Product Owner Utilization Management (UM) / Prior Authorization (PA) Lumen Solutions Group Inc. is a technology consulting Services company based in Florida. We provide a wide array of experienced business and IT professionals supporting clients from solution design
Registered Nurse (RN) Utilization Management Join a dynamic healthcare team where your clinical expertise helps ensure members receive the right care at the right time. We are seeking an experienced Registered Nurse (RN) to support our Utilization Management team. In
Spec, Utilization Management Our client, a Health Insurance company, is looking for a Spec, Utilization Management for their remote location. Responsibilities include utilizing key principles of utilization management to perform prospective, concurrent, and retrospective reviews for authorization, appropriateness of care determination, and
Utilization Management Coordinator Pay Range: $20.24hr - $24.24hr The Utilization Management Coordinator will provide administrative and operational support for utilization management activities, including authorization processing, benefit verification, claims inquiries, and coordination with members and providers. The role requires strong organizational skills, healthcare
Utilization Management Coordinator I Supports the Utilization Management clinical teams by assisting with non-clinical administrative tasks and responsibilities related to pre-service, utilization review, care coordination, and quality of care. Essential Functions: 35% Performs member or provider related administrative support which may
The Research Assistant oversees data collection, data organization, and/or data management or similar functions/tasks for research study(ies) in support of a PI or a research team. The Department of Health Policy and Management at the Johns Hopkins Bloomberg
Johns Hopkins University is seeking a Director of Lab Animal Management that will report to the Attending Veterinarian and Executive Director for Research Animal Resources (RAR) and will ensure animal husbandry in all assigned animal facilities at
Job Posting:JR102084 Customer Relationship Management (CRM) Coordinator, Enrollment Management (Open) Department:UBalt Undergraduate Admissions, PM Position Type:Regular Open Date:08-07-2026 Close Date:$65,000 - $74,000 Job Description:The CRM Coordinator operates and manages UBalt’s customer relationship management software (CRM). This includes coordination of
Under general supervision, provides consultative support to the admitting teams concerning patient status determinations and utilization of hospital resources facilitating quality, cost-effective patient outcomes for patients requiring hospital services. Works collaboratively with interdisciplinary staff internal and external
Job Seekers can review the Job Applicant Privacy Policy by clicking here. Job Description: Summary The Operations Management Trainee will support the shop management process and assist in cost savings, customer retention, and metric-based initiatives. This requires the
Sigma Defense is currently seeking a Management Analystto work in support of the U.S. Armys Network Modernization & Mission Network Technical Service Support (NetMod) program. NetMod provides product technical support services for systems and equipment produced, fielded,
Management Consultant With over 35 years of cross-industry management consulting experience, DeWolff, Boberg & Associates has successfully provided services to a variety of clients worldwide and has conducted over 700 projects in 20 countries. Management Consultants gain exposure to
Formulary Management Pharmacist Influence therapy access at scale by evaluating new drugs, analyzing clinical and economic data, and supporting P&T Committee decisions. This role offers strong intellectual challenge and often hybrid or remote flexibility. Key responsibilities include:
Your Future Role At A Glance Location: Partially remote, with onsite coverage required in Baltimore, MD. Facility: Ascension Saint Agnes Hospital Department: Utilization Management Schedule: Day-Shift | Full-Time | Monday-Friday 8:00AM-4:30PM | Weekend rotation once per month. Salary
Software Asset Management Lead PLEASE NOTE: It is a 100% onsite position in Woodlawn, MD, Candidate must be able to obtain and maintain a public trust clearance. Candidate must be willing to work on-site in 5 days
Utilization Review Assistant Sinai Hospitals Utilization Review operates as a distinct specialty service line of physician advisors, nurses, and support staff who ensure hospital stays are clinically appropriate and fully covered by the patients insurance. The team focuses
Operations Management Trainee The Operations Management Trainee will support the shop management process and assist in cost savings, customer retention, and metric-based initiatives. This requires the Manager Trainee to work cross functionally across Operations, Asset Management, Sales, Quality, and Rental
Change Management Lead Salesforce 311 Modernization Location: Hybrid (Baltimore, MD) Position Type: Full-time The Change Management Lead for Salesforce 311 Modernization plays a pivotal leadership role in guiding the enterprise-wide upgrade and optimization of the Citys Salesforce-based 311
Operations Manager I This is a non-civil service position. City of Baltimore, Department of General Services Office of Performance Management, Chief Operations Manager I Salary Range: $104,065.00 - $171,497.00, Annually Job Summary: The Department of General Services
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