Remote Utilization Management Specialist II
Remote Jobs
- Remote job
Trillium Health Resources is seeking an Utilization Management Specialist II to validate service authorizations and manage workflows from intake to determination. The remote position covers North Carolina responsibilities and requires a background in MH/SU/IDD. You'll collaborate with clinical staff to ensure timely, accurate reviews. The role emphasizes documentation accuracy, timeliness, and effective routing of cases, with standard FLSA-exempt expectations and local travel as needed. #J-18808-Ljbffr Remote Jobs
- ...DescriptionProSidian is a Management and Operations Consulting... ...Seeks a Subject Matter Expert II - Subject Matter Specialist (NSS010) headquartered near CONUS - Washington, DC (Remote) to support requirements... ...| Oil & Gas | Power & Utilities | Distribution Engineering...Remote workFull timeTemporary workFor contractorsWork at officeFlexible hours
- Computer Technologies Consultants (CTC) is seeking a Database Management SpecialistLevel II to support the NIH. With offices in Washington DC and San... ...II Position Location: Full-time, primarily remote, with virtual meetings and occasional onsite activities in...Remote workFull timeContract workFor contractorsLocal area
- ...To support effective utilization management, the part-time Senior Utilization Review Specialist will conduct concurrent and retrospective reviews of hospital services,... ...while collaborating with clinical teams in a fully remote capacity. Key Responsibilities Perform...Remote workPart time
$50k
...Employer Industry: Behavioral Healthcare Management Why consider this job opportunity Starting pay up to $50,000 per year, based on... ...Complete pre-authorizations, concurrent reviews, and internal utilization review assessments Consult with the multidisciplinary treatment...Remote work- ...Utilization Management Specialist We are seeking a full-time Utilization Management Specialist to provide oversight of person-centered plans to improve quality of care and ensure plans are individualized to meet the needs of each client. Supports Utilization Management...Remote workFull timeTemporary workWork experience placementWork from home
$13 - $14 per hour
...Job description: Job Type : Contract Location- Remote Schedule and Shift: Monday-Thursday from 8-4:30pm and Friday... ...families regarding contracted health plans requirements related to Utilization Management and authorizations. Acts as a liaison between providers...Remote workHourly payContract workWork at officeShift work- ...Working remotely in a full-time capacity, the Utilization Management Support Specialist will conduct audits of authorization case work, provide technical support for authorization processing, and assist in resolving quality issues to ensure compliance with service level...Remote workFull timeSecond jobWork at office
- ...ABA Utilization Review SpecialistSpectrum Billing Solutions offers... ...industry-leading revenue cycle management services for healthcare... ...ABA Utilization Review (UR) Specialist to our growing team. The ABA... ...environment. This is a fully remote or office/home hybrid position...Remote workWork at officeFlexible hours
$24.64 per hour
...Coding Reimbursement Specialist II Remote Full Time Revenue Cycle Management Mid Level Our Client Tryon Medical Partners is hiring a Coding Reimbursement Specialist II Job Summary: The Coding Reimbursement Specialist II performs various duties to accurately interpret...Remote workHourly payFull timeMonday to Friday$21.54 - $30.14 per hour
...Eligibility Specialist IIDepartment of Health and Human Services (DHHS... ...for partial telework with management approval.Currently, this position... ...As an Eligibility Specialist II, you'll play a vital role in... ...of your family are ill, utilize 12 days of sick leave per year...Remote workHourly payFull timeTemporary workWork at officeImmediate startFlexible hours- Elevance Health is seeking a Utilization Management Representative I to coordinate precertification and prior authorization reviews. This full-time remote role offers flexibility with required in-person training sessions and optional alternate locations within commuting...Remote jobFull timeContract work
- UT Southwestern Medical Center in Dallas seeks a Technical Denials Management Specialist II to review, research, and resolve claim denials and appeals within the Revenue Cycle Department. The role emphasizes follow-up and resolution of denied claims and does not involve...Remote job
$32.65 - $43.9 per hour
...of technology-enabled revenue cycle management solutions for health systems, including... .... We are seeking Virtual Utilization Review Specialists to join our team. Essential job... ...Abilities Required: This is a remote role which requires access to high speed...Remote workTemporary workWork at officeLocal area$18.5 - $20 per hour
A healthcare provider is seeking an Accounts Receivable Specialist II to join their Revenue Cycle Management team. This remote position involves handling complex accounts receivable issues, ensuring timely resolution of insurance claims. Candidates should have at least...Remote job- ...Experience the difference, and let's talk about your future at Systems Plus today. Position Title Database Management SpecialistLevel II Position Type Full-Time, Remote; occasional on-site requested Position Location Bethesda, Maryland Daily Responsibilities Design...Remote workFull timeContract workFor contractorsWorldwide
$46.76 - $51.76 per hour
