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Utilization Management Representative I Location: This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill

Sponsored by Elevance Health  10 hours ago

Utilization Management Representative I Backoffice Support Location: This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding

Sponsored by Elevance Health  10 hours ago
UnitedHealth Group jobs

Medical Director For Utilization Management WellMed, part of the Optum family of businesses, is seeking an internal medicine or family medicine physician to join our Utilization Management team. Optum is a clinician-led care organization that is changing the way clinicians

Sponsored by UnitedHealth Group  10 hours ago
CVS Health jobs

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

CVS Health  17 days ago
Medical Review Institute of America jobs

Description Flexible Independent Contractor (1099) Opportunity Interventional Radiology Contract Reviews - Remote - Any State Medical License ABOUT MRIoA Founded in 1983, Medical Review Institute of America (MRIoA) is a nationally recognized Independent Review Organization (IRO)

Medical Review Institute Of America  15 days ago
DB&A - DeWolff, Boberg & Associates, Inc jobs

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

Sponsored by DB&A - DeWolff, Boberg & Associates, Inc  30 days ago
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Orlando Health jobs

Job Title Utilization Management Nurse Job Description The Corporate UM and Denials team is responsible for: medical necessity reviews, admission status determinations, ongoing payer communication, clinical documentation support, concurrent utilization review, denial prevention and management, appeal preparation and coordination, compliance

Sponsored by Orlando Health  13 days ago
BDO USA jobs

Management Consulting Senior Manager The Management Consulting Senior Manager is responsible for planning, organizing and developing business for the HR consulting practice. This position is responsible for bringing in business, managing clients and supervising the consulting staff. The

Sponsored by BDO USA  2 days ago
Navstar jobs

Director Program Management - Special Programs You will be the Director Program Management - Special Programs for the Special Programs Area. Our team is responsible for conceptual development and demonstration of next-generation technology and products. What you will

Sponsored by Navstar  2 days ago
Aya Healthcare jobs

Quality/Risk Director Career Opportunity Highly regarded and valued for your Quality/Risk Director expertise. Are you seeking a career that not only utilizes your skills but also aligns with your personal values, providing a profound sense of

Sponsored by Aya Healthcare  10 hours ago
Encompass Health jobs

Case Management Director Are you an experienced and compassionate healthcare professional with a background in case management, seeking a career that aligns with your professional expertise and resonates with your personal values? As the Director of Case Management at

Sponsored by Encompass Health  10 hours ago

Case Management Registered Nurse Under the general direction of the Director, Manager, and Lead/Supervisor Case Management RN, the Case Management (CM) RN is responsible for coordinating all aspects of discharge planning for admitted patients, in collaboration with the interdisciplinary

Sponsored by Nemours Children's Hospital Orlando  10 hours ago
Sanitas jobs

Case Management Coordinator Orlando - Longwood - Longwood, FL 32750 Overview Position Type Full Time Job Shift On Site Travel Percentage None Category Care Coordination Description Sanitas is a global healthcare organization expanding across the United States.

Sponsored by Sanitas  10 hours ago

Duties The following are the duties of this position at the full working level. If this vacancy includes more than one grade and you are selected at a lower grade level, you will have the opportunity

Sponsored by Treasury Department  10 hours ago
UnitedHealth Group jobs

Explore opportunities with Mederi Caretenders Home Health, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping

UnitedHealth Group  28 days ago
State of Florida jobs

Requisition No: 880657 Agency: Department of Health Working Title: ADMINISTRATIVE ASSISTANT II - 64081276 Pay Plan: Career Service Position Number: 64081276 Salary: $1,690.32 - $1,732.63 Biweekly Posting Closing Date: 08/03/2026 Total Compensation Estimator Tool FLORIDA DEPARTMENT

State Of Florida  28 days ago
State of Florida jobs

Requisition No: 880125 Agency: Children and Families Working Title: SENIOR HUMAN SERVICES PROGRAM SPECIALIST - 60046235 Pay Plan: Career Service Position Number: 60046235 Salary: $42,561.57 or a 10% raise, whichever is higher Posting Closing Date: 08/05/2026

State Of Florida  28 days ago
State of Florida jobs

Requisition No: 880599 Agency: Environmental Protection Working Title: ENVIRONMENTAL SUPERVISOR IV - 37010271 Pay Plan: SES Position Number: 37010271 Salary: 5,074.40 monthly Posting Closing Date: 08/05/2026 Total Compensation Estimator Tool ENVIRONMENTAL SUPERVISOR IV State of Florida

State Of Florida  28 days ago
DriveTime jobs

What’s Under the Hood DriveTime Family of Brands is the largest privately owned used car sales finance & servicing company in the nation. Headquartered in Tempe, Arizona and Dallas, Texas, we create opportunities and improve the

DriveTime  27 days ago
UnitedHealth Group jobs

Explore opportunities with Mederi Caretenders Home Health, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping

UnitedHealth Group  26 days ago

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