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- ...to transform healthcare delivery and make a meaningful difference in the lives of our members. SUMMARY: The Utilization Management Inpatient Review Nurse is responsible for managing inpatient conducting thorough reviews of clinical documentation and applying clinical...Suggested
Astiva Health, Inc
Orange County, CA2 days ago $269.5k - $425.5k
...member of a team of medical directors, for the overall quality, effectiveness and coordination of the medical review services. Additionally, performs Utilization Management reviews and directs/coordinates aspects of the utilization review staff activities, and...SuggestedMinimum wageFull timeWork experience placementLocal areaRemote workWeekend workUnitedHealth Group
Indianapolis, IN20 hours ago$65k - $88.6k
...part of our caring community and help us put health first The Utilization Management Behavioral Health Professional 2 utilizes... ...Perform accurate and timely initial and ongoing treatment reviews with documentation in MSR reflecting determination of appropriateness...SuggestedBi-weekly payFull timeContract workTemporary workApprenticeshipInterim roleWork at officeRemote workWork from homeHome officeMonday to FridayShift workWeekend workHumana
Oklahoma City, OK4 days ago$206.3k - $343.9k
...regional with national level case work for Cigna Healthcare (CHC) Cigna. Summary... ...: A Medical Principal performs medical review and case management activities. The physician... ...a clinical educator and consultant to utilization management, case management, network, contracting...SuggestedLocal areaWork from homeCigna Corporate Services, LLC
Bloomfield, CT2 days ago- ...incumbent candidate can be based out of any US Cigna Healthcare office and is not restricted... ...client presentations, quarterly/annual reviews, modeling/report reviews and rebate... ...Conducts clinical analysis of medication utilization and formulary performance to identify...SuggestedWork at officeLocal areaWork from homeShift work3 days per week
The Cigna Group
Morris Plains, NJa month ago $110.7k - $184.5k
...within Provider Operations and Coverage Review Ops. Responsibilities include rapidly gaining... ...of the product flow, technologies utilized and solution outcomes to leadership and matrix... ...in an annual bonus plan. At The Cigna Group, you’ll enjoy a comprehensive range...SuggestedLocal areaWork from homeThe Cigna Group
Hartford, CT6 days ago- ...incumbent candidate can be based out of any US Cigna Healthcare office. This position is a... ...presentations, quarterly/annual business reviews, presentation of modeling/reporting ,etc.... ...Demonstrated ability managing projects, utilizing proven project management processes ~...SuggestedWork at officeLocal areaWork from homeNight shift3 days per week
The Cigna Group
Saint Louis, MO21 days ago $107k - $178.3k
...Utah, Pacific Northwest As part of Cigna Pharmacy Management, the Pharmacy Sales... ...in client meetings and presentations to review client performance and sell in the suite... ...detailed ad-hoc analysis of pharmacy claims utilization in order to provide clients with...SuggestedRemote jobContract workLocal areaWork from homeThe Cigna Group
Denver, COa month ago$19.97 - $30.92 per hour
...awarded the Honorable Culture of Well-Being by Cigna and ranked #7 Healthiest Employer to Work... ...System * Works in RecTrac Program. Utilizes RecTrac daily, creates RecTrac numbers... ...City's records retention policy * Types, reviews and distributes correspondences, press...SuggestedBi-weekly payHourly pay16 hoursFull timeTemporary workLive inWork at officeMonday to FridayFlexible hoursShift workCity of Coconut Creek, FL
Coconut Creek, FL1 day ago$131.4k - $169.95k
...of physicians and other health care practitioners; driving the utilization of systems for granting or terminating clinical privileges,... ...membership, proctoring and continuing education; leading the review and approval of medical staff or provider staff Bylaws, Rules...SuggestedFull timeWork experience placementWork from homeFlexible hoursShift workKaiser Permanente
Portland, OR1 day ago- ...Position Overview Title: Medical Director (Utilization Management) Location: Remote (must reside on the West Coast; PST hours... ...management (UM) processes, focusing on inpatient and post-acute care reviews, ensuring timely, appropriate, and evidence-based care for...SuggestedContract workRemote work
Bickham Services Unlimited, LLC
Houston, TX2 days ago $260k - $285k
...have access to the highest quality of care while efficiently utilizing healthcare resources. HCP's vision is to be recognized... ...City Team? We are currently seeking a Medical Director - UM Reviewer. Position Summary: The Medical Director will be responsible...SuggestedFull timeLocal areaHealthCare Partners of Nevada
Garden City, NY1 day ago$31 - $52 per hour
...Help the Chief/Supervisor manage subcontractors when needed. Review work orders, estimate time and materials, and keep inventory stocked... ...be eligible to participate in an annual bonus plan. At The Cigna Group, you’ll enjoy a comprehensive range of benefits, with a...SuggestedHourly payFor subcontractorWork at officeLocal areaWork from homeMonday to FridayFlexible hoursThe Cigna Group
Newark, DE9 days ago$75k
...healthcare, and be part of a fast-moving, game-changing organization that celebrates diversity and innovation. Job Summary The Utilization Review Nurse will evaluate medical records to determine medical necessity by applying clinical acumen and the appropriate...SuggestedRemote workWeekend workClever Care Health Plan
Huntington Beach, CA21 days ago- ...process for Medical, Dental, Pharmacy, Behavioral products. Review and respond to RFP's, manage internal strategy and present quotations... ...to participate in an incentive compensation plan. At The Cigna Group, you’ll enjoy a comprehensive range of benefits, with a...SuggestedLocal areaWork from home
