Data-Driven Utilization Review Specialist
Sheppard Pratt
A leading mental health organization in Towson, Maryland, is seeking a Utilization Review Specialist to support and improve their service systems. The ideal candidate will have knowledge in public mental health, strong data analysis skills, and excellent interpersonal abilities. Benefits include comprehensive medical coverage, a generous paid-time-off policy, and a commitment to professional development through a tailored tuition reimbursement program. The position is critical for securing authorizations for enrolled clients and ensuring effective use of resources. #J-18808-Ljbffr
$18.5 - $26.04 per hour
...General Summary Responsible for supporting the utilization review system including data analysis, report writing, and program improvement. UR Specialist will develop and maintain a VOD Tracking and Receipt system. UR Specialist will maintain an expert level review of client...DataWork experience placement$46.76 - $51.76 per hour
...treatment programs. Responsibilities: Reviews ABA treatment requests (initial,... ...Nice to Have: Prior experience in utilization management, care management, or payer-side... ...with large amounts of confidential member data and PHI. Ability to prioritize workload...DataRemote jobWork at office- ...Coaching Specialist The Coaching Specialist advances student literacy... ...site technical support, and data-driven guidance to ensure fidelity... ...students served. Review program data regularly to ensure... ...program's purpose, strategically utilizing tutoring resources and data...Data
$15 - $18.32 per hour
...Overview Datavant is the data collaboration platform trusted for... ..., you’re stepping onto a driven and highly collaborative team... ...seeking a Health Information Specialist to support Release of Information... ...these requirements will be reviewed by Datavant Human Resources and...DataHourly payFull timeImmediate startMonday to Friday- ...Summary The Total Rewards Specialist supports Team Member... ...interfaces, producing data and analytics, and... ...responsive service and data-driven solutions. SCI Team... ...enrollment Claims and utilization Per employee per month... ...Committee Claims Review Tiger Team Leadership...DataWork at officeLocal areaShift work
$80k - $90k
...you! The Enterprise Solutions Specialist is responsible for driving takeaway... ...Feedback and Collaboration Utilize CRM to review customer data, update sales information and enter... ...incentives in the region. Facilitate CTL-driven Macmillan Learning lunch and learn...DataFull timePart timeWork at officeLocal areaRemote work3 days per week$77.6k - $124.9k
...: REQ-1000050308## EHS Senior Specialist-Onsite## Towson, MD## ## The Sr... ...of corrective actions.* ## Review and maintain reporting, monitoring... ...analyzing of EHS performance data to drive continuous... ...working in an innovative, tech-driven and highly collaborative team...DataFull timeH1bWork at officeLocal area$160k - $200k
...We're one global team driven by our common purpose to... ...Controls Mid-Level Scheduling Specialist to be based in our... ...construction planning, utility coordination and force... ...Collects and updates data and updates and produces... ...preferable. Experience on review/development of Time...DataFull timeFor contractorsWork at officeLocal areaWorldwideRelocationFlexible hours$108k - $135k
...initiatives. Responsibilities Prepare and review consolidation activities, financial... ...Ability to work in a fast‑paced, deadline‑driven environment. Advanced computer skills. Preferred... ...large financial reporting systems and data sets. Working Conditions Hybrid assignment...DataWork experience placementWork at office$24.32 - $40.16 per hour
...Surgery & Observation, the Coding Specialist II analyzes and interprets... ...accurately code and abstract data for all hospital facility... ...The Coding Specialist II will review medical record documentation... ...resolve coding and claim edits. Utilizing a computerized encoder and...DataFull timeWork experience placementLocal areaRemote workWork from homeDay shift- ...reimbursement. The Revenue Integrity Specialist plays an important role in a high-... ...Ability to plan, develop, present data/materials to an audience, including senior... ...within our organization (Medical Records, Utilization Review, JHMCIS, registration, etc.)....DataWork experience placementLocal area
- ...diverse, growth-oriented, Lean-driven, ISO-Certified manufacturing... ...a Continuous Improvement Specialist (Lean Manufacturing Specialist... ...Continuous Improvement Specialist utilizes lean principles to identify,... ...coach's teams, analyzes data, and fosters a culture of efficiency...DataHourly payImmediate startRelocationMonday to Friday
$45.76k
...Baltimore Sun's Top Workplace award, is looking for an Inclusion Specialist to support the Project ACT (All Children Together) program.... ...environment Observe individual children, collect data, and utilize assessment tools to perform a functional behavior analysis,...DataHourly payFull timeWork at officeFlexible hoursNight shiftWeekend workAfternoon shift$140k - $192.5k
...and being the face of strategic, results-driven implementation, this is your next career... ...configurations, focusing on access controls, data loss prevention (DLP) rules, and web... ...for PB best practices, advanced feature utilization, and performance tuning, actively monitoring...DataRemote workVisa sponsorshipWork visa$29 per hour
