utilization management Jobs

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Registered Nurse | Utilization Management Appeals Nurse | Remote | ContractJob Title - Registered Nurse | Utilization Management Appeals Nurse | Remote | Contract

Walker HealthforceCompany Name - Walker Healthforce

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Remote

Contract

Utilization Management Appeals Nurse | 2 years experience | Remote | Contract Walker Healthforce is seeking a Utilization Management Appeals Nurse with 2 years of experience to support a healthcare client based out of New Jersey. This is a 6-month contract opportunity. START DATE: 6/1/2025 HOURS/SCHEDULE: 8am-5pm EST Monday- Friday WORKER TYPE: W2 CORE REQUIREMENTS: Minimum of two (2) years clinical experience 3 - 5 years of experience with a background in either Utilization Management, Prior

Registered Nurse | Utilization Management Appeals Nurse | Remote | ContractJob Title - Registered Nurse | Utilization Management Appeals Nurse | Remote | Contract

Walker HealthforceCompany Name - Walker Healthforce

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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

Care Manager - Behavioral HealthJob Title - Care Manager - Behavioral Health

EnpowerTekCompany Name - EnpowerTek

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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,

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

Senior Aircraft Certification Engineer - ODA AdministrationJob Title - Senior Aircraft Certification Engineer - ODA Administration

GarminCompany Name - Garmin

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Century, Florida, USA

Full-time

Overview We are seeking a full-time Senior Aircraft Certification Engineer - ODA (Organization Designation Authorization) Administration. In this role, you will be responsible for supporting the ODA Lead Administrator in ensuring the Garmin ODA is working per FAA requirements and company expectations. Essential Functions Support the ODA Lead Administrator and other ODA Unit Administrators in the execution of ODA functionsAct on behalf of the Lead ODA Administrator or other ODA Unit Administrato

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

UnitedHealth GroupCompany Name - UnitedHealth Group

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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

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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Houston, 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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Austin, 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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Dallas, Texas, 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 or Wichita, KS 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 UM approval of

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

Flight Deck Engineer (Associate, Mid-Level and Senior)Job Title - Flight Deck Engineer (Associate, Mid-Level and Senior)

Boeing CompanyCompany Name - Boeing Company

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Tukwila, Washington, USA

Full-time

Flight Deck Engineer (Associate, Mid-Level and Senior) Company: The Boeing Company Boeing Defense Space & Security (BDS) has an exciting opportunity and immediate need for Flight Deck Engineers (Associate, Mid-Level, Senior) in Tukwila, WA. Primary Responsibilities: Develops and documents complex electronic and electrical system requirements.Designs hardware, software and interface specifications.Tests and validates to ensure system designs meet operational and functional requirements.Assist

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

Data Analyst III Healthcare AnalyticsJob Title - Data Analyst III Healthcare Analytics

Centene CorporationCompany Name - Centene Corporation

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Florida, USA

Full-time

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

Centene CorporationCompany Name - Centene Corporation

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Missouri, USA

Full-time

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

Job DescriptionJob DescriptionEmpower. 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 + HospitalsMetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comp

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 Integrated Care ManagementJob Title - Data Analyst Integrated Care Management

McLaren Health CareCompany Name - McLaren Health Care

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Bay City, Michigan, USA

Full-time

Position Summary: Under general supervision, facilitates report generation and detailed statistical data compilation from various healthcare applications and outcome reports and/or analysis while maintaining data integrity and quality through system management activities. Provides CM, UM and Denial management data for strategic planning, decision support, outcomes analysis, information exchange, comparative data analyses, resource allocation, credentialing, and health policy decisions. Essenti

Software Engineer for TA DefenseJob Title - Software Engineer for TA Defense

Textron, Inc.Company Name - Textron, Inc.

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Wichita, Kansas, USA

Full-time

JOB SUMMARY: Software and/or Airborne Electronic Hardware (AEH) Designated Engineering Representative (DER) who makes compliance findings and represent Textron Aviation as a subject matter expert to certification authorities, suppliers, and industry consortiums in the areas of software and/or AEH approvals supporting aircraft Type Certification for both foreign and domestic certification activities on both 14 CFR Part 23 and 14 CFR Part 25 aircraft. JOB RESPONSIBILITIES: Author and/or approve so