utilization management Jobs in seattle, wa

Refine Results
1 - 9 of 9 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

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

Boeing Company

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

Medical Director

Pyramid Consulting, Inc.

Remote

Contract

Immediate need for a talented Medical Director. This is a 06+months contract opportunity with long-term potential and is located in U.S(Remote). Please review the job description below and contact me ASAP if you are interested. Job ID: 25-77682 Pay Range: $100 - $115/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location). Key Responsibilities: "Provides medical leadership of all for util

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,

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

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

Data Analyst II Medical Economics

Centene Corporation

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

UM Nurse/Prior Auth Nurse

Pyramid Consulting, Inc.

Remote

Contract

Immediate need for a talented UM Nurse/Prior Auth Nurse. This is a 06+months contract opportunity with long-term potential and is located in Phoenix, AZ (Remote). Please review the job description below and contact me ASAP if you are interested. Job ID:25-77859 Pay Range: $30 - $32/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location). Key Responsibilities: Nurses review case files, add,

Clinical Review Nurse - Prior Authorization

Pyramid Consulting, Inc.

Remote

Contract

Immediate need for a talented Clinical Review Nurse - Prior Authorization. This is a 07+months contract opportunity with long-term potential and is located in US(Remote). Please review the job description below and contact me ASAP if you are interested. Job ID: 25-77808 Pay Range: $33 - $39/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location). Key Responsibilities: Shift Time & Working