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  • Utilization and Clinical Review - Medical Director - Orthopedic Surgery - Remote

    $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... 
    Suggested
    Minimum wage
    Full time
    Work experience placement
    Local area
    Remote work
    Weekend work

    UnitedHealth Group

    Indianapolis, IN
    1 day ago

  • Utilization Management Behavioral Health Professional 2

    $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... 
    Suggested
    Bi-weekly pay
    Full time
    Contract work
    Temporary work
    Apprenticeship
    Interim role
    Work at office
    Remote work
    Work from home
    Home office
    Monday to Friday
    Shift work
    Weekend work

    Humana

    Harrisburg, PA
    5 days ago

  • Gastroenterology Physician

    $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... 
    Suggested
    Local area
    Work from home

    Cigna Corporate Services, LLC

    Bloomfield, CT
    3 days ago

  • Senior Staff Assistant - Parks and Recreation

    $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... 
    Suggested
    Bi-weekly pay
    Hourly pay
    16 hours
    Full time
    Temporary work
    Live in
    Work at office
    Monday to Friday
    Flexible hours
    Shift work

    City of Coconut Creek, FL

    Coconut Creek, FL
    1 day ago

  • Nurse Manager Utilization Management

    $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... 
    Suggested
    Full time
    Work experience placement
    Work from home
    Flexible hours
    Shift work

    Kaiser Permanente

    Portland, OR
    2 days ago

  • Medical Director (Utilization Management

     ...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... 
    Suggested
    Contract work
    Remote work

    Bickham Services Unlimited, LLC

    Houston, TX
    3 days ago

  • Medical Director - UM Reviewer (Garden City, NY)

    $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... 
    Suggested
    Full time
    Local area

    HealthCare Partners of Nevada

    Garden City, NY
    2 days ago

  • Commercial HVAC Technician

    $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... 
    Suggested
    Hourly pay
    For subcontractor
    Work at office
    Local area
    Work from home
    Monday to Friday
    Flexible hours

    The Cigna Group

    Newark, DE
    10 days ago

  • Utilization Management Review Nurse

    $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... 
    Suggested
    Remote work
    Weekend work

    Clever Care Health Plan

    Huntington Beach, CA
    21 days ago

  • Vice President of Utilization Review

    $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... 
    Suggested
    Full time
    Work at office
    Remote work
    Flexible hours

    ICBD

    Coral Gables, FL
    23 hours ago

  • Clinical Review Medical Director - Vascular Surgery - Remote

    $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... 
    Suggested
    Minimum wage
    Work experience placement
    Work at office
    Local area
    Remote work

    UnitedHealth Group

    Tucson, AZ
    3 days ago

  • Commercial HVAC Technician

    $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... 
    Suggested
    Hourly pay
    For contractors
    Local area
    Work from home
    Monday to Friday

    The Cigna Group

    Grove City, OH
    6 days ago

  • Medical Director Utilization Management - Remote

    $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... 
    Suggested
    Minimum wage
    Work experience placement
    Local area
    Remote work

    UnitedHealth Group

    Houston, TX
    3 days ago

  • Medical Director - Inpatient Clinical Review Physician - Remote

    $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... 
    Suggested
    Minimum wage
    Work experience placement
    Local area
    Remote work

    UnitedHealth Group

    San Francisco, CA
    10 hours ago

  • Medical Director - Medical Claims Review - Remote

    $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... 
    Suggested
    Minimum wage
    Full time
    Work experience placement
    Local area
    Remote work

    UnitedHealth Group

    Saint Louis, MO
    4 days ago

  • Product Strategy Director, Customer Data Platform (Santa Monica)

    $158.3k - $263.9k

     ...drive adoption. Measure & Optimize: Define KPIs for capability utilization and business impact, monitor performance, and identify...  ...completing the online application process, please email: SeeYourself@cigna.com for support. Do not email ****@*****.*** for an update... 
    Full time
    Local area

    Living Well Health Center

    Santa Monica, CA
    9 days ago

  • General Manager & Market Growth Leader- Select and Middle Markets (Northern California) - Cigna[...] (Walnut Creek)

    $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 time
    Local area
    Work from home
    Flexible hours

