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Overview Site: Mass General Brigham Health Plan Holding Company, Inc.Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers

Santa Barbara Cottage Hospital is seeking a detail-oriented professional to assist in denial research and follow-ups with insurance companies. The ideal candidate will have strong communication skills

BlueCross BlueShield of South Carolina is seeking a Utilization Management Coordinator I to perform medical reviews and manage services within the LPN/LBSW scope. This is a remote position with schedu

Deliverables / Principal Results ExpectedPerform admission, continued stay and discharge reviews on all managed care clients.Maintain positive relationships with referral sources and insurance compani

COMPANY OVERVIEW At Harbor Health, we’re transforming healthcare in Texas through collaboration and innovation. We’re seeking passionate individuals to help us create a member‑centered experience that

Job Summary/Purpose Conducts utilization reviews to determine if patients are receiving care appropriate to severity of illness or condition and intensity of services required. Monitors patient charts

This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Utilization Management Coordinator - REMOTE. In this role, you will assist and support the clinical

Remote Utilization Management Support ClerkWe’re looking for a detail-oriented and motivated Remote Utilization Management Support Clerk to join New Paradigm Staffing, a growing healthcare staffing ag

Integra is looking for a LPN/LVN experienced in the managed care payor environment to perform pre-service and post-service utilization reviews and appeals for DMEPOS. This individual will play a key r

TITLE: Utilization Management Physician (UMP)Location:RemoteEmployment Type:Full-TimePosition Summary A leading healthcare organization is seeking aUtilization Management Physician (UMP)for a full-tim

Description Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-

Description To maintain high-quality, medically necessary, evidence-based care, and efficient treatment of all patients, regardless of payment source, by ensuring the patients receive the right care,

Become a part of our caring community and help us put health first The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of m

ProMedia, a dynamic and fast-paced Direct Response advertising agency in Miami, FL, is offering an exciting opportunity for an entry-level to junior-level candidate to join our high-performing team as

Fairview is seeking a Board-Certified/Board-Eligible Adult Psychiatrist to join our growing inpatient team at the newly opened Capitol Park Mental Health Hospital in St. Paul, Minnesota. This st

Micro1 is looking for a Data-Video Generalist based in the U.S. to capture synchronized video and IMU data via smartphones. This role is crucial for contributing to next-generation machine learning mo

UniTrust Financial Group is seeking a Virtual Sales Development Specialist to work remotely. This role involves helping clients with custom life insurance solutions, managing warm leads, and your sche

Advanced Textiles Association in Saint Paul, Minnesota is seeking an Education & Events Manager to plan and organize multiple significant events including the Geosynthetics Conference and Upholstery &

Job Title: Senior Software Engineer – Foundational Services Company: Snapsheet Job Location: USA, Remote Job Type: Full‑time, direct hireAbout Snapsheet: Snapsheet is claims technology the way it shou

New York Workers' Compensation Report Reviewer / Quality Analyst Job Summary The New York Workers' Compensation Quality Analyst is responsible for managing the various aspects of the medical file revi

Description American Specialty Health Incorporated is seeking a Clinical Network Recruiter I to join our Practitioner Contracting/Communications team. This position will make outbound sales type calls

Objective Support client in scaling high-quality B2B content production across multiple channels, ensuring fast turnaround times and strong first‑draft quality with minimal revisions.Profile Overview

At Faith Group, our greatest strength is our people and teams. We appreciate and celebrate that we all have unique perspectives, and everyone brings something special to the table. Faith Group is comm

Who we are At Twilio, we're shaping the future of communications, all from the comfort of our homes. We deliver innovative solutions to hundreds of thousands of businesses and empower millions of deve

Availity delivers revenue cycle and related business solutions for health care professionals who want to build healthy, thriving organizations. Availity has the powerful tools, actionable insights and