Remote Utilization Management Specialist I
Elevance Health
Meridian, ID
- Remote job
Elevance Health is seeking a hands-on Utilization Management Representative I to coordinate precertification and prior authorization for members. This role supports flexibility with virtual work and required in-person training, while aligning with a hybrid work strategy. You will handle calls and referrals, ensuring accurate data entry and timely responses. Ideal candidates have HS diplomas or GEDs and customer service experience, with medical terminology training preferred. #J-18808-Ljbffr Elevance Health
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Remote Utilization Management Specialist I in Meridian, ID vacancy
$21.68 - $31.08 per hour
...required. Work Location: This is a fully remote, permanent work-from-home position. What will YOU be doing for us? Utilize internal practices and policies to perform... ...quality and accuracy. Communicate with management and other internal staff on audit findings...Remote workHourly payPermanent employmentSecond jobWork at officeWork from homeWeekend workSanta Barbara Cottage Hospital
New York, NY3 days ago- ...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
Spectrum Billing Solutions
Skokie, IL2 days ago - ...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
Virtual Vocations Inc
United States21 hours ago - ...Utilization Management Specialist Under general supervision by management, and in collaboration with Medical Directors and other members of the clinical team, gathers and synthesizes clinical information in order to authorize services. Reviews health care services to...Remote workContract workLocal area
Integrated Resources
United States2 days ago - ...services. We are in search of a highly motivated candidate to join our talented Team. Job Title: Utilization Management Specialist- 49936-1 Location(s): Remote Job Summary: Utilizing key principles of utilization management, the Utilization Review...Remote workWork experience placementWork at office
Ampcus
Owings Mills, MD3 days ago $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 workAdvanced Recovery Systems LLC
New York, NY1 day ago- Spectrum Healthcare Resources is seeking a Utilization Manager Registered Nurse (UMRN) to work entirely remotely from home. The nurse will review cases, educate patients on appropriate care, and manage health care costs for dependents of Active Duty and eligible retirees...Remote jobWork from homeMonday to Friday
$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 workPride Global
Minneapolis, MN3 days ago- 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
- Elevance Health is seeking an Utilization Management Representative I to coordinate precertification and prior authorization reviews. The role supports a virtual environment with required in-person training and potential office presence as needed, offering flexibility...Remote jobWork at office
$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- ...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
$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$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$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- ...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 Track...Remote workPart timeFixed term contractCasual workShift work
Erm LLC
Kankakee, IL3 days ago - 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
$46.76 - $51.76 per hour
...~5+ years Clinical nursing experience. ~2+ years Care Management. ~ Bachelor's Degree in Nursing. Responsibilities:... ...State Licensure Upon Hire. LPN - Licensed Practical Nurse - State Licensure. CNS - Clinical Nurse Specialist Preferred....Remote workWork at officeCynet Systems
United States21 hours ago- 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
- 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...Remote jobContract workMonday to Friday
- ...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- ...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
Virtual Vocations Inc
United States2 days ago $30 - $45 per hour
...consulting agency is seeking an Operations Specialist III for a contract opportunity in Long... ..., along with experience in Epic EHR and Utilization Review. The selected candidate will... ...Medicaid program metrics. This position is remote and offers a pay range of $30-$45 per hour...Remote workHourly payContract workPyramid Consulting
Long Beach, CA21 hours ago$85k - $100k
...human life on Mars.SOURCING SPECIALIST, CONTRACTS (STARLINK)Starlink... ...focus on the negotiation and management of Starlink’s contracts with... ...connectivity services with datacenters, utility providers, contractors, and... ...and requires being onsite - remote work not...Remote workPermanent employmentContract workTemporary workFor contractorsWork at officeMonday to FridayWeekend work$17 - $18.15 per hour
...Patient Access Specialist Ensemble is a leading provider of technology... ...-enabled revenue cycle management solutions for health systems... ...physician orders, and utilizing an overlay tool while providing... ...Monster Top Workplace for Remote Work 2024 Great Place to...Remote workWork at officeLocal areaEnsemble Health Partners
Chester, VA1 day ago- ...medical review organization is seeking Board-Certified physicians in Gastroenterology for a flexible remote opportunity. This role requires conducting independent Utilization Reviews for just 1-2 hours per week, with no minimum commitment. Candidates must have a Medical...Remote workFlexible hours
Medical Review Institute
United States21 hours ago $18.65 - $19.9 per hour
...technology-enabled revenue cycle management solutions for health systems... ...The Senior Patient Access Specialist is responsible for... ...processing physician order while utilizing an overlay tool and providing... ...Monster Top Workplace for Remote Work 2024 Great Place to...Remote workWork at officeLocal areaShift workEnsemble Health Partners
Irvine, KY2 days ago- ...Aprimo Dam Configuration Specialist Need someone to complete setup and management of Aprimo Digital Asset Management system. Need someone with experience in... ...# Setting up a publicly facing brand portal utilizing Aprimo DAM # Setting up and managing self-service...Remote work
Staffing the Universe
United States21 hours ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Utilization Management Specialist I. Be the first to apply!
Related searches
- treasury specialist Meridian, ID
- wellness specialist Meridian, ID
- helpdesk specialist Meridian, ID
- international relations specialist Meridian, ID
- accessibility specialist Meridian, ID
- remote outreach specialist Meridian, ID
- veteran specialist Meridian, ID
- mental health specialist Meridian, ID
- loss prevention specialist Meridian, ID
- writing specialist Meridian, ID