Utilization management jobs in remote

Epic Tapestry Utilization Management Analyst

Remote

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19d ago

This is 3 months contract with possibility of extention. You can work part time as well (20 hours/week)Position SummaryWe are seeking an experienced Epic Tapestry Utilization Management Analyst to support the design, configuration, build, testing, and implementation of Appeals and Grievances workflows within a healthcare insurance environment. The consultant will work closely with utilization management, appeals and grievances operations, compliance, business, and technical stakeholders to trans

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Third Party, Contract

Depends on Experience

Applied Behavior Analysis / ABA (Utilization Management)

Remote

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5d ago

Active BCBA (Board Certified Behavior Analyst) certification and state licensure (3+ years of ABA (Applied Behavior Analysis) clinical experience - Required Experience creating and supervising ABA (Applied Behavior Analysis) treatment plans Direct patient care background (dealing with children with Behavior / Autism issues) Utilization Management or insurance review experience strongly preferred Comfortable reviewing medical necessity and authorization requests Familiar with managed care and pay

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Contract

Depends on Experience

Medical Director

Remote

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20d ago

Medical Director (Utilization Management) - Remote, USLocation: Remote (US) Employment Type: Contract-to-Hire Schedule: Full-time, 40 hours/week <>About the RoleWe are seeking an experienced Medical Director to join a physician-led team responsible for utilization management and clinical review activities for a health insurance organization. This role focuses on evaluating medical necessity, appropriateness of care, appeals, and complex case reviews while ensuring compliance with applicable regu

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Contract

180 - 200

Vice President of Software Engineering for Utilization Management

Eden Prairie, Minnesota

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Today

Optum Tech is a global leader in health care innovation. Our teams develop cutting-edge solutions that help people live healthier lives and help make the health system work better for everyone. From advanced data analytics and AI to cybersecurity, we use innovative approaches to solve some of health care's most complex challenges. Your contributions here have the potential to change lives. Ready to build the next breakthrough? Join us to start Caring. Connecting. Growing together. As the Vice P

Full-time

USD 200,400.00 - 343,500.00 per year

Architectural Associate

Columbia, Missouri

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Today

Hiring Department Planning, Design & Construction Job Description Provides skilled architectural design services to meet client requests/needs.Possesses both a broad and deep understanding of the job.Understands how own and related teams coordinate their efforts and resources to achieve objectives and goals.Provides solutions to problems in situations that are atypical or occur infrequently.Uses discretion to modify work practices and processes to achieve results or improve efficiency.Confers

Full-time

USD 25.96 - 28.13 per hour

MURR Beamport Engineer

Columbia, Missouri

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Today

Hiring Department MRR Research & Education Job Description The University of Missouri Research Reactor (MURR) is seeking a motivated electromechanical engineer to join the growing Neutron Scattering group and help maintain and expand neutron scattering capabilities. The Neutron Scattering group at MURR currently operates four instruments for the study of structure and dynamics in matter: a triple-axis spectrometer (TRIAX), a reflectometer (GANS), and two powder diffractometers (PSD and 2X-C).

Full-time

USD 80,000.00 - 90,000.00 per year

Care Review Clinician, ABA

Fort Lauderdale, Florida

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Today

Must live in Florida Job Summary Provides support for member clinical review processes specific to applied behavioral analysis (ABA) services. Responsible for verifying that behavioral health services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care. Ess

Full-time

Compensation information provided in the description

Care Review Clinician, ABA

Orlando, Florida

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Today

Full-time

Compensation information provided in the description

Care Review Clinician, ABA

Jacksonville, Florida

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Today

Full-time

Compensation information provided in the description

Senior Structural Analysis Engineer ? Wing & Empennage

North Charleston, South Carolina

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Today

Job Description At Boeing, we innovate and collaborate to make the world a better place. We?re committed to fostering an environment for every teammate that?s welcoming, respectful and inclusive, with great opportunity for professional growth. Find your future with us. 787 Airframe in Boeing Commercial Airplanes is hiring for a Senior (Level 4) Structural Analysis Engineer for our Wing & Empennage Life Cycle Product Team to work at our North Charleston, SC location. At Boeing, our engineers shar

Full-time

Order Engineer

Richmond, Virginia

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Today

Every day, we get opportunities to make a positive impact - on our colleagues, partners, customers and society. Together, we're pioneering the solutions of the future and unlocking the full potential of precious resources. Trusted to act on initiative, we challenge conventional thinking to develop world-leading technologies that inspire progress in vital areas, including energy, food, water and shipping. As we push forward, the innovative, open spirit that fuels our 140-year-old start-up culture

