Average salary: $138,193 /yearly
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- ...Job Summary Provides support for coordination of benefits review activities that directly impact medical expenses and premium reimbursement... ...for the coordination of benefits (COB) team. Phones or utilizes other insurance company portals to validate state, vendor, and...SuggestedWork at office
- The Utility Designer I position is responsible for directing, coordinating, and exercising functional authority for planning, organization... .... Coordinates with customers on all aspects of project. Reviews design for compliance with engineering principles, company standards...SuggestedWork at officeLocal area
$40 per hour
Overview We are looking for medical experts to join our team to train AI models. You will measure the progress of AI chatbots, evaluate their logic, and solve problems to improve the quality of each model. In this role you will need to be an expert in healthcare. We are...SuggestedHourly payFull timeContract workPart timeRemote work$71.1k - $97.8k
...seeking a RN who will collaborate with other health care givers in reviewing actual and proposed medical care and services against... ...+ Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability...SuggestedBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeFlexible hours$75k - $100k
Utilization Management RN (Registered Nurse) Our Utilization Management RN evaluates efficiency, appropriateness, and medical necessity... ...Plan. This role uses clinical knowledge to provide judgment in reviewing medical services with evidence‑based criteria and authorizing...SuggestedFor contractorsWork at officeLocal areaImmediate startRemote work$29.05 - $67.97 per hour
...schedule) Looking for a RN with experience with appeals, claims review, and medical coding. Job Summary Provides support for medical... ...to providers. Resolves escalated complaints regarding utilization management and long-term services and supports (LTSS) issues....SuggestedHourly payWork experience placementWork at officeRemote workMonday to Friday$71.1k - $97.8k
...our caring community and help us put health first The Weekend Utilization Management Nurse 2 utilizes clinical nursing skills to support... ...experience Experience in utilization management or related activities reviewing criteria to ensure appropriateness of care preferred Previous...SuggestedBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeShift workWeekend work- ...Hours: 40.00 Salary Range: 31.00 - 49.50 Job Summary The Peer Review Specialist facilitates provider peer review processes at a regional... ...through focused studies and assigned routine monitoring, utilizing defined guidelines and criteria of the Medical Staff. Gathers clinical...SuggestedFull timePart timeRemote workWork from homeShift workDay shift
$26.41 - $51.49 per hour
...DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services... ...teams to promote the Molina care model. - Adheres to utilization management (UM) policies and procedures. Required Qualifications...SuggestedHourly payWork experience placementWork at officeRotating shift- ...Appraisal Inspector & Reviewer Partner Valuation Advisors (PVA) is actively hiring professionals to meet the increasing demands of its client base. Founded by nationally respected industry veterans, we are blazing a new trail in the valuation industry with the commitment...SuggestedLocal area
$65k - $88.6k
Become a part of our caring community and help us put health first The Supervisor, Claims Review makes appropriate claim decision based on strong knowledge of claims procedures, contract provisions, and state and federal legislation. The Supervisor, Claims Review works...SuggestedFull timeContract workTemporary workApprenticeshipWork at officeRemote work$26.41 - $51.49 per hour
...requested treatments and/or procedures. Conducts prior authorization reviews to determine financial responsibility for Molina Healthcare... ...experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / MCG...SuggestedHourly payWork experience placementRotating shift- Join to apply for the Sr Utility Coordinator role at HNTB What We're Looking For Are you seeking a vibrant and dynamic workplace that values culture and work-life balance? Look no further! Our company has been recognized by the Milwaukee Business Journal as one of the...SuggestedRelocation
- ...looking to make a difference and find a professional home, Wipfli offers a career-defining opportunity. Responsibilities The Loan Review Senior Consultant has the opportunity to work either remote, hybrid, or in person anywhere in the state of IL or the state of WI....SuggestedLocal areaRemote work
$71.1k - $97.8k
**Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The...SuggestedBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome office- ...Remote, WI Shift: 8 Hours - Day Shifts Job Schedule: Full Time Weekly Hours: 40.00 Salary Range: 31.00 - 49.50 Job Summary The Peer Review Specialist facilitates provider peer review processes at a regional level. Assists in monitoring quality of care in inpatient and...Full timePart timeRemote workWork from homeShift workDay shift
- ...Utility Billing Assistant About Us! The City of Fitchburg is looking to add a part-time Utility Billing Assistant to join the Finance Team! Under the general supervision of the Accounting Manager, this position assists in the day-to-day operations of the Utility department...Part timeInterim roleWork at officeRemote workFlexible hours
$40k - $52.3k
...UM Administration Coordinator contributes to administration of utilization management. The UM Administration Coordinator 2 performs... ...CenterWell and Onehome. Responsibilities Manages NLP's for chart reviews for the nursing team Builds and pends authorizations for review...Bi-weekly payTemporary workApprenticeshipWork at officeRemote workHome officeMonday to Friday- Overview Paige, a GCG company, is currently seeking a Utility Solutions Sales Director to partner with leaders on ourRenewable Energy and Utilities team and execute a go-to-market strategy within the utility market, driving long-term growth through market penetration, team...Full timeWork at officeLocal areaRemote workWork from home
- ...positive impact on the communities where we do business. Are you with us? Job Summary We are seeking an Operations Manager for Pulp and Utilities to join our Mosinee, WI team! Reporting to the Mill Manager, the Operations Manager will supervise pulp and power manufacturing...Full timeTemporary workImmediate startMonday to FridayWeekend work
$79.1k - $158.2k
**Job Description** **Senior Oracle Utilities Consultant** **Location: United States** **Travel: 50%** **Key Responsibilities** + Analyze business requirements and deliver functional and technical Oracle Utilities solutions. + Implement and configure Oracle Utilities applications...Full timeTemporary workRemote workFlexible hours- Job: Traveling Superintendent- Utility Construction Traveling Superintendent- Utility Construction The Superintendent is responsible for... ...standards and takes the appropriate action to resolve issues. Reviews and approves daily time for their crew(s), time reports,...
- ...and integrity of Push Technologies. PUSH Technologies, a Division of PUSH Inc. is a privately owned premier communications and power utility contractor who has been providing telecom infrastructure for more than 45 years through its dedicated team members who have...Weekly payFor contractorsWork experience placementWork at officeLocal areaRelocationMonday to Friday
$60k - $80k
WE’RE GROWING! B Street Collision has been family owned and operated since 1978, and we’ve worked hard to keep that family feel while offering the benefits and resources of a larger company. With 15 locations and counting, we’re committed to growth, training, and promoting...Full timeWork from homeFlexible hours$75k - $85k
Retirement Plan Peer Review & Technical Specialist Join Our Client’s Team as a Retirement Plan Peer Review & Technical Specialist Are you passionate about retirement plan compliance and ready to make a meaningful impact? We’re seeking a knowledgeable and detail-oriented...Full timeWork at officeRemote work$18 per hour
...We are hiring immediately for a full time FOOD SERVICE UTILITY position. Location : American Family Insurance - 6000 American Parkway, Madison, WI 53783. Note: online applications accepted only . Schedule : Full time schedule. Monday through Friday, hours...Hourly payFull timePart timeLocal areaImmediate startRemote workWorldwideMonday to FridayFlexible hours- ...clients, you'll work on projects that matter as part of the Honkamp team. A Typical Day in the Life: As a seasonal tax reviewer, you will review tax returns for a diverse client base. This position runs from approximately January through mid-April....Seasonal workWork at officeLocal area
$90k - $95k
...coordinate with design teams, and deliver high-quality analyses and reviews. You'll engage with stakeholders to clarify requirements, flag... ...related industry. Experience in natural gas design or civil utility projects. Preferred Qualifications Professional Engineer...Full timeWork experience placementFlexible hours$120.1k - $251.6k
**Job Description** **Seeking a Utilities industry expert with Oracle ERP &/or Oracle SCM sales, presales &/or delivery experience.** **... ...influence Oracle's competitive position. + Participate in weekly reviews for key industry areas such as financials, sales pipeline,...Temporary workFlexible hours- Utilities Right of Way Agent - Southeast Wisconsin Utilities Right of Way Agent - Southeast Wisconsin 2 weeks ago Be among the first 25 applicants ORC is seeking a full-time, exempt Right of Way Agents to work on projects based out of Southeast Wisconsin. The selected candidate...Full timeWork from homeHome office