Job Description Must be available to work day shift hours aligned with Eastern Standard Time (EST) and maintain flexibility to support weekend and holiday coverage as business needs require. Prior experience in Utilization Management (UM) and appeals
Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united
Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and
Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united
Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united
Thank you for your interest in a career at NeighborHealth, formerly East Boston Neighborhood Health Center! As one of the largest community health centers in the country, NeighborHealth is proud to serve the greater Boston area
Senior Associate, Balance Transfer Marketing - Discover & UM (Hybrid) Capital One, a Fortune Magazine “100 Best Companies to Work For,” is seeking a customer-centric and detail-orientated Senior Associate to join the balance transfer marketing team to
Job DetailsJob Location: All States (Remote) - OKPosition Type: Full TimeJoin us as a Sr. UM Coordinator — drive efficiency, resolve critical requests, and help improve healthcare processes every day.We are looking for a Senior Utilization Management
Overview Project UM Audit & Documentation Director Location: 100% Travel About the Role The Project Utilization and Documentation Director supports UM Leaders and their department operations at assigned facilities, ensuring medical necessity, compliance, and financial performance. This role
The Registered Nurse (RN) Unit Manager provides leadership and oversight for the daily operations of an assigned nursing unit. This position ensures the delivery of safe, high-quality, and resident-centered care in accordance with federal, state, and
By joining Sedgwick, youll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with
At Allstate, great things happen when our people work together to protect families and their belongings from life’s uncertainties. And for more than 90 years, our innovative drive has kept us a step ahead of our
Your experience matters At Memorial Medical Center, we are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. Here, you’re not just valued as an employee, but as
Job DescriptionWe’re hiring a Team Leader, Government Pharmacy UM Operations. This individual will be responsible for leading a team of departmental staff, including oversight of workload and execution of operational goals. Provides guidance on problem resolution, ensures
Company :Highmark Inc. Job Description : JOB SUMMARY This is a full-time REMOTE position requiring weekend availability (Saturday and Sunday) in addition to three weekdays. This job implements effective utilization management strategies including: review of appropriateness
Become a part of our caring community The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine
Starling Oncology (NASDAQ: STLN) is advancing oncology by delivering highly specialized, value-based cancer care in the community setting. Formerly known as The Oncology Institute, Starling Oncology offers cutting-edge, evidence-based cancer care to a population of approximately
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves
Become a part of our caring community Humana Gold Plus Integrated is looking for UM Administration Coordinators to support both its Health Choice and MLTSS programs. In this position, you will help create authorizations, and work within
UM Coordinator Poplar Springs Hospital is a 183 bed acute care and residential facility. For more than 30 years Poplar Springs Hospital has been guided by its mission of helping those who need the full continuum of