Remote Utilization Management Supervisor - Medicare/DSNP
your Jared
Somerville, MA
- Remote job
Mass General Brigham Health Plan Holding Company, Inc. is seeking a supervisor to oversee DSNP utilization management staff, including coaching and evaluating licensed clinicians. The role focuses on adherence to national and MA regulations and quality reviews. Qualified candidates will have 3–5 years in managed care, an RN license, and familiarity with InterQual tools. This remote position may involve occasional weekend work and requires a HIPAA-compliant workspace. #J-18808-Ljbffr your Jared
Vacancy posted 12 hours ago
Similar jobs that could be interesting for youBased on the Remote Utilization Management Supervisor - Medicare/DSNP in Somerville, MA vacancy
- ...Brigham Health Plan Holding Company, Inc. is seeking a supervisor to oversee DSNP utilization management staff, including coaching and evaluating licensed... ...license, and familiarity with InterQual tools. This remote position may involve occasional weekend work and requires...Remote jobCasual work
- ...Brigham Health Plan Holding Company, Inc. seeks a Supervisor, Clinical to oversee the DSNP utilization management team and coach licensed staff. The role... ...project participation to meet business needs. The remote position requires MA RN licensure, 3-5 years in managed...Remote job
- Mass General Brigham Health Plan is seeking a supervisor to manage DSNP utilization management staff, ensuring quality reviews and regulatory compliance... ..., and coordinate cross-functional projects as needed. Remote role with daytime schedule, mostly Monday-Friday; MA regulations...Remote jobMonday to Friday
$99.47k - $144.64k
...opportunities, and much more. The supervisor will work closely with the Manager, Clinical, to oversee the daily operations of the DSNP (SCO and OneCare products) utilization management staff. The... ...Working Conditions This is a remote role that can be done from most...Remote workWork at officeMonday to FridayFlexible hoursShift workWeekend work- ...Supervisor Utilization Management The Supervisor Utilization Management is responsible for the direct supervision of the daily operations of the Centralized Utilization Management department in order to assure that utilization management needs are addressed. This position...Remote workLocal area
Franciscan Alliance
United States3 days ago - TriWest Healthcare Alliance seeks a Nurse to supervise daily Utilization Management operations under the TRICARE contract. You will coordinate across teams to meet contractual metrics and ensure quality, efficient care delivery. The role builds staff capability and supports...Remote jobContract work
- ...Interim Utilization Management Supervisor We are seeking an experienced Registered Nurse to serve as an... ...can lead and support employees in a remote work environment. You are comfortable... .... Experience supporting Medicare Advantage, Medi-Cal, or commercial managed...Remote workContract workInterim roleImmediate start
$62.7k - $97.2k
...job supervises the Part A and/or Part B Medicare Fee-for-Service appeals unit within the... ...appeal representatives and technical staff. Manages resources to ensure CMS thresholds and... ...in accordance with CMS instructions. Utilize available technology to effectively...Remote workFull timeFor contractorsWork at officeLocal area- ...classified as hybrid, onsite or remote. While the majority of our... .... PURPOSE OF THE JOB The Utilization Review Supervisor coordinates the activities... ...Work Experience 1 year of managed care/health plan experience 1 year of Medicaid and Medicare experience Preferred...Remote workFull timeWork experience placement2 days per week1 day per week
- ...Hospital and Mental Health Residential (HMHR) Treatment Utilization Management Supervisor (Project/Program Manager III). This position holds direct... ...days in the officeas well as telecommuting.The ratio of remote to onsite work will be dependent on business needs and is...Remote workContract workMonday to Friday
$128k - $160k
...Supervisor, Utilization Management Pharmacist Charlotte, North Carolina, United States; Denver, Colorado, United States; New York, New York, United... ...careers while making a meaningful impactall in a fully remote, high-performing, and collaborative environment. Position...Remote workLocal areaFlexible hoursNight shift$75.3k - $135.4k
...a clinical professional on our Medical Management/Health Services team. Centene is a diversified... .... Supervises day-to-day activities of utilization management team. Monitors and tracks... ..., and a flexible approach to work with remote, hybrid, field or office work schedules....Remote workFull timePart timeWork at officeFlexible hoursCentene Corporation
Jefferson City, MO4 days ago- Centene Corp. is seeking a Supervisor, Utilization Management (RN) to lead and supervise our Clinical Review team. This role focuses on ensuring appropriate care for our members and promotes adherence to compliance standards through effective team management and continuous...Remote jobFlexible hours
$39.16 - $60.42 per hour
...Laboratory leadership and other facility management and departments to ensure the provision... ...ensure the delivery of quality care. Utilizes available engagement metrics and national... ...and expectations. If applying for a remote or hybrid role, this includes remote work...Remote workHourly payLocal areaShift workDay shift$86.8k - $165.2k
...secure world. This Senior Supervisor role leads operations for the... ...and delivery commitments Manage area-level labor and overhead... ...overtime, staffing levels, and utilization Partner with cross‑... ...designated as on-site, hybrid or remote. The salary range for this...Remote workFull timeTemporary workWork experience placementWork at officeRelocation packageFlexible hours$76.29k - $111.86k
