- OhioHealth (Columbus, OH)
- …cycle, charge analysis, regulatory and financial reporting. * The Senior Reimbursement Consultant will be a subject matter expert in the following areas, S-10, ... requirements, both federal and state is required. * The Reimbursement Consultant position leads, advises and consults various reimbursement financial projects, as… more
- CVS Health (Phoenix, AZ)
- …Inc. (AHH), a division of Aetna/CVS Health, is a URAC-accredited medical management organization founded in 1993. We provide flexible, cost-effective care ... management solutions that promote high-quality healthcare for members. **Position...care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For… more
- CVS Health (Hartford, CT)
- …of clinical experience in acute or post-acute setting, and 1+ years of Utilization Management / Care Management Experience + Must have active current and ... Nursing Licenses as business needs require. **Preferred Qualifications** Utilization Management experience preferred **Education** Education: Diploma RN acceptable; Associate… more
- CVS Health (Harrisburg, PA)
- …needs. Specific schedules will be determined in collaboration with management to ensure adequate weekend coverage.Position Summary:Utilize your clinical experience ... constituents in the coordination and administration of the utilization/benefit management function.* Meet set productivity and quality expectations as established… more
- ManpowerGroup (Grand Rapids, MI)
- …. Deep Windchill background that includes Workflow Design, Type and Attribute Management , Container Strategy and Access Control Policies, Object Initialization ... Rapids, MI** **Rate - Fair Market Rate** **Windchill Solutions Consultant ** We are seeking a Windchill solutions consultant...team, supporting the people and systems in Product Lifecycle Management (PLM). Our mission is to empower our global… more
- Stantec (Austin, TX)
- …environment. Your Opportunity Stantec is currently seeking to add a Senior Environmental Consultant to our team in a client-facing role supporting growth in Texas, ... life cycle of projects, beginning in the pursuit phase. As a senior consultant , you will leverage your technical skills, industry and market knowledge, and client… more
- CVS Health (Trenton, NJ)
- …we do it all with heart, each and every day. **Position Summary** _Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, and ... constituents in the coordination and administration of the utilization/benefit management function. + Typical office working environment with productivity and… more
- CVS Health (Austin, TX)
- …operational needs. Specific schedules will bedeterminedin collaboration with management to ensure adequate weekend coverage.Position Summary:Utilize your clinical ... constituents in the coordination and administration of the utilization/benefit management function.* Meet set productivity and quality expectations asestablishedby… more
- Health Care Service Corporation (Chicago, IL)
- …entity reporting requirements to include claims delegation, utilization management delegation and credentialing delegation.8.Respond to provider inquiries in ... Must work closely with the Pricing, Full Service Units, Utilization Management , Medical, Delegation Oversight, Core Credentialing, Provider Automation and other… more
- Allegion (CA)
- …which recognizes the most engaged workplace cultures in the world._ **Sales Consultant - Integrator - Southern California** The Integrator Sales Consultant ... also includes cultivating relationships and supporting the needs of our access control partners, security consultants, end users/distributors and broader team as… more