Remote Utilization Management Specialist I
Elevance Health
- Remote job
Elevance Health is seeking a candidate for a customer service role with responsibilities including managing claims and determining benefit eligibility. The position requires at least 1 year of customer service experience, strong communication skills, and a medical background is preferred. This is a contract position with Monday through Friday hours. Work is primarily virtual, with some onsite training required. Eligible employees will receive a comprehensive benefits package including medical and 401(k). #J-18808-Ljbffr Elevance Health
- ...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
$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- ...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
$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$39.4 - $53 per hour
...of technology-enabled revenue cycle management solutions for health systems, including... ...weekend 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 areaMonday to FridayWeekend work- Vanderbilt University Medical Center is seeking a Utilization Management professional to ensure accurate certification and complete chart documentation for appropriate admission status. The role involves coordinating with the multidisciplinary team to promote proper levels...Remote job
- ...plans necessary work to meet utility standards Collects data on unit... ...about upcoming vegetation management work Collaborates with Removal... ...certification preferred ISA Utility Specialist certification preferred Must... ...of utility power lines; remote locations as well as urban,...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$55k - $70k
Utilization Review Specialist ? Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No Remote Salary: $55K - $70K Who We Are? Exact Billing Solutions is a unique team of revenue cycle management professionals specializing in the substance use disorder, mental...Remote workFlexible hours$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- 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
- Environmental Resources Management (ERM) is seeking a remote Utility Project Support Specialist to assist our client in the Danville, IL area. This remote, part-time role operates 20 hours per week with a 12-month term, extendable, and focuses on handling inquiries related...Remote jobPart time
$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- ## Utility Project Support Specialist (Field Based)Applylocations: Rolling Meadows, Illinois: Kankakee, Illinoistime... ...id: R00030418**ERM** is hiring remote **Utility Project Support... ...extendable**.**RESPONSIBILITIES:*** Manage large amount of inbound and outbound...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
- ...innovators, program and construction managers and other professionals delivering... ...world. Join us. AECOM is seeking a Utility Asset Management Specialist to be based in Baltimore, MD.... ...you're working from an AECOM office, remote location or at a client site, you will...Remote workFull timeWork at officeWorldwideRelocation
- ...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
$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- The Sourcing Specialist's primary role is to promote and implement tactical... ...activities while proactively managing assigned commodities, supply... ...schedule is an option for remote work on Mondays and Fridays.... ...standard office environment, utilizing standard office equipment...Remote workFull timeContract workMonday to FridayFlexible hours
- ...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
- As a Senior Program Specialist here at Honeywell, you will be the primary... ...You will be responsible for managing program activities,... ...considered.Experience supporting utility, infrastructure deployment, or... ...a customer's building or via remote services capabilities. We help...Remote workContract workTemporary workWork experience placementFlexible hours
- ...St. Luke's in the United States is seeking a Denials Management Specialist to join our remote team. This role focuses on inpatient CMS denials, medical... ...experience, RN license, and 2–5 years in case/un utilization management with exposure to payer appeals. #J-18808-Ljbffr...Remote work
- Company DescriptionProSidian is a Management and Operations Consulting... ...Seeks a Economic Assessment Specialist | Project Finance & Credit... ...: No Overtime Pay Basis Remote (within USA - W/ On-Site Meetings... ...(Oil, And Gas/Power, And Utilities) Sector Experience (functional...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- Company DescriptionProSidian is a Management and Operations Consulting... ...Hazard Analysis (PHA) Specialist | Compliance / Risk / Regulatory... ...: No Overtime Pay Basis Remote (within USA - W/ On-Site Meetings... ...(Oil, And Gas/Power, And Utilities) Sector Experience (functional...Remote workFull timeContract workTemporary workFor contractorsWork at officeFlexible hours
$118.3k - $224.9k
...exceptional opportunity to join our Asset Management Program (AMP) team—a dynamic and... ...functionAble to solve routine customer problems utilizing resident processes/systemsFamiliarity... ...role is designated as on-site, hybrid or remote.The salary range for this role is 118,30...Remote workTemporary workWork experience placementWork at officeWorldwideRelocationFlexible hoursNight shiftWeekend work- ...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
- ...Job Title: A/R Specialist Department: Revenue Cycle Management Reports to: A/R Manager FLSA Status: Non-Exempt Dental... ...role for you! THIS JOB IS 100% REMOTE but must be available to workEastern... ...prioritizing account reviews and utilizing time management skills. Assists team...Remote workFull timeContract workTemporary workPart timeWork at officeFlexible hours
- ...Utilization Review Specialist The Utilization Review Specialist plays a critical role in ensuring that healthcare services provided to patients... ...with healthcare providers, insurance companies, and case managers to facilitate timely approvals and optimize patient...Remote work
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