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Utilization Management Program Manager-RN

Corvallis, Oregon

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Today

Summary \t \t \tSamaritan Health Plans (SHP) provides health insurance options to Samaritan employees, community employers, and Medicare and Medicaid members. SHP operates a portfolio of health plan products under several different legal structures: InterCommunityHealth Plans, Inc. (IHN) is designated as a regional Coordinated Care Organization (CCO) for Medicaid beneficiaries; Samaritan Health Plans, Inc. offers Medicare Advantage, Commercial Large Group, and Commercial Large Group PPO and EPO

Full-time

IT Program Manager - Enterprise Data Management

Remote

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Today

Position Description At a Glance Legrand North America is seeking a talented and motivated IT Program Manager to join the Enterprise Data Management (EDM) organization. This role will report to the Director of Enterprise Data Management and serve as the techno-functional leader responsible for coordinating and managing enterprise data initiatives across Data Engineering, Data Governance, Data Analytics, and enterprise data platforms. This position will lead cross-functional programs spanning b

Full-time

Utilization Management Nurse Specialist

Remote

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Today

Company Description Lumen SolutionsGroupInc. is a technology consulting Services company based inFlorida. Weprovidea wide array of experienced business and IT professionals supporting clients from solution design to implementation and support.We specialize in professional IT consulting services, IT Staffing, Business/IT Strategy, Business Process Blueprints, Enterprise Architecture, EnterpriseTransformation. Role:Utilization Management Nurse Specialist Location: 100% Remote Duration: 3-Month Co

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Contract

Depends on Experience

Utilization Review Specialist (RN, LPN)

Remote

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13d ago

Utilization Review Specialist (RN, LPN)Introduction:We are looking for a Maryland or Compact State certified Utilization Review Specialist (RN or LPN) to join our team and support a major Healthcare payor in the Maryland area. The ideal candidate will have extensive experience in nursing, utilization management, and a deep understanding of Milliman Care Guidelines (MCG). Responsibilities:Determine medical necessity and appropriateness by referencing regulatory mandates, contracts, benefit inform

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Contract

45 - 50

Data Center Program Manager

Remote

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Today

Data Center Program ManagerIntroductionWe are seeking an experienced Data Center Program Manager to lead complex data center infrastructure initiatives for enterprise clients. The ideal candidate will have a strong background in managing large-scale data center programs, coordinating cross-functional teams, and delivering infrastructure modernization, migration, deployment, and operational excellence initiatives. This role requires exceptional leadership, stakeholder management, and program exec

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Contract

80 - 90

Utilization Management Specialist - Behavioral Health

Remote

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6d ago

Hi, Hope youre doing well!! Please find the requirement below. If you find yourself comfortable with the requirement please reply back with your updated resume or call me back at Position:Utilization Management Specialist - Behavioral Health Location:Remote(Must reside in the DMV area Maryland, Virginia, or Washington, DC) Duration: 6+ Months Visa: Client won't be able to sponsor any visa LinkedIN ID We are seeking experiencedBoard Certified Behavior Analysts (BCBAs)to join our cl

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Contract, Third Party

Depends on Experience

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