utilization Management is critical to the success of Blue Shield of California and the Utilization Management department in realizing its goals and objectives.This individual will play a key role as part of the Utilization Management team in delivering and collaborating on all aspects of utilization management and care coordination for our Medicare and Medi-Cal membership. The Director

Vice President, Engineering - Utilization Management and Care ManagementJob Title - Vice President, Engineering - Utilization Management and Care Management

UnitedHealth GroupCompany Name - UnitedHealth Group

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Remote or Eden Prairie, Minnesota, USA

Full-time

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us adv

Utilization Management Specialist - Remote / TelecommuteJob Title - Utilization Management Specialist - Remote / Telecommute

Cynet SystemsCompany Name - Cynet Systems

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Baltimore, Maryland, USA

Third Party, Contract

We are looking for Utilization Management Specialist - Remote / Telecommute for our client in Baltimore, MD Job Title: Utilization Management Specialist - Remote / Telecommute Job Location: Baltimore, MD Job Type: Contract Job Description: Pay Range: $17hr - $22hr Essential Functions:35% Performs member or provider related administrative support which may include benefit verification, authorization creation and management, claims inquiries and case documentation.35% Reviews authorization request