    Middle East Development Co. Ltd

    Walnut Creek, CA
    9 days ago

  • Warehouse Associate- Express Scripts

     ...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 area
    Monday to Friday
    Flexible hours
    Shift work
    Day shift
    Afternoon shift

    Indiana Staffing

    Whitestown, IN
    2 days ago

  • Utility Mechanical Technician

     ...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 placement
    Work at office
    Local area

    HSAGP Energy

    Kingston, GA
    27 days ago

  • Home Care Supervisor, RN

     ...patients and compliance with all regulatory bodies within the area of responsibility Ensure quality assurance program and utilization review is followed in accordance with Home Care protocol Oversees and investigates patient and physician concerns, risk management... 
    Hourly pay
    Part time
    Work at office
    Shift work
    Weekend work

    BayCare

    Dunedin, FL
    10 days ago

  • Utility Electrical Technician

     ...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 placement
    Work at office

    HSAGP Energy

    Kingston, GA
    9 days ago

  • Medical Assistant, Family and Internal Medicine, Day Shift

     ...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 time
    Work at office
    Local area
    Shift work
    Day shift

    Beacon Health System

    Battle Creek, MI
    5 days ago

  • Medical Director (PRN) - Indiana

    $108.51 per hour

     ...functions for the business unit. ~ Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities. ~ Performs medical review activities pertaining to utilization review, quality assurance, and medical review... 
    Hourly pay
    Full time
    Part time
    Relief
    Work at office
    Remote work
    Flexible hours
    Weekend work

    Magnolia Health Plan

    Indianapolis, IN
    2 days ago

  • Global SIOP Manager

     ...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... 
    Worldwide
    Flexible hours
    Shift work

    Laborie Medical Technologies Corp

    Mechanicsburg, PA
    1 day ago

  • Care Coordinator, Physiatry, Full-time Days

     ...we serve. ~ Medical, Dental, & Vision Insurance through Cigna ~ Life Insurance ~403(b) Matching Retirement Fund...  ...patient care and service efficiency. Prepare case summaries for review as needed. ~ Administrative Duties: Participate in... 
    Full time
    Work at office
    Local area
    Shift work
    Day shift

    Beacon Health System

    Alexandria, IN
    3 days ago

  • Nurse Assistant, Acute Care, PRN, Nights

     ...communities we serve. ~ Medical, Dental, & Vision Insurance through Cigna ~ Life Insurance ~403(b) Matching Retirement Fund ~...  ...vital signs correctly. You bring knowledge of and correct utilization of good body mechanics. Required Qualifications Successful... 
    Relief
    Local area
    Shift work
    Night shift

    Beacon Health System

    Three Rivers, MI
    5 days ago

  • Territory Manager - Operating Room

     ...contracts to drive business opportunities. Sales Tools & Reporting: Utilize available sales tools to develop prospects, achieve targets, and...  ...~ Health and Wellness Programs and Events ~ Awarded 2024 Cigna Healthy Workforce Designation Gold Level Laborie... 
    Flexible hours

    Laborie Medical Technologies Corp

    Chicago, IL
    1 day ago

  • Registered Nurse ERT (3) EGH, Cardiac Cath Lab, Full-Time, Days

     ...communities we serve. ~ Medical, Dental, & Vision Insurance through Cigna ~ Life Insurance ~403(b) Matching Retirement Fund ~...  ...assess, evaluate, and anticipate needs. Participate in the review and evaluation of the quality and effectiveness of nursing care.... 
    Full time
    Local area
    Shift work
    Day shift

    Beacon Health System

    Elkhart, IN
    2 days ago

  • Healthcare Quality Reviewer

     ...Job Description Position Overview: The primary function of the Clinical Quality Reviewer - Seasonal is to conduct audit of medical charts for compliance with HEDIS, QARR, Medicare Advantage Star measure specifications. This position will be an integral part of the... 
    Seasonal work
    Work at office

    Swoon

    New York, NY
    23 days ago

  • Mass Spectrometer Specialist - III

    $12 per hour

     ...appropriate regulatory documentation practices. Also can perform QC review of data. Independently operates laboratory equipment,...  ...planning, monitoring, and guiding project work by effectively utilizing personnel and resources for timely completion of assigned projects... 
    Full time
    Part time
    Casual work
    Relief
    Flexible hours
    Afternoon shift

    Labcorp

    Indianapolis, IN
    15 days ago