...Transportation Services, the Shuttle Supervisor is responsible for field... ...to coordinate optimum utilization of service and schedules. Dispatch... ...drivers throughout shift; managing telephone or radio reports... ...not a position that allows remote work. SALARY RANGE: R2...Remote workPermanent employmentFull timeTemporary workWork experience placementWork at officeLocal areaFlexible hoursShift workWeekend work- ...clinical pharmacists, drive key programs, and engage in hands‑on activities like prior authorizations and provider outreach. This fully remote leadership role supports patient care and cross‑functional collaboration. The ideal candidate will hold an active pharmacist...Remote job
$69.9k - $94.3k
...working in roles that are fully remote, onsite, or hybrid, what... ...is seeking a Manufacturing Supervisor to join our Potosi team. The... ...Supervisor is responsible for managing the budgets, schedules and... ...maximization of resources and utilization of LEAN tools to improve...Remote workFull timeFor contractorsWork at officeFlexible hours$68.9k - $131.1k
...as they arise without the direction of management. Effectively manage resource requirements... ...innovations optimizing production. Utilizing active listening, critical thinking, and... ...is designated as on-site, hybrid or remote. The salary range for this role is 68...Remote workPermanent employmentFull timeTemporary workWork experience placementWork at officeWorldwideFlexible hours$42k - $95k
...and commissioning efforts with Project Managers, Controls Engineers, Mechanical Teams, customers... ...Monitor installation progress, manpower utilization, quality performance, and schedule... ...~ Photo eyes and barcode scanners ~ Remote I/O systems ~ Automated material...Remote workFull timeFor subcontractorLocal areaShift work$71.1k - $97.8k
...Part C Grievance & Appeals (G&A) Nurse (Utilization Management Nurse 2) utilizes clinical nursing... ...cases prior to review by the Humana G&A Medicare Medical Directors. You will review the... ...required holiday rotation. This is a remote position. This role is responsible...Remote workFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeFlexible hoursWeekend workWeekday work- ...exciting opportunity for a Supervisor, Coding. This role oversees... ...assurance, and performance management.Shift - 8am-5pm, Monday through... ...abstracting of UTSW accounts utilizing, ICD-10-CM, HCPCS, and CPT... ...and procedures to include the Remote Coding Agreement where...Remote workFull timeLive inWork from homeShift work
$121.2k - $199.2k
...daily. Hybrid: A blend of remote and onsite work, with at... ...s work. Acts as Construction Manager to coordinate PSEGLI construction... ...the PSEGLI-Construction Supervisors, Work Coordinators and Contracts... ...direction and assistance on utility construction practices, methodologies...Remote workPermanent employmentFull timeContract workFor contractorsWork experience placementLocal areaWork from homeFlexible hours3 days per week$107.6k - $170.3k
...work onsite daily.• Hybrid: A blend of remote and onsite work, with at least three onsite... ...develop strategic outreach, stakeholder management, executive engagement, and... ...proficiency in MS Office.Understanding of utility industry issuesDemonstrated leadership skills...Remote workPermanent employmentLocal areaWork from homeFlexible hoursNight shift3 days per week$203.4k - $279.8k
...of our caring community The AVP, Utilization and Care Management Strategy provides enterprise strategic... ...information.Travel: While this is a remote position, occasional travel to Humana... ...better quality of life for people with Medicare and Medicaid, families, individuals,...Remote workFull timeTemporary workApprenticeshipWork at officeLocal areaWork from homeHome office$100k - $135k
...Group is currently searching for an Audit Manager to join our growing team in our Hunt... ...in our Hunt Valley, MD office location. Remote candidates will not be considered. Any... ...or the need for detailed guidance. Utilize technology and data analytics to continually...Remote workFull timeWork at office2 days per week3 days per week$114.08k - $218.03k
...duty military spouses. USAA roles may offer remote or hybrid flexibility for active-duty... ...needs. The Opportunity As a Audit Manager you will serve on the Methodology team within... .... May communicate with regulators. Utilizes and provides guidance to team members on...Remote workFull timeH1bWork at officeRelocation packageFlexible hours- ...be submitted.Job SummaryThe Supervisor provides operational, technical... ...testing and therapy, and remote monitoring of cardiac implanted... ...development, equipment management, and program growth to meet... ...diagnostic exercise testing utilizing treadmill and bicycle ergometry...Remote workFull time
- ...0FTE: 1Job Description: The Supervisor Coding is responsible for the... ...This position is primarily remote. Candidates must be able to... ...degree in Health Information Management or Health Information Technology... ...applications. Experience utilizing reporting tools,...Remote workRelocation package
$62.4k - $83.2k
...benefits. Work Hours/ Shift/ Remote Must be willing and able to work any... ...opportunities for operational improvements to management. Prepare rooms and equipment for... ...to safely work in manufacturing areas utilizing hydrofluoroalkane (HFA) propellants,...Remote workFull timeTemporary workWork at officeLocal areaMonday to FridayFlexible hoursShift workAfternoon shift
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Utilization Management Supervisor - Medicare/DSNP. Be the first to apply!
Related searches
- ups supervisor Somerville, MA
- restoration supervisor Somerville, MA
- pathology supervisor Somerville, MA
- landscape supervisor Somerville, MA
- help desk supervisor Somerville, MA
- inspection supervisor Somerville, MA
- management supervisor Somerville, MA
- weekend rn supervisor Somerville, MA
- drainage supervisor Somerville, MA
- homecare supervisor Somerville, MA