Remote Utilization Management Associate I
Elevance Health
- Remote job
A health services company is looking for a Utilization Management Representative I to coordinate precertification and prior authorization cases. The role is primarily virtual, requiring customer service experience and strong communication skills. Candidates must be located within reasonable commuting distance to Miami or Tampa, FL. The position offers a Monday-Friday schedule with potential overtime and insight into healthcare service. Join us in making healthcare simpler and better for our communities. #J-18808-Ljbffr Elevance Health
- Elevance Health is seeking a Utilization Management Representative I to manage incoming calls and claims work in a virtual environment. Candidates must have at least a high school diploma or GED and one year of customer service experience. The role includes determining...Remote jobContract work
- A leading health company is seeking a Utilization Management Representative I located near Miami or Tampa, Florida. This hybrid role includes managing calls, determining eligibility, and ensuring positive customer relations while coordinating precertification and prior...Remote job
- CVS Health is hiring a UM Nurse Associate to join Aetna’s Long-Term Services and Supports team. This fully remote role entails reviewing medical records and treatment plans, ensuring timely and effective care for members across Virginia. Ideal candidates should be detail...Remote jobWeekday work
- ...Supervisor and with assistance of a senior management auditor, the AMA is primarily... ...compliance audits, such as water and sewer utility audits, balancing account audits, communications... ...or restrictions. #J-18808-Ljbffr National Association of Regulatory Utility CommissionersRemote workWork at office2 days per week
$18 - $19.15 per hour
...technology-enabled revenue cycle management solutions for health systems,... ...: The Patient Access Associate Specialist plays a critical... ...processing physician orders, and utilizing an overlay tool while... ...Monster Top Workplace for Remote Work 2024 Great Place to Work...Remote workFull timePart timeReliefWork at officeLocal areaImmediate startShift workNight shiftWeekend workDay shift$18 - $19.15 per hour
...technology-enabled revenue cycle management solutions for health systems,... ...: The Patient Access Associate Specialist plays a critical... ...processing physician orders, and utilizing an overlay tool while... ...Monster Top Workplace for Remote Work 2024 Great Place to Work...Remote workPart timeWork at officeLocal area$17 - $18.15 per hour
...technology-enabled revenue cycle management solutions for health systems... ...physician orders, and utilizing an overlay tool while providing... ...Financial Management Association (HFMA) MAP Awards for High Performance... ...Monster Top Workplace for Remote Work 2024 Great Place to...Remote workPart timeWork at officeLocal areaMonday to FridayShift workWeekend work2 days per week$17 - $18.15 per hour
...technology-enabled revenue cycle management solutions for health systems... ...physician orders, and utilizing an overlay tool while providing... ...Financial Management Association (HFMA) MAP Awards for High Performance... ...~ Monster Top Workplace for Remote Work 2024 ~ Great Place to...Remote workFull timeWork at officeLocal areaShift workNight shiftWeekend work- ...entirely new industry develops. As a remote co-located team, we're inspired by our values... ...how to use the app Relationship management Build and maintain strong... ...projects and enhance process efficiency Utilize key data points to assess category growth...Remote workLocal areaWork from homeHome officeFlexible hours
$90k - $110k
...to simplify access, understanding and management of healthcare. We are starting by building... ...looking for a Strategic Partnerships Associate to manage and build partnerships with pharmaceutical... ...effective in this role ~ Experience utilizing SQL is a plus What's in it for you...Remote workShift work$44.01k - $90k
...LTD Claims Associate At OneAmerica Financial, our purpose is to... ...appropriate claim and disability management techniques to ensure prompt... ...investigate complex claims by utilizing investigative tools such as... ...Portland, ME. We will consider remote work for candidates not local...Remote workFull timeContract workPart timeWork experience placementWork at officeLocal areaWork from homeFlexible hoursShift work- ...Help Desk Associate (Omaha, Ne) Provide initial support for technical inquiries received via phone, email, and... ...support tickets and/or cases. This position would utilize industry recognized incident management, remote management, and system management tools to monitor,...Remote workWork at office
$86.78k - $108.48k
...ll Do As the Screening and TM Associate, you will help build upon the... ...communication to senior management regarding potentially suspicious... ...four weeks per year of fully remote work! Responsibilities Conduct... ...with interpreting and utilizing data analytics tools (SQL, Looker...Remote workWork at officeWork from homeFlexible hours- ...laptops, desktops, tablets, and/or smartphones. Log or record support tickets and/or cases. This position would utilize industry recognized incident management, remote management, and system management tools to monitor, assist, and resolve issues for users and other...Remote workWork at officeImmediate startFlexible hours