Gift Processing/CRM Specialist $29/hr contract position John Evans Recruiting is seeking a Gift... ...has raised $18M to date. This mission‑driven nonprofit, with a dedicated team of 20... ...Job duties Donor gift management Gift data entry, disbursement of donor gift reports...DataFull timeContract workWork at officeRemote work$89.46k - $161.02k
...Improvement and Innovation Organizational Specialist designs, deploys, and integrates evidence... ...impacting initiatives and operations. Utilize adult learning principles to design and implement... ...the organization on Lean principles and data visualization. Accurately scope tasks and...DataWork at officeLocal area$46.76 - $51.76 per hour
...to work effectively with large amounts of confidential member data and PHI. Ability to multitask, prioritize and maintain a dynamic... ...Licensure Upon Hire. LPN - Licensed Practical Nurse - State Licensure. CNS - Clinical Nurse Specialist Preferred. Cynet SystemsDataWork at office$21.91 - $37.08 per hour
## Child Life Specialist- Pediatric Emergency/ Inpatient (24hrs a week)- SIGN ON BONUSApplylocations... ...receiving care at GBMC. The CCLS utilizes a family-centered care approach to... ...development and the ability to assess relevant data regarding the patient's status of injury...DataInternshipLocal areaRelocation packageShift work$76.21k - $118.55k
...Sales Manager or Metalworking Specialist Manager, and will work in... ...position will also coordinate and utilize supplier resources to achieve... ...supplier initiatives driven by the Category and Metalworking... ...teams. Experience analyzing data preferred. Experience in CNC...DataPermanent employmentWork at officeLocal areaWork visa$160k - $200k
...Therapeutic Sales Specialist (TS) - Baltimore / Pittsburgh Crinetics is a pharmaceutical... ...and clinical development. We are driven by science with a patient-centric and team... ...ways of working to maximize efficiency Utilize data sources to maximize strategies and...DataWork at officeLocal area- ...full time of clerical experience to include data entry, working in an office environment,... ...applications from all CCBC locations. Utilize Element 451 as a customer relationship management... ...and complete daily tasks assigned. Review suspected fraudulent student records and...DataFull timeWork at officeAfternoon shift
$25 - $35 per hour
...the entire spectrum of care. With our data-driven approach and expertly trained team members... ...supports workplace organizations in utilities, food service, heavy manufacturing, aviation... .... Overview Title: Injury Prevention Specialist Status: PRN/On-Call Hours: Monday -...DataHourly payFull timeTemporary workReliefWork at officeLocal areaMonday to FridayFlexible hours- ...motivated FT/PT Physician Advisors to join our team. The Physician Advisor will serve as a clinical resource, addressing utilization issues, peer to peer reviews, and hospital reimbursement matters. Ideal candidates must hold an active MD or DO licensure with at least 3 years...
$51 per hour
...Utilization Management Specialist (UM / Utilization Review Nurse) — Remote Location: 100% Remote (U.S.) — Maryland compact/eligibility required Type: Contract (approx. 3 months; potential extension) Schedule: Mon–Fri, 8:00am–5:00pm ET (1-hour lunch...Contract workWork at officeLocal areaRemote workFlexible hours$19.92 - $29.87 per hour
...Radiology Insurance Authorization Specialist Under direct supervision, performs all eligibility... ...as liaison with insurance companies' utilization review departments to ensure all insurance... ...and Microsoft Office Skill in data analysis and interpretation Strong interpersonal...DataWork at officeLocal area- Stanley Black & Decker is seeking a senior EHS Specialist to advance site-specific safety and environmental programs in Towson, MD. You... .... The role supports training, budgeting, and performance data review to foster continuous improvement. The ideal candidate brings...Data
$51k - $87k
...RFP Specialist At T. Rowe Price, we identify and actively... ...content for deadline-driven requests for proposals... ...information and data is correctly sourced;... ...demonstrating optimal utilization of the RFP team's technological... ...Ranges Please review the job posting for...DataWork experience placementLocal areaRemote work1 day per week$124.74k - $254.5k
...thrive in a collaborative, team‑driven culture. At KPMG, our people... ...is currently seeking a Lead Specialist, AI Solution Architect to... ..., development, code quality, reviews, and release management with... ...application stacks, and enterprise data platforms to meet regulatory...DataH1bLocal area$124.74k - $254.5k
...thrive in a collaborative, team-driven culture. At KPMG, our people... ...is currently seeking a Lead Specialist, AI Solution Architect to... ..., development, code quality, reviews, and release management with... ...application stacks, and enterprise data platforms to meet regulatory...DataH1bLocal area$125.5k - $230.2k
...while working in the rapidly growing Power & Utilities sector. You will have the opportunity to... ...the ever‑growing demands of the modern data platform. During implementation you will... ...Integration and Data Quality AI/Agentic AI driven data operations Experience delivering...DataSummer holidayFlexible hours
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