Remote Utilization Management Specialist - Data & Admin
tango
- Remote job
tango, a leader in the home health management industry, is seeking a UM Clinical Support Specialist for its Phoenix office. This role focuses on supporting clinical teams with data collection, reporting, and various administrative tasks, crucial for healthcare service management. The ideal candidate will have an Associate degree, experience in healthcare support, and proficiency in software applications such as Excel and Power BI. This position celebrates diversity and promotes equal employment opportunities. #J-18808-Ljbffr tango
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- ...Apply Refer a Friend Back Remote Work from Home Share This... ...general supervision of the UM Team Manager, the Utilization Management Specialist performs UM activities which includes... ...clinical information to the payer, UM data collection and reporting, clinical...Remote workFull timeWork experience placementLocal areaWork from homeShift workDay shift
$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 workWork at officeFlexible hours- A healthcare services company seeks a Utilization Management Representative I, offering remote work with in-person training. Responsibilities include managing service claims, ensuring contract eligibility, and maintaining customer relations. Candidates must have a HS diploma...Remote jobContract workFlexible hours
- ...electrical make ready design, and utility standards• Review and approve... ...designers, technicians, and specialists• Mentor team members (10-15... ...teams• Partner with project managers and leadership on workload... ...This role is designated as remote, giving you the flexibility to...Remote workWork at officeWork from home
- ...Utilization Management Specialist Our client, a health insurance company, is looking for a Utilization Management Specialist for their remote location. Responsibilities: ~50% Clinical Review &... ...amounts of confidential member data and PHI, Expert Must be able...Remote workWork at officeImmediate start
- ...ABA Utilization Review Specialist Spectrum Billing Solutions offers industry-leading revenue cycle management services for healthcare providers. Our team has deep industry knowledge... ...rewarding environment. This is a fully remote or office/home hybrid position. Your...Remote workWork at officeFlexible hours
- Utility Vegetation Management Specialist Position located in the Detroit, Michigan area / client service territory... ...to meet utility standards Collect data on unit counts, species, conditions,... ...foot patrol of utility power lines; remote and urban locations; exposure to noise...Remote workFull 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...Remote job$13 - $14 per hour
...$13.00 - $14.00 per hour Job Type: Contract Location: Remote Schedule and Shift: Monday-Thursday from 8-4:30pm and Friday... ...regarding contracted health plans requirements related to Utilization Management and authorizations Acts as a liaison between providers,...Remote workHourly payContract workWork at officeShift work$114k - $161k
Principal Consultant - Utility Return on Equity & Cost of Capital Specialist Job Title: Principal Consultant... ...- 3 days in office, 2 remote days per week 2025... ...employee‑owned leading management consulting and financial... ...financial modeling, and perform data analysis and research,...Remote workWork at officeWork from homeFlexible hours2 days per week- ...Case Manager - Utilization Review Specialist - Remote Job Category: Utilization Management Requisition Number: CASEM035602 Posted: June 10, 2026 Full... ...of treatment and length of stay. Abstracts data from records and maintains statistics. Determines patient...Remote workFull timeWork at office
$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- ...ERM is hiring remote Utility Project Support Specialists to support our client based in the Danville, IL area . In this critical role, you will be... ...12 months, extendable . RESPONSIBILITIES: Manage large amount of inbound and outbound phone calls Track...Remote workPart timeFixed term contractCasual workShift work
- ...of a growing telehealth platform, the full-time Senior Utilization Review Specialist will manage the utilization review process, ensuring medical necessity... ...with insurance companies and clinical staff in a remote work environment. Key responsibilities Oversee the entire...Remote workFull time
- ...Metered Utilities Specialist Are you someone who enjoys research and has... ...you one who enjoys analyzing data trends and finding anomalies... ...those trends? Do you enjoy managing projects and building relationships... ...; 50% in the office, 50% remote About LCS London...Remote workLive inWork at officeRelocationWork visa
- ...Under general supervision, performs complex administrative duties and statistical, financial, or operations data analysis and reporting in support of management decision making within the functional area. Identifies trends, discrepancies and variances to improve the efficiency...Remote workMonday to Friday
$60k - $65k
...certified Pharmacy Technician to handle incoming appeals in a remote setting. You will ensure quality and productivity while reviewing... ...candidate should have at least one year of experience in a managed care or PBM setting, excellent organizational skills, and the ability...Remote job- System One is hiring a Permitting Specialist to manage the permitting process for telecommunications projects while working remotely. You will be responsible for coordinating with utilities and municipalities to secure necessary approvals. The ideal candidate has over 2...Remote jobWork at office
- ...2 days ago Requisition ID: 9252 UR Specialist – Join Camber and Make an Impact At... ...difference every day. Job Summary The Utilization Review department manages all aspects of a patient’s stay... ...schedule of 2 days in office and 3 days remote after successfully completing their...Remote workFull timeWork at officeMonday to Friday
$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) - Flex...Remote workContract workWork at officeLocal areaFlexible hours$55k - $70k
...Job Description Job Description Utilization Review Specialist – Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No Remote Salary: $55K - $70K Who We Are... ...Solutions is a unique team of revenue cycle management professionals specializing in the...Remote workFlexible hours- ...Position Overview Strategix Management, LLC is seeking an on-call Accessibility Specialist to support Federal clients... ...mandates are met. This is a fully remote position responsible for... ...2.0/2.1/2.2 standards. ~ Utilize a range of automated tools, screen...Remote work
$55k - $60k
...Clarity RCM, a top revenue cycle management company, is seeking a Remote Medical Billing Associate. The ideal candidate will have 1-2 years of billing... ...include monitoring accounts, communicating with clients, and utilizing AI tools for efficiency. The position offers a...Remote work$130k - $160k
...Advanced Lung Disease Specialist United Therapeutics seeks to travel... ...through effective territory management and execution of sales/... ...Appropriately and effectively utilize available resources to drive... ...This position is located remotely within the Ann Arbor, MI area...Remote workLocal area- ...is currently seeking a Token Management Specialist to support a program onsite... ...Niceville, FL . *Onsite/Hybrid/Remote work schedules subject to... ...system health, resource utilization, and security configurations... ...Access equipment located in data centers, offices, or under...Remote workContract workWork at office
$51 per hour
...Job Title: Utilization Review Specialist (BCBA Licensee) Location: Baltimore, MD (Remote – offsite) Type: Contract To Hire... ...key principles of utilization management, the Utilization Review Specialist... ...plan updates based on data and clinical progress ~ Caregiver...Remote workContract workWork at officeLocal areaWork from home
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