Utilization management Jobs in Atlanta, GA

Refine Results
1 - 8 of 8 Jobs

Registered Nurse | Utilization Management Appeals Nurse | Remote | Contract

Walker Healthforce

•

Remote

Contract

Utilization Management Appeals Nurse | 3 years | Remote | Contract Walker Healthforce is seeking a Utilization Management Appeals Nurse with 3 years of experience to support a healthcare client based out of New Jersey. This is a 6-month contract opportunity. START DATE: ASAP WORKER TYPE: W2 CORE REQUIREMENTS:Minimum of 3 years clinical experience.3 years experience in the health care delivery system/industry.Must have effective verbal and written communication skills and demonstrate the abilit
Easy Apply
Posted 6 days ago

Utility Engineer in Training

Ferrovial S.E.

•

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
Posted 5 days ago | Updated 8 hours ago

Care Manager - Behavioral Health

EnpowerTek

•

Remote

Full-time

Job Title: Care Manager - Behavioral HealthLocation: California (must reside and be licensed in California)Schedule: Monday Friday, 8:00 5:00 pm Job Overview:We are seeking experienced Care Managers with a behavioral health focus to join a growing team supporting mental health and substance abuse programs. You will monitor inpatient and outpatient services, conduct concurrent reviews, and ensure medical necessity and quality of care for members. This role will also engage in crisis intervention,
Easy Apply
Posted 6 days ago

Care Manager - Health Plan

EnpowerTek

•

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
Easy Apply
Posted 6 days ago

CARE UMR Senior Data Analyst - Remote in New York or New Jersey

UnitedHealth Group

•

Remote or New York, New York, USA

Full-time

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The CARE Sr. Data Analyst is responsible for supporting clinical report analysis and creation and deli
Posted 9 days ago | Updated 8 hours ago

Agile Product Owner Senior Advisor

Cigna

•

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
Posted 4 days ago | Updated 8 hours ago

Data Visualization Lead

Humana Inc

•

Remote

Full-time

Become a part of our caring community and help us put health first Are you passionate about transforming complex data into actionable insights that drive strategic decisions? Do you thrive at the intersection of technology, analytics, and leadership? Join Humana's innovative Visual Insights and Automation team within Pharmacy Analytics and Consulting as a Data Visualization Lead. In this role, you will consult with a variety of business partners and stakeholders, leading the development of inter
Posted 8 days ago | Updated 8 hours ago

Clinical Data Governance/Informatics Lead - Cigna Healthcare - Hybrid

Cigna

•

Remote or Bloomfield, Connecticut, USA

Full-time

Role Summary: Effective execution of good data governance principles and practices minimizes risk and ensures the data is available and fit for purpose. As part of The Cigna Group's Enterprise Clinical & Health Organization (ECHO), the Clinical Data Governance Lead is responsible for overseeing the integrity, quality, and governance of clinical data critical to ECHO operations, programs, and strategies. The ideal candidate should have a strong health care payer, clinical operations, and/or clini