utilization management jobs in texas

Coppell, Texas

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Today

MUST BE OPEN TO 0NE MONTH OF TRAINING ONSITE! MUST BE OPEN TO WORKING NIGHTS AND OR WEEKENDS. NO DAY SHIFTS AVAILABLE FOR THE ROLE. Required Hiring Qualifications 1-2 years of Customer service experience 1-2 years of technical IT support experience. Good attitude Experience in supporting a wide range of modules in EHR such as Ambulatory Care, CPOE, ClinDoc/Inpatient setting, OR/Optime and HIM Knowledge or strong understanding of clinical workflows and healthcare operations, along with experienc

Full-time

USD 16.25 - 18.00 per hour

Tier 1 Technical Support

Coppell, Texas

•

Today

Description Required Hiring Qualifications Experience in supporting a wide range of modules in EHR such as Ambulatory Care, CPOE, ClinDoc/Inpatient setting, OR/Optime and HIM Knowledge or strong understanding of clinical workflows and healthcare operations, along with experience in supporting EHR system upgrades Experience or exposure in troubleshooting and documenting issues related to electronic medical records, such as Epic Systems Proficiency with common device setups used within Michigan Me

Full-time

USD 16.25 - 18.00 per hour

Data Analyst IV Medical Economics

Remote or Michigan

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Today

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: Responsible for analytic data needs of the business unit. Handle complex data projects and acts as a lead for other Data Analysts. Provide advanced analytical support for business operations i

Full-time

USD 86,000.00 - 154,700.00 per year

Data Analyst III Medical Economics

Remote or Missouri

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Today

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

Full-time

USD 68,700.00 - 123,700.00 per year

Appeal Analyst RN | Remote | Contract

Remote

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18d ago

Appeals Nurse | 2 years experience | Remote | Contract Walker Healthforce is seeking a 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:Requires an active New Jersey Registered Nurse License2 Years of Clinical ExperienceProficiency in the use of personal computers and supporting software in a Windows based env

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Contract

Depends on Experience

Certified Epic Tapestry Analyst | Remote | Contract

Remote

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10d ago

Certified Epic Tapestry Analyst | 6+ years experience | Remote | Contract Walker Healthforce is seeking a Certified Epic Tapestry Analyst with 6+ years experience to support a healthcare client. This is a 3-month contract opportunity. START DATE: 9/1/2025 CORE REQUIREMENTS:6-8 years of recent experience on Epic Tapestry UM MaintenanceExperience with application build and go-liveExtensive background in implementation, workflow design, troubleshooting, testing, and ongoing supportStrong interper

Easy Apply

Contract

Depends on Experience

Registered Nurse | Field Case Manager | Hybrid | Essex County, NJ | Contract

Remote

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9d ago

Field Case Manager Registered Nurse | 2+ years | Onsite | New Jersey | Contract Walker Healthforce is seeking a Field Case Manager Registered 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:8/4/2025 RATE RANGE: $43-$53 HOURS/SCHEDULE: Will be in the field 5 days a week (8am-5pm/9am-5pm) seeing on average 3-4 members a day in their homes for assessment in Essex and Passaic Counties. A scheduler will be p

Easy Apply

Contract

Depends on Experience

Registered Nurse | Utilization Management Appeals Nurse | Remote | Contract

Remote

•

Today

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: Requires Prior Authorization Experience Minimum of two (2) years clinical experience 3 - 5 years of experience with a background

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Contract

Depends on Experience

QNXT API Developer

Remote

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3d ago

The QNXT API Developer will be sponsible for designing, developing, and maintaining applications within the QNXT framework, with a focus on API integrations, particularly between QNXT and other healthcare systems or portals such as Optum, that will provide seamless data exchange. They will work with technologies like ASP.NET, .NET Framework, and SQL Server, and often need to understand healthcare EDI standards, HIPAA compliance, and Agile methodologies. The QNXT API Developer will be sponsible f

Easy Apply

Contract, Third Party

Depends on Experience

Authorization Specialist II

Remote

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10d ago

Immediate need for a talented Authorization Specialist II. This is a 03+months Contract-to-Hire opportunity with long-term potential and is located in FL(Remote). Please review the job description below and contact me ASAP if you are interested. Job ID: 25-82439 Pay Range: $18 - $19/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: 8 AM - 5 PM EST (Mon-

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Contract

$18 - $19

QNX Claims Platform Architect

Remote or Hybrid

•

Today

Position Overview: We are seeking a highly skilled QNXT Subject Matter Expert (SME) and Architecture Consultant to join our team. This role requires deep expertise in QNXT modules and architecture, with a strong focus on system configuration, performance optimization, and scalable solution design. The ideal candidate will have hands-on experience with QNXT implementations and a solid understanding of batch processing, system enhancements, and modern data messaging platforms. Key Responsibilitie

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Contract

$70 - $80 per hour

Epic Analyst

Remote

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4d ago

Epic Analyst 6+ Months Remote EPIC Analysts attached is the Job Description, all the certifications listed in there are required. ACTIVE CERTIFICATION/LICENSURE Epic Bridges Preferred Care Everywhere Healthy Planet HIM Epic System Analyst / Epic Technical Analyst Skilled IT Professional with training in one or more Epic software modules: Bridges, Healthy Planet, Care Everywhere or HIM. The Epic Analyst should understand Clinical workflows, Industry standard Data types (HL7, XML, X12) with the A

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Third Party, Contract

Depends on Experience

GuidingCare Consultant

Remote

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15d ago

Sr No Position Detailed JD 1 Config Analyst - Application Support Job Summary: The GuidingCare Configuration Analyst is responsible for the setup, customization, and maintenance of the GuidingCare care management platform. This role ensures that the application meets business and clinical needs by configuring workflows, rules, forms, assessments, and integrations. The analyst collaborates with stakeholders across business, clinical, and technical teams to support system enhancements and ensure e

Easy Apply

Third Party, Contract

Depends on Experience

Workday Supply Chain Reports

Remote

•

Yesterday

Position: Workday Supply Chain Reports Location: Georgia (Remote) Job Details: Need to have deep Workday skills, include expertise with Supply Chain reporting. Data origin is Workday Custom reports supplier utilization PAR management Manage manifest Shipping & receiving Dashboards with definable KPI s Filters Location, Category Etc.. Please let me know if you have the expertise, experience and, interest in pursuing this opportunity further.

Easy Apply

Contract

$1+

Application Engineer (m/w/d) - Schwei- und Befestigungslsungen

Remote

•

Today

Application Engineer (m/w/d) bei STANLEY Engineered Fastening ber uns: Stanley Black & Decker steht seit 1843 fr innovative Lsungen und Werkzeuge, die weltweit bekannt und geschtzt sind. Unsere Division, STANLEY Engineered Fastening, ist der globale Marktfhrer fr Przisionsbefestigungs- und Montagelsungen. Wir bieten Ingenieur*innen in den Bereichen Automobil, Luft- und Raumfahrt sowie Industrie innovative Produkte, die Effizienz, Zuverlssigkeit und Qualitt in Fertigungsprozessen sicherstelle

Full-time

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utilization management jobs in Texas, USA