Full-time

USD 70,000.00 - 85,000.00 per year

Senior Structural Analysis Engineer ? Interiors Stress

North Charleston, South Carolina

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Today

Job Description At Boeing, we innovate and collaborate to make the world a better place. We?re committed to fostering an environment for every teammate that?s welcoming, respectful and inclusive, with great opportunity for professional growth. Find your future with us. 787 Airframe in Boeing Commercial Airplanes is hiring for a Senior (Level 4) Structural Analysis Engineer for our Interiors Stress team to work at our North Charleston, SC location. At Boeing, our engineers share a passion to red

Full-time

Compensation information provided in the description

Senior Structural Analysis Engineer ? Systems Stress

North Charleston, South Carolina

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Today

Job Description At Boeing, we innovate and collaborate to make the world a better place. We?re committed to fostering an environment for every teammate that?s welcoming, respectful and inclusive, with great opportunity for professional growth. Find your future with us. 787 Airframe in Boeing Commercial Airplanes is hiring for a Senior (Level 4) Structural Analysis Engineer for our Systems Stress team to work at our North Charleston, SC location. At Boeing, our engineers share a passion to redefi

Full-time

Senior Structures Design Engineer ? Wing & Empennage

North Charleston, South Carolina

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Today

Job Description At Boeing, we innovate and collaborate to make the world a better place. We?re committed to fostering an environment for every teammate that?s welcoming, respectful and inclusive, with great opportunity for professional growth. Find your future with us. 787 Airframe in Boeing Commercial Airplanes is hiring for a Senior (Level 4) Structures Design Engineer for our Wing & Empennage Life Cycle Product Team to work at our North Charleston, SC location. At Boeing, our engineers share

Full-time

Compensation information provided in the description

Structural Analysis Engineer - Systems 4

North Charleston, South Carolina

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Today

This posting is for a contract assignment and is not a full-time employment offer with Boeing. Candidates selected for roles will be employed as contract workers through a Boeing approved 3rd party for the duration of the specified project. Work statement is a non-managerial role, non-leadership role. Structural Analysis Engineer - Systems Stress Leads development, integration and documentation of structural requirements to establish the system design. Coordinates with other engineering groups

Full-time

Expert Structural Analysis Engineer ? Systems Stress

North Charleston, South Carolina

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Today

Job Description At Boeing, we innovate and collaborate to make the world a better place. We?re committed to fostering an environment for every teammate that?s welcoming, respectful and inclusive, with great opportunity for professional growth. Find your future with us. 787 Airframe in Boeing Commercial Airplanes is hiring for an Expert (Level 5) Structural Analysis Engineer for our Systems Stress team to work at our North Charleston, SC location. At Boeing, our engineers share a passion to redef

Full-time

Compensation information provided in the description

Electrical Engineer

Columbia, Missouri

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Today

Hiring Department Facility Operations Job Description Position Summary The Electrical Engineer provides professional engineering expertise to support the safe, reliable, and code-compliant operation of building electrical systems across a large higher-education campus. Reporting within the Engineering Services group of Facilities Operations, this position serves as a key technical resource for maintenance staff, capital project teams, and campus stakeholders. The role focuses on building-leve

Full-time

USD 115,000.00 - 130,000.00 per year

Digital Scholarship and Data Management Librarian

Columbia, Missouri

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Today

Hiring Department The University of Missouri Libraries Job Description The University of Missouri Libraries seek to hire a librarian to serve as the Digital Scholarship and Data Management Librarian. This position designs and delivers services to faculty and students that support scholarly research involving the use of digital platforms, analytic and computational software, and visualization tools for the purpose of research analysis, access, or preservation. The position consults with subject

Full-time

USD 58,500.00 - 70,000.00 per year

Electrical Engineer II

Columbia, Missouri

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Today

Hiring Department Planning, Design & Construction Job Description At Planning, Design, and Construction, we are passionate about shaping the University of Missouri (MU) Columbia campus' future by creating innovative, high-quality spaces that inspire and support the university's mission. We lead every phase of design and construction, from concept to completion, ensuring projects are delivered on time, within budget, and to the highest standards. Whether it is new buildings, renovations, or in

Full-time

USD 95,000.00 - 98,000.00 per year

Senior Healthcare Data Analyst

Phoenix, Arizona

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Today

Senior Healthcare Data Analyst Department: Business Intelligence Location: Remote (U.S.) Position Overview We are seeking a Senior Healthcare Analyst to join our Business Intelligence team. This individual will partner with executive leadership, clinical operations, finance, and business stakeholders to transform complex healthcare data into actionable insights that drive operational performance, quality outcomes, and strategic decision-making. The ideal candidate brings strong healthcare analy

Full-time

USD 95,000.00 - 105,000.00 per year