...references. Follows NCQA Standards and departmental SOPS to manage member assignments. Conducts research and analysis of... ...internal stakeholders. Nice to Have: Prior experience in utilization management, care management, or payer-side review of ABA services...Remote jobWork at office- ...our service to our vegetation management clients. We’re transparent... ...plans necessary work to meet utility standards Collects data on unit... ...preferred ISA Utility Specialist certification preferred Must... ...patrol of utility power lines; remote locations as well as urban, city...Remote workFull time
- Modernization of NINR’s Data and Process Management via Microsoft Power Platform/ National... ...1/2028 Clearance Level: Public Trust Remote Acceptable: ? Yes Full Worksite... ...Bethesda, MD The Database Management Specialist Level II is responsible for providing highly-technical...Remote workContract workTemporary workFor contractorsLocal area
- ...successful applicant, the hiring manager may elect to fill this... ...level of the Work Management Specialist classification hierarchy. This... ...GED Work Management Specialist II High school diploma/GED AND one... ...work will be performed from both remote and onsite locations after the...Remote workWork experience placementWork at officeLocal areaVisa sponsorshipRelocation packageWeekend work
- ...is the intermediate level of the Work Management Specialist classification hierarchy. Employees at... ...customer service. This position may also be utilized to provide administrative support to... ...- work will be performed from both remote and onsite locations after the...Remote workWork experience placementWork at officeLocal areaVisa sponsorshipRelocation packageWeekend work
- ...recruiting for a DISASTER ASSISTANCE PROGRAMS SPECIALIST II for the Public Assistance Southern... ...that serves as a leader in emergency management and homeland security through dedicated... ...customer service skills Be able to work in remote areas and makeshift office environment...Remote workWork at officeLocal areaRelocationFlexible hoursNight shiftWeekend workAfternoon shift
$114k - $161k
Job Title: Principal Consultant - Utility Return on Equity & Cost of Capital Specialist Job Location: Marlborough, MA... ...Type: Hybrid - 3 days in office, 2 remote days per week 2025 Salary Range:... ...Concentric") is an employee-owned leading management consulting and financial advisory...Remote workWork at officeWork from homeFlexible hours2 days per week$128k - $191k
Job Title Principal Consultant - Utility Revenue Requirements Specialist Location Marlborough, MA or Washington, DC; open to remote employees Company Description Concentric Energy... ...( (“Concentric”) is an employee‑owned management consulting and financial advisory firm...Remote workWork at officeFlexible hours$58.24k - $72.8k
ERM is seeking a Remote Utility Project Support Specialist to assist with customer inquiries regarding utility line projects. This part-time role involves managing a high volume of calls and ensuring customer satisfaction. The ideal candidate will possess strong communication...Remote jobPart time- ...Project Support Specialist II Experience Level: 5+ Years Location: Atlanta, GA Work Schedule: Hybrid (4 Days Onsite / 1 Day Remote) Client- Southern Company Position Overview The... ...Support Specialist II is responsible for managing escalated customer concerns across...Remote workLocal area
- Ampcus Inc. is seeking a Utilization Management Specialist (Remote) to review medical necessity and authorization for clinical services. The role emphasizes clinical nursing expertise, care management experience, and adherence to guidelines and policies. The position requires...Remote job
$90k - $115k
...is seeking highly experienced Project Specialists II to provide advanced technical assistance... ...planning activities. Knowledge of grant management, federal compliance, and program... ...methodologies. Work Location and Schedule: Remote/Hybrid, Washington, DC or Alaska *...Remote workContract work- Location: Virtual Employee Remote work for TX, AR, WI and FL... ...primary purpose of the Coding Specialist II is to code and verify charge... ...of a health Information Management program. •Must have strong... ...review skills understanding the utilization of modifiers and other...Remote workContract workLocal area
$85k - $100k
...life on Mars.SOURCING SPECIALIST, CONTRACTS (STARLINK)Starlink... ...on the negotiation and management of Starlink’s contracts... ...with datacenters, utility providers, contractors,... ...requires being onsite - remote work not... ...yearSourcing Specialist/Level II: $95,000.00 - $120,000....Remote workPermanent employmentContract workTemporary workFor contractorsWork at officeMonday to FridayWeekend work- ...DescriptionProSidian is a Management and Operations... ...Hazard Analysis (PHA) Specialist | Compliance / Risk /... ...No Overtime Pay Basis Remote (within USA - W/ On-Site... ...Oil, And Gas/Power, And Utilities) Sector Experience (functional... ...: Senior Consultant II) to provide Compliance...Remote workFull timeContract workTemporary workFor contractorsWork at officeFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Utilization Management Specialist II. Be the first to apply!
- live chat specialist New York, NY
- configuration specialist New York, NY
- localization specialist New York, NY
- intervention specialist New York, NY
- investigations specialist New York, NY
- referral specialist New York, NY
- ecommerce specialist New York, NY
- workforce management specialist New York, NY
- community health promotion specialist New York, NY
- title specialist New York, NY



