Remote Utilization Management Specialist I

Elevance Health

Remote job

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 or GED, with preferred experience in call centers and medical terminology. Strong communication and problem-solving skills are necessary. Join our team to make a positive impact while working in a flexible environment. #J-18808-Ljbffr Elevance Health

Apply

Vacancy posted 3 days ago

Similar jobs that could be interesting for youBased on the Remote Utilization Management Specialist I in Durham, NC vacancy

Remote Inpatient Utilization Management Specialist
Cambia Health Solutions in Tacoma, WA is looking for a UM IP Clinical Specialist to support the Clinical Services team. In this role, you will research and manage inpatient utilization management cases, collaborating with clinical professionals. Candidates must possess...
Remote job
Work from home
Flexible hours
Cambia Health Solutions
Tacoma, WA
1 day ago
Remote Inpatient Utilization Management Specialist
Cambia Health Solutions is seeking a UM IP Clinical Specialist to support Inpatient Utilization Management cases. In this role, you will work from home and leverage your clinical knowledge to manage requests and collaborate with healthcare professionals. The ideal candidate...
Remote job
Work at office
Work from home
Cambia Health Solutions
Vancouver, WA
1 day ago
Utilization Management Specialist
$45k - $48k
...Utilization Management Specialist Remote (All Depts) - N/A, GA 30601 Overview Salary Range $45,000.00 - $48,000.00 Salary/year Position Type Full Time Travel Percentage No travel Description Schedule : Monday through Friday 8:00 AM - 4:30 PM Position...
Remote work
Full time
Monday to Friday
Advantage Behavioral Health Systems
Rex, GA
2 days ago
Utilization Management Specialist
$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 after...
Remote work
Full time
Contract work
Work at office
Local area
Flexible hours
System One
Baltimore, MD
1 day ago
Utilization Management Specialist
...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 work
Work experience placement
Work at office
Ampcus
Owings Mills, MD
2 days ago
Utilization Review Specialist
$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 work
Flexible hours
ICBD Holdings, LLC.
Fort Lauderdale, FL
2 days ago
Utilization Review Specialist
$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 work
Work at office
Flexible hours
ICBD Holdings
Florida, NY
1 day ago
Utilization Management Specialist
$51.46k - $60k
...Utilization Management Specialist Post Date: Jun 26, 2026 Location: Chicago, IL, US, 60624 Position Type:... ...schedule: Monday through Friday from 9:00AM-5:30PM (2-days remote, 3-days in office) Utilization Management Specialists...
Remote work
Full time
Temporary work
Work at office
Monday to Friday
Flexible hours
Shift work
Gateway Foundation
Chicago, IL
3 days ago
Utilization Management Specialist
$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 work
Hourly pay
Contract work
Work at office
Shift work
Pride Global
Minneapolis, MN
2 days ago
Utilization Management Specialist
...Utilization Management Specialist Our client, a health insurance company, is looking for a Utilization Management Specialist for their remote location. Responsibilities: ~50% Clinical Review & Authorization Determination ~ Reviews ABA treatment requests (...
Remote work
Work at office
Immediate start
ICONMA
United States
2 days ago
Utilization Management Specialist - Remote / Telecommute
$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 job
Work at office
Cynet Systems
Baltimore, MD
2 days ago
ABA Utilization Review (UR) Specialist
...offers industry-leading revenue cycle management services for healthcare providers.... ...manner. We are seeking to add an ABA Utilization Review (UR) Specialist to our growing team. The ABA UR... ...rewarding environment. This is a fully remote or office/home hybrid position....
Remote work
Work at office
Flexible hours
Spectrum Billing Solutions
Skokie, IL
2 days ago
Senior Project Specialist - Utility Design
...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 work
Work at office
Work from home
ENTRUST Solutions Group
San Antonio, TX
3 days ago
Utility Vegetation Management Specialist
Utility Vegetation Management Specialist Who are we? We’re dedicated to the growth of our employees. We truly believe in your development. For those who... ...operation and foot patrol of utility power lines; remote locations as well as urban, city environment; physical...
Remote work
Full time
Hirebridge
Detroit, MI
3 days ago
Utilization Review Specialist - Behavioral Health (Remote)
$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
Advanced Recovery Systems
New York, NY
5 days ago
Principal Consultant - Utility Return on Equity & Cost of Capital Specialist
$114k - $161k