$110k - $120k
...Overview GovCIO is seeking a candidate (remote) for a Configuration Management Associate position to join our Health Informatics Product line, in the Office... .... Update routines using approved VistA tools (KIDS Utilities, ^XINDEX) and submit Data Dictionary changes to the...Remote workFull timeWork at officeMonday to FridayFlexible hours$19 per hour
...General Information Name General Utility Associate Employment Type Temporary Position level Full-time Virtual/Remote? No Labor Category Light Industrial Date 19-May-20...Remote workHourly payFull timeContract workTemporary workWork experience placementLocal areaShift work- ...Santa Barbara Cottage Hospital is hiring an LTC Utilization Management Reviewer for remote work in New Mexico. The role involves conducting Nursing Facility Level of Care determinations, performing utilization reviews, and ensuring services meet long-term care criteria...Remote work
- ...is looking for an experienced Registered Nurse in Peoria, Illinois. The role focuses on utilization review, clinical consultation, and effective patient support within a fully remote setting. Candidates should have an active Illinois RN license and significant...Remote workWork from home
$18.5 - $31.72 per hour
...Care Management Associate-OhioRISE - Must reside in Ohio Join to apply for the Care Management Associate... ...) role is a full-time, predominately remote telework position. Some in-state... ...of Wellness Plans to promote effective utilization of healthcare services. This position...Remote workHourly payFull timeTemporary workSeasonal workLive inLocal areaMonday to FridayFlexible 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- ...Dane Street, LLC is seeking a remote Physician Reviewer for full-time work from home. The role requires an MD or DO, board-certified in Internal or Family Medicine, to perform utilization reviews, including preauthorization and appeals. Ideal candidates will have prior...Remote workFull timeWork from home
$86.78k - $108.48k
# Screening and TM Associate#### New York, New York, United StatesScreening... ...communication to senior management regarding potentially... ...four weeks per year of fully remote work!**Responsibilities*** Conducts... ...with interpreting and utilizing data analytics tools (SQL, Looker...Remote workWork at officeWork from homeFlexible hours- ...experience in relationship management within Payments. You have found... ...through building and utilizing referral networks and centers... ...existing Chase clients through the remote, Hub-based model... ...balance needs of clients with associated risks and interests of the firm...Remote workWork experience placement
$191.57k - $278.67k
...flexible work schedule. The Associate Vice President is a member of... ...individuals and families who utilize MGB Connect services. To... ...Excellence • Lead, develop, and manage the MGB Connect team serving... ...Details (if applicable) Remote Type Hybrid Work...Remote workWork at officeFlexible hoursShift work- ...Associate Mediators Associate Mediators participate in the resolution... ...; facilitate joint labor-management committees; participate in planning... ...in labor disputes and utilizes skills to mediate a resolution... ...... Once fully trained, remote work for the remaining 20% of...Remote workDaily paidContract workWork at officeNight shift
$135.5k - $165.1k
...who depend on us. As a fully remote organization with 100+ staff... ...thinking leader to serve as the Associate Vice President of Digital... ...experience. You will lead and manage a high-performing team, fostering... ...the spam folder. Because we utilize Greenhouse for all...Remote workFull timeTemporary workLocal areaImmediate startWork from homeWorldwideFlexible hoursShift work- A leading payment management solutions provider seeks an Offsite Invoice Payment Specialist to manage utility invoice entries in a work-from-home setup. The role requires high typing speed and self-motivation along with the ability to work independently. Candidates must...Remote workWork from home
- ...Associate Vice President - Strategic Relations Fully Remote • Omaha, NE Overview Position Type Full Time Job Shift... ...Strategic Relations is responsible for managing the accounts of our valued... ..., real estate permitting, and utility observation. This position also...Remote workFull timeContract workWork experience placementFlexible hoursShift work
$55k - $65k
...Ternium Revenue Cycle Management is seeking an Associate Attorney to join their team remotely. This role involves advocating for healthcare providers in disputes with insurance companies, utilizing legal expertise to overturn claim denials and ensure better healthcare...Remote work- ...Sr. Manager, Positive Associate Relations Our Human Resources team defies all conventional expectations... ...week, associates may work up to one remote "flex day" (with leader approval).... ...objectives centered in company values. Utilize reporting and listening tools to...Remote workSeasonal workWork at officeHome officeFlexible hours
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