The Cigna Group
McLean, VA3 days ago $200k - $230k
...Vice President of Utilization Review – Exact Billing Solutions (EBS) Lauderdale Lakes, FL - In Office - No Remote Salary Range: $200K - $230K This is a full-time, on-site role requiring daily presence at our Lauderdale Lakes, FL location. Who We Are...Full timeWork at officeRemote workFlexible hours$238k - $357.5k
...expectations as we deliver clinical coverage and medical claims reviews. Our role is to empower providers and members with the tools... ...primarily focus on the application of clinical knowledge in various utilization management activities with a focus on pre-service benefit and...Minimum wageWork experience placementWork at officeLocal areaRemote workUnitedHealth Group
Albuquerque, NM2 days ago$33 - $56 per hour
...want a steady job at one location with a set schedule? If so, The Cigna Group is the place for you! We are looking for an experienced... ...Inspect, maintain, and repair HVAC and refrigeration systems. Review work orders, estimate time and materials, and keep track of inventory...Hourly payFor contractorsLocal areaWork from homeMonday to FridayThe Cigna Group
Grove City, OH5 days ago$238k - $357.5k
...expectations as we deliver clinical coverage and medical claims reviews. Our role is to empower providers and members with the tools... ...primarily focus on the application of clinical knowledge in various utilization management activities with a focus on pre-service benefit and...Minimum wageWork experience placementLocal areaRemote workUnitedHealth Group
Austin, TX2 days ago$248.5k - $373k
...with a Fortune 4 industry leader. We are currently seeking a Utilization Management Medical Director to join our Clinical Performance... ...responsible for conducting hospital and post-acute utilization reviews for the state of California. The Medical Directors work with...Minimum wageWork experience placementLocal areaRemote workUnitedHealth Group
San Diego, CA4 hours agonew$158.3k - $263.9k
...details on our employee benefits programs, visit . About The Cigna Group Doing something meaningful starts with a simple decision... ...drive adoption. Measure & Optimize: Define KPIs for capability utilization and business impact, monitor performance, and identify opportunities...Full timeTemporary workLocal areaWork from homeCigna Health and Life Insurance Company
Santa Monica, CA8 days ago$238k - $357.5k
...expectations as we deliver clinical coverage and medical claims reviews. Our role is to empower providers and members with the tools... ...primarily focus on the application of clinical knowledge in various utilization management activities with a focus on post-service benefit and...Minimum wageFull timeWork experience placementLocal areaRemote workUnitedHealth Group
Saint Louis, MO3 days ago- ...the lives of others? Express Scripts Pharmacy, a division of The Cigna Group, is hiring warehouse associates like you to receive,... ...warehouse or dispensing locations and ensures proper stock rotation-utilizing PDAs to update the inventory system. Using your organization,...Local areaMonday to FridayFlexible hoursShift workDay shiftAfternoon shift
Indiana Staffing
Whitestown, IN1 day ago $225k - $250k
...Market Growth LeaderSelect and Middle Markets (Northern California) Cigna Healthcare 6 days ago Be among the first 25 applicants The... ...guidelines to be eligible for consideration. Policy can be reviewed at this link. Qualified applicants with criminal histories...Full timeLocal areaWork from homeFlexible hoursMiddle East Development Co. Ltd
Walnut Creek, CA8 days ago- ...communities we serve. ~ Medical, Dental, & Vision Insurance through Cigna ~ Life Insurance ~403(b) Matching Retirement Fund ~... ...care procedures, observations, treatments and techniques utilized by facility. You have the ability to perform vena puncture. You...Full timeWork at officeLocal areaShift workDay shift
Beacon Health System
Battle Creek, MI4 days ago - ...Job Description Aligned with a team of Cigna Healthcare Sales Professionals, the Dental Sales Executive (DSE) is positioned as the... ...the best outcome. Consult on vision sales opportunities. Review and respond to RFP's by coordinating with internal matrix partners...Temporary workLocal areaWork from home
The Cigna Group
Baltimore, MD3 days ago - ...information visit our website Join us on the journey of two companies' massive electric vehicle project in Bartow County! Summary: Utility (Electrical) technician works in routine, following standard procedures under supervision. He/She is responsible for managing...Work experience placementWork at office
HSAGP Energy
Kingston, GA8 days ago - ...Join us on the journey of two companies' massive electric vehicle project in Bartow County! Summary: Mechanical technician in Utility is responsible for managing various mechanical facilities and their parts including air compressor, boiler, chiller, clean/dry...Work experience placementWork at officeLocal area
HSAGP Energy
Kingston, GA26 days ago - ...marketing, and finance teams to develop accurate demand forecasts. Utilize data analytics to predict market trends and customer needs.... ...Services ~ Health and Wellness Programs and Events ~ Awarded 2024 Cigna Healthy Workforce Designation Gold Level Laborie...WorldwideFlexible hoursShift work
Laborie Medical Technologies Corp
Mechanicsburg, PA1 day ago - ...facilitating communication and providing timely information. Utilize CRM and company tools to identify priority accounts, optimize referral... ...to participate in an incentive compensation plan. At The Cigna Group, you’ll enjoy a comprehensive range of benefits, with a...Work at officeLocal areaWork from home
The Cigna Group
Chicago, IL6 days ago
