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$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$71.1k - $97.8k
...part of our caring community and help us put health first The Utilization Management Nurse 2 utilizes clinical nursing skills to support... ...(G&A) Nurse who will assist in preparation of cases prior to review by the Humana G&A Medicare Medical Directors. The Nurse reviews...SuggestedBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to FridayRotating shiftWeekend 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$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...SuggestedBi-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...SuggestedFull timeWork at officeLocal areaRemote workWork from home
- As the E&U Industry Executive Director, you will have: Accumulated deep domain experience E&U companies and related industry partners. Solid functional knowledge of E&U information systems, technologies & applications used to drive their business. Acute understanding...Suggested
$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...SuggestedFull timeTemporary workRemote workFlexible hours$113.1k - $185.1k
**Job Description** Oracle is leading the digital revolution. We are empowering nearly half a million businesses across the globe to turn untapped potential into real business value. You will connect the biggest enterprises of today with the tools to challenge in the digital...SuggestedContract workTemporary workLocal areaFlexible 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,...SuggestedTemporary workFlexible hours$116.5k - $251.6k
**Job Description** **As the E&U Industry Executive Director, you will have:** + Accumulated deep domain experience E&U companies and related industry partners. + Solid functional knowledge of E&U information systems, technologies & applications used to drive their business...SuggestedTemporary workFlexible hours$126.6k - $207.3k
**Job Description** **NA OCI Sales Representative, Energy and Utilities** **Overview** We are in search of an OCI and AI Infrastructure as a Service (IaaS) Sales Representative to be part of our exciting team. Our team **highly values** trust, diversity, coaching, innovation...SuggestedContract workTemporary workWork experience placementLocal areaFlexible hours$26.01 - $74.78 per hour
...it all with heart, each and every day. **Position Summary** + Utilizes clinical skills to coordinate, document, and communicate all aspects... ...the utilization/benefit management program. + Conduct clinical reviews for adult inpatient behavioral health cases, applying...SuggestedHourly payFull timeTemporary workLocal areaMonday to FridayFlexible hours$26.01 - $74.78 per hour
...uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Position Summary Utilizes clinical skills to coordinate, document, and communicate all aspects of the utilization/benefit management program. Applies...SuggestedHourly payFull timeTemporary workLocal areaMonday to FridayFlexible hours$43.89k - $102.08k
...skilled at identifying outliers through data extraction and analysis, dedicated to a specific self-funded plan sponsor. The lead reviewer is accountable for the validation of existing fraud waste and abuse business rules and leads designed to detect aberrant billing patterns...SuggestedHourly payFull timeTemporary workWork experience placementLocal areaWork from homeFlexible hours$70k - $74k
...Health Plan/Payer. The comprehensive process includes analyzing, reviewing, and processing medical necessity denials for resolution. You... ...log claims/appeals information on relevant tracking systems · Utilize critical thinking skills to interpret guidelines of internal policies...SuggestedTemporary workWork at officeRemote workMonday to Friday$50k - $55k
...creative problem-solving, providing great customer experience and utilizing technical skills in one role! As a member of our 24x7 Customer... ...basis until the position is filled. Applications will be reviewed as they are received, and qualified candidates may be contacted...Ongoing contractTemporary workWork experience placementRemote workFlexible hoursShift workNight shift- ...with the General Manager, conduct monthly program/project budget reviews to monitor financial health, verify expenditures, perform what... ...long-term growth strategies. Achieves annual revenue, utilization, and sales goals, and sets similar goals for direct reports....Ongoing contractFull timeContract workFor subcontractorWork at officeLocal areaImmediate startRemote work
$74.9k - $158.2k
...design, implement, and maintain scalable automation solutions, utilizing tools such as Ansible, Python, PowerShell, and Golang to enhance... ..., and standard operating procedures Conduct code reviews and mentor junior team members on automation best practices...Temporary workFlexible hours$78.4k - $107.8k
...market objectives are achieved. The incumbent facilitates Business Review meetings with markets, offering performance updates, strategic... ...that involve reviewing and analyzing financial, quality, and utilization data and analytics 2+ years of project management...Bi-weekly payFull timeContract workTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeFlexible hours- ...prioritization assistance with Account Associates, as well as reviewing and managing the overall workload. Leverage knowledge and... ...accurate proposal/deliverable for the Producers and Service Teams to utilize at client renewal meeting. Reviews quotes for accuracy...Full timeWork at officeImmediate startFlexible hours
$43.92 - $69.16 per hour
...GitHub workflows such as branching strategies, pull requests, peer reviews, governance with CODEOWNERS. SQL Server Integration Proven... ..., fault‑tolerant ingestion approaches (threaded boto3 utilities, checkpoints, etc.). Minimum Qualifications Proficiency with...Hourly payWork experience placement$78.4k - $107.8k
...develop content that supports key marketing objectives. You will utilize data analysis to inform creative decisions and emerging... ...Messaging and/or Video interview. Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward...Bi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeFlexible hours- ...from on-call rotation). Optimize system operations and resource utilization as well as perform system capacity analysis and planning.... ...specifications, and 4+ years of experience providing quality assurance review and the evaluation of new and existing software products. US...Contract workWork at officeRemote workWeekend work
$61.36 - $90.18 per hour
...pharmaceuticals. Analyzes pharmacy claims to identify areas of utilization aberrations and opportunities for cost-efficiencies. Provides... ...experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain...Hourly payMonday to FridayFlexible hoursShift workWeekend workAfternoon shift$29.96 per hour
...Sergeant assigns work in terms of generalinstructions.Work is reviewed forcompliance with instructions and established procedures, accuracy... ...degree of dexterity, distinguishes between shades ofcolor, and utilizes the sense of smell. SUPERVISORY AND MANAGEMENTRESPONSIBILITY...Work at officeLocal areaRelocation package- ...setting up, managing and maintaining development and test setups utilizing containerization platforms such as Docker, Kubernetes and... ...cloud and on-premises Kubernetes and OpenShift environments. Review new system and security requirements on cloud infrastructure components...Hourly payContract workWork experience placementLocal areaRemote work
$29.05 - $44.24 per hour
...computer, phone, and cable set-up and use. + Expected to lift and utilize full range of movement to transport, pull, and push equipment.... ...to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel...Hourly payWork at office$92.3k
...architecture, network systems and applications infrastructure. Reviews system requirements and business processes, ensures quality outcomes... ...working with operational computer systems 5 years utilizing various industry laws and regulations Preferred 5...Temporary workFor contractorsLocal area$170k
...JOB SUMMARY This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and most current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy...For contractorsPrivate practiceWork at officeLocal area$115k - $130k
...Conduct regular one‑on‑one coaching sessions and performance reviews Develop individual performance improvement plans and career development... ...initiatives and lead generation activities Sales Operations Utilize CRM systems for territory management, reporting, and analytics...For contractorsWork at office