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 Sheppard Pratt
$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...DataWork experience placement$120.24k - $214.93k
...consultant, partnering with pharmacy account consultants on data-driven, evidence-based pharmacy strategies to support sustainable... ...include but are not limited to: account-specific pharmacy utilization reviews, responding to account-specific clinical inquiries, developing...DataWork experience placementImmediate start- ...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
- ...Summary The Total Rewards Specialist supports Team Member... ...interfaces, producing data and analytics, and... ...responsive service and data-driven solutions. SCI Team... ...Claims and utilization Per employee per month... ...Rewards Committee Claims Review Tiger Team Leadership...DataWork at officeLocal areaShift work
$20.19 - $20.63 per hour
The Academic Records Specialist is responsible for performing day-to-day... ...students; maintaining data in the student records database... ...connected student populations; utilize Ellucian Colleague and Entrinsik Informer to generate, review, and analyze reports, correct...DataHourly payWork experience placementWork at officeWeekend workAfternoon shift- ...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
$24.32 - $40.16 per hour
...within JHMI. The role manages requests for temporary staff and utilizes both the internal pool of employees to fill or engages with external... ...or employment. Responsible for utilizing and ensuring accurate data capture in the scheduling and vendor management software....DataFull timeTemporary workWork experience placementWork at officeDay shift$19.92 - $29.87 per hour
...reimbursement of services. Acts as liaison with insurance companies' utilization review departments to ensure all insurance company policies are met.... ..., including EMR knowledge and Microsoft Office Skill in data analysis and interpretation Strong interpersonal skills...DataWork at officeLocal area$63.5k - $93k
...As a Production Control Specialist, you will coordinate and expedite... ...planning to maximize machine utilization and establishes machine priorities... .... Facilitates meetings to review schedule status, highlighting... ...planning. Knowledge of data management systems and...DataPermanent employmentFull timeWork experience placementImmediate startWorldwideFlexible hours$120k - $125k
...Join Medtronic as an?EP?Mapping?Specialist and be at the forefront of... ...healthcare directly. If?you're?driven by precision, problem-solving... ...your driving record will be reviewed and will be considered as... ...viewpoints. Cutting-edge AI, data, and automation. You're shaping...DataWork experience placementH1bWork at officeLocal areaRemote workWorldwideFlexible hoursNight shift$45k - $55k
...insurance Membership & Engagement Specialist Full-Time | Exempt (... ...energetic and relationship-driven Membership & Engagement Specialist... ...member engagement. Data Analysis & Reporting Track... ...strategy and decision-making. Utilize membership data to identify...DataFull timeWork at officeMonday to FridayFlexible hoursAfternoon shift$22.33 - $36.86 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...DataWork experience placementLocal areaRemote work$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$25 - $35 per hour
...Injury Prevention Specialist PRN/On-Call Monday - Friday 8:00am - 4:30pm Middle... ...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...DataHourly payFull timeTemporary workReliefWork at officeLocal areaMonday to FridayFlexible hours$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- ...transforming communities with a mission-driven organization, then we have the... ...for you! The Program Specialist for Resettlement and... ...requires a strong skillset in data management and attention to detail... ...reporting and trends tracking. Review and track the submission of...DataWork at officeLocal areaImmediate start
$144k - $329.1k
...professional with solid experience in the utilities sector to serve as a Senior Manager who possesses a robust background in Data Architecture, Data Modernization, End to end... ...Integration and Data Quality AI/Agentic AI driven data operations Experience delivering...DataSummer holidayFlexible hours- ...Job Description The Order Processing Specialist is responsible for managing end-to-end order... ...tracking, ensuring the accuracy of order data, and coordinating timely transmission of... ...updates across all channels as needed Review and manage order hold queues to ensure timely...DataWork at officeWeekend workAfternoon shift
$21.96 per hour
...management, digital transformation services, data centers, asset lifecycle management, and... ...Mountain is seeking a motivated Imaging Specialist to join our Federal Records Management... ...-quality digital image outputs, while utilizing multiple software applications to index...DataDaily paidMinimum wage$86k - $95k
...School of Nursing is seeking a Specialist to serve in the Dean’s... ...identifying customer needs, analyzing data and implementing processes/... ...Promotion, and Tenure (APT) review committee, process, and... ...related digital platforms. * Utilize advanced office technologies...DataTemporary workWork at officeFlexible hours- ...Support Staff - Position - Specialist Job Number 8600042410 Start Date... ...including the tracking and monitoring of data to support strategy implementation and evaluation... ...position is eligible for benefits. To review the available options please see the information...DataFull timePart timeWork at office
- ...Core responsibilities Review applications and supporting documents for completeness and policy alignment. Process redeterminations, interim... ...follow up on required documentation. Enter and validate case data and case notes in designated systems. Support customer inquiries...DataInterim role
- ...currently looking for a Cyber Exploitation Specialist position on the REACT contract to support... ..., etc. Experience with forensic data recovery and related tools. Experience... ...analysis, machine code emulation, and firmware review) The ability to perform independent...DataFull timeContract workWork experience placement
- ...can be. The Opportunity The Commerce Specialist role offers the unique opportunity to... ...improved outcomes * Business Analytics: Utilizing reporting dashboards and spreadsheets to... ...independent thinker with the ability to use data to influence decisions * Bias for...DataWork at officeLocal areaImmediate start
$19.49 per hour
...Mercy Medical Center - Now Hiring an AR Specialist! Mercy Medical Center is honored to be... ...and technical aptitude with the ability to utilize one or more of the following:... ...independently. ~ Must be knowledgeable in data entry and filing duties. ~ Must be...DataTemporary workWork experience placementImmediate startFlexible hours$145k - $250k
...The Shareholder & Incentives Solution Specialist within the Total Reward Center of Excellence... ...benchmarking practices, leveraging market data, performance metrics, and scenario... ...background in compensation audits, compliance reviews, and governance documentation * Experience...DataFor contractorsWork experience placementWork at officeLocal area$50.49k - $66.35k
...here! Position Title Gift Processing Specialist FLSA Non-Exempt FT/... ...donor contributions for accounting and data management purposes, general financial... ...proficiency in Colleague and associated databases utilized in the office as it relates to the...DataFull timeLive inWork at officeRelocationVisa sponsorshipWork visaRelocation package- ...Senior Purchasing Specialist Baltimore Office - Baltimore, MD 21230 Position Type: Full... ...deployed over 50% of them. Our employees ensure data communications networks are engineered,... ...negotiate annual sourcing agreements Review and analyze requisitions from vessels and...DataFull timeWork at officeLocal areaWorldwideFlexible hoursShift work
- ...International is seeking a Continuous Improvement Specialist in Owings Mills, MD. The role focuses on utilizing Lean principles to enhance productivity and reduce... ...over 4 years of experience in Lean manufacturing, data analysis skills, and the ability to work effectively...Data
$42.5k - $50k
...Overview: The SOAR Housing Specialist provides housing-... ...is collected, reviewed, and validated to substantiate... ...furniture procurement, utility assistance, etc.). Maintain... ...and captured in data reports and the electronic... ...Be part of a mission-driven team committed to...DataRelocationFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Data-Driven Utilization Review Specialist. Be the first to apply!


