Sr. Manager, Utilization Management (Sr. Manager II) CalOptima CalOptima Health is seeking a highly motivated an experienced Sr. Manager, Utilization Management (Sr. Manager II) to join our team. The Sr Manager II (Utilization Management) will be responsible for providing oversight of clinical team treatment authorization compliance and oversight of internal and external health network partners. The incumbent will lead inventory management process improvements for all clinical operation Utilizat
Title: Registered Nurse - Utilization Management Duration: 12+ months (Possible Extension) Location: Eagan, MN 55122 (Hybrid) Job Description: LOCAL candidates with ability to work onsite as needed (up to 2 days per week) is highly preferred. RN with strong understanding of medical policy development and coding experience. Business Analyst - Utilization Management How Is This Role Important to Our Work? The selected resource will support the evaluation of the prior authorization list by line o
Manager, Utilization Management (UM Oversight & Clinical Administration) Job Description Department(s): Utilization Management (Delegate Monitoring) Reports to: Director, Utilization Management FLSA status: Exempt Salary Grade: P - $117,000 - $192,390 Applications will be accepted on a continuous basis until a sufficient number of qualified applications have been received. The deadline for the first review of applications is on Tuesday, March 5, 2024 at 11:59 PM. Applicants are encouraged to app
Job Family : Finance & Accounting Consulting Travel Required : Up to 75%+ Clearance Required : None What You Will Do : Managing Consultants own client engagements from cultivation to completion. In this role, you will be accountable for the activities of the project team and support the day-to-day management of the client relationship. You are expected to effectively develop and manage work plans, staffing, deadlines and budgets for multiple complex projects simultaneously. Work products are
