Remote Utilization Management Specialist
Elevance Health
- Remote job
Elevation Health? Elevance Health is seeking candidates for a contract role focused on precertification coordination and claims work. The position requires organizing cases, determining eligibility, and providing timely authorizations. You will interact with clients, providers, and internal teams in a home-based setting within a hybrid work model. Applicants should have a HS diploma or GED with at least 1 year in customer service, plus knowledge of medical terminology. #J-18808-Ljbffr Elevance Health
- ...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
- ...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
- ...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- ...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
$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$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- 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...Remote jobLocal area
- 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
- ...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
$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$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- 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
- ...Utility Project Support Specialist ERM is hiring remote Utility Project Support Specialists to support our client based in the Danville, IL area. In this critical... ...of 12 months, extendable. Responsibilities: Manage large amount of inbound and outbound phone calls...Remote workPart timeFixed term contractCasual workShift work
- FHE Health is seeking a Utilization Review Specialist to manage clinical authorization processes and coordinate with insurance payers for timely authorizations. The role supports access to treatment while ensuring documentation reflects medical necessity and compliance....Remote job
$80k - $150k
...Job Description Job Description Job Title Asset Management Specialist Location: Remote (United States) FLSA Classification Exempt... ...Management Specialist with experience in CASCADE and ELECTRIC UTILITIES for a REMOTE WORK role for our Utility Services...Remote jobTemporary workWork at officeWork from home- ..., visit . Job Title: RCM Specialist-Ophthalmology Must reside... ...member of the Revenue Cycle Management Team, the RCM Specialist is... ...regarding payment discrepancies •Utilizing aging reports and workflow... ...carrier standards. For remote team members, HIPAA...Remote workFull timeWork at officeHome officeFlexible hoursAfternoon shiftEarly shift
- ...the UMAnalyst to resolve issues, including IPQI support. The role requires SQL experience and strong computer skills. This is a fully remote, permanent position with standard hours and occasional holiday/weekend rotation. #J-18808-Ljbffr Santa Barbara Cottage HospitalRemote jobPermanent employment
$200k - $300k
.... As a premier global asset management organization with more than... .... Role SummaryThe Portfolio Specialist is a member of the Investment... ...identify potential solutions utilizing existing capabilities, and... ...Maryland, Colorado, Washington and remote workers$200,000.00-$300,000....Remote workFull timeLocal areaWork from home1 day per week$85k - $95k
ICF's Disaster Management Division seeks a Senior Grants Specialist to support clients in implementing federally- and state... ...with stakeholders and staff utilizing excellent communication skills, understanding... ...1,147.00 - $137,949.00California Remote Office (CA99)SummaryLocation: Los...Remote workFull timeContract workFor contractorsWork experience placementLocal areaWork from home- ...Alliance Health is seeking a UM Clinical Specialist-LTSS for full-time remote work, NC-based. You will perform utilization reviews and authorizations for I/DD and TBI waivers, ensuring services meet clinical guidelines and are provided in the least restrictive setting....Remote workFull time
- ...Senior Violence Prevention Specialist to support our government customer... ...needs, facilitating change management initiatives, and guiding... ...organizations. The position is remote with proximity to Atlanta,... ...of all staff and full utilization of all qualified employees at...Remote workFull timeContract workWork at officeLocal areaFlexible hours
$88.92k - $134.86k
...system.Job Description:This role manages projects from work letter... ...Consultants, relocation Specialists.Level bids and prepare award... ...budget exposure and contingency utilization.Ensure compliance with... ...Houston 500 Dallas St; USA PA Remote; USA PA Lancaster; USA Remote...Remote workFull timeContract workFor contractorsWork at officeLocal areaWorldwideRelocation- ...Seeking an experienced and detail-driven Utilization Review Specialist, the full-time remote position will manage a caseload of 50-75 patients, conducting admission and continuing-stay reviews, coordinating authorizations, and serving as a liaison between clinical operations...Remote workFull time
- ...patients-we invest in our people. About the Role: The Utilization Review Specialist plays a critical role in ensuring that healthcare... ...with healthcare providers, insurance companies, and case managers to facilitate timely approvals and optimize patient outcomes...Remote workPart time
- Company DescriptionProSidian is a Management and Operations Consulting... ...a Integrity Management Specialist | Oil and Gas Operations Monitoring... ...: No Overtime Pay Basis Remote (within USA - W/ On-Site... ...Industry (Oil, And Gas/Power, And Utilities) Sector Experience (...Remote workFull timeContract workTemporary workFor contractorsWork at officeFlexible hours
$77.6k - $176k
Program Management Specialist, SeniorThe Opportunity: As a program management specialist, you know... ...You Have: Experience managing programs utilizing rapid fielding or rapid prototyping... ...have their cameras on during meetings.Remote: If this position is listed as remote,...Remote workFull timeContract workPart timeWork at officeLocal area- ...The Revenue Cycle Management Department is seeking an experienced Remote Revenue Cycle Specialist (RCS)to join our team. The successful candidate will be a motivated, resourceful... ..., and reimbursement issues efficiently. Utilize payor portals to obtain account information,...Remote work
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