Principal Consultant - Utility Return on Equity & Cost of Capital Specialist Job Title: Principal Consultant - Utility Return... ...: Hybrid - 3 days in office, 2 remote days per week 2025 Salary Range:... ...") is an employee‑owned leading management consulting and financial advisory...
Remote work
Work at office
Work from home
Flexible hours
2 days per week
Concentric Energy Advisors, Inc.
Washington DC
4 days ago
Utility Project Support Specialist (Field Based)
...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 work
Part time
Fixed term contract
Casual work
Shift work
The ERM International Group Limited
Rolling Meadows, IL
17 hours ago
Utility Project Support Specialist (Field Based)
...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... ...12 months, extendable. Responsibilities: Manage large amount of inbound and outbound phone calls...
Remote work
Part time
Fixed term contract
Casual work
Shift work
Erm LLC
Rolling Meadows, IL
2 days ago
Remote Utility Project Support Specialist
$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 job
Part time
Erm LLC
Rolling Meadows, IL
1 day ago
Principal Consultant - Utility Revenue Requirements Specialist
$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 work
Work at office
Flexible hours
Concentric Energy Advisors
Marlborough, MA
2 days ago
Utilization Management Specialist
$51.46k - $60k
...View the facility details here! Shift schedule: Monday through Friday from 9:00AM-5:30PM (2-days remote, 3-days in office) Utilization Management Specialists are responsible for: Obtaining initial and subsequent authorizations of clinical services from insurance...
Remote work
Full time
Temporary work
Work at office
Monday to Friday
Flexible hours
Shift work
Gateway Foundation Inc
Chicago, IL
3 days ago
Senior Utilization Review Specialist
...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 work
Full time
Virtual Vocations Inc
United States
4 days ago
Utilization Review Specialist
...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 work
Full time
Work at office
Monday to Friday
KVC Health Systems
Wichita, KS
2 days ago
Metered Utilities Specialist
...Metered Utilities Specialist Are you someone who enjoys research and has a keen eye for detail... ...anomalies in those trends? Do you enjoy managing projects and building relationships... ...schedule available; 50% in the office, 50% remote About LCS London Computer...
Remote work
Live in
Work at office
Relocation
Work visa
London Computer Systems
Cincinnati, OH
4 days ago
Hybrid Utilization Management Specialist (Remote)
Gateway Foundation, Inc. is seeking a dedicated professional in Chicago for a full-time position focused on obtaining clinical service authorizations and supporting clinical staff. The role requires a Bachelor's degree and 1+ years of relevant experience. Responsibilities...
Remote job
Full time
Gateway Foundation, Inc.
Chicago, IL
1 day ago
Patient Access Associate Specialist
$17 - $18.15 per hour
...technology-enabled revenue cycle management solutions for health systems... ...for the next Patient Access Specialist champion. This is an... ...processing physician orders, and utilizing an overlay tool while... ...Monster Top Workplace for Remote Work 2024 Great Place to...
Remote work
Full time
Work at office
Local area
Shift work
Weekend work
Ensemble Health Partners
Fairfield, OH
4 days ago
Construction Specialist
...seeking an Environmental Construction Specialist to work on Electric Utility Construction Projects.This is a... ...required erosion and sediment, stormwater management and pollution prevention... ...vicinity of power lines and/or pipelines; remote locations as well as urban, city...
Remote work
Weekly pay
Full time
Temporary work
For contractors
Work at office
ArborMetrics Solutions, LLC
Franklin, VA
4 days ago
Aprimo DAM Configuration Specialist-Remote
...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 States
4 days ago
Patient Access Associate Specialist
$17 - $18.15 per hour
...technology-enabled revenue cycle management solutions for health systems... ...Patient Access Associate Specialist plays a critical role in... ...processing physician orders, and utilizing an overlay tool while... ...Monster Top Workplace for Remote Work 2024 Great Place to...
Remote work
Work at office
Local area
Ensemble Health Partners
Lancaster, OH
1 day ago
Associate Specialist, Patient Access
$17 - $18.15 per hour
...technology-enabled revenue cycle management solutions for health systems... ...for the next Patient Access Specialist champion. This role is... ...processing physician orders, and utilizing an overlay tool while... ...Monster Top Workplace for Remote Work 2024 Great Place to...
Remote work
Relief
Work at office
Local area
Flexible hours
Ensemble Health Partners
Albuquerque, NM
17 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!