• Health Program Analyst III / Emergency Appointment…

    The County of Los Angeles (Los Angeles, CA)
    …Health, Health Sciences,Community Health Education,Public Administration,Business Administration,Administration/ Management , Behavioral Science,Social Science, or ... technical and support personnel providing technical and consultative services to the management of a program; or oversees a small Countywide health program.… more
    The County of Los Angeles (09/03/25)
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  • Advanced Clinical Pharmacist

    HCA Healthcare (Denver, CO)
    …at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical ... to promote rational drug therapy and make improvements identified by drug utilization evaluations. + Provide accurate and timely medication information to healthcare… more
    HCA Healthcare (08/31/25)
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  • Mgr Peninsula Outpt Svcs

    Covenant Health Inc. (Alcoa, TN)
    …Parkwest Medical Center. Assures that productivity targets are met. + Coordinates the utilization management plan for physicians and nurse practitioners with the ... Overview Manager , Outpatient Services, Blount Clinic Full Time, 72...therapy + Care Coordination + Support Groups + Medication management + Assessment and referral services Position Summary: Oversees… more
    Covenant Health Inc. (07/18/25)
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  • Office Coordinator

    Northern Light Health (Ellsworth, ME)
    …Coordinator performs diversified duties which include but are not limited to: day-to day- management of the practice in the absence of or unavailability of the ... practice manager , maintain physician schedules, addressing human resource issues, greeting...requested including accurate date input. Demonstrates knowledge of proper utilization other Meditech/EAR/CWS systems as required by the position… more
    Northern Light Health (10/04/25)
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  • Clinical Rehab Specialist PRN

    HCA Healthcare (Richmond, VA)
    …a formal pre-admission assessment for acute inpatient rehab through their assigned case manager .** + **Once Case Management has completed the Patient Choice ... for a low copay. Plans include prescription drug and behavioral health coverage as well as telemedicine services and...screenings and assessments in collaboration with both hospital Case Management and the Rehab Medical Director and works closely… more
    HCA Healthcare (09/19/25)
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  • Registered Nurse

    US Tech Solutions (Columbia, SC)
    …prioritize effectively and have critical thinking skills. + Experience in case management or care coordination and telephonic care experience is preferred. + A ... triage when needed. **Responsibilities:** + Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying clinical… more
    US Tech Solutions (08/08/25)
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  • Advanced Clinical Pharmacist Med Rec

    HCA Healthcare (Gainesville, FL)
    …at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical ... is responsible for the safe, effective, evidence-based, and cost-effective selection and utilization of medications for the patients in which they serve. The… more
    HCA Healthcare (10/10/25)
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  • Medical Director - Medical Policy

    Elevance Health (Cincinnati, OH)
    …members and providers. + Supports coordination with external entities that develop clinical utilization management guidelines used by Company Plans (eg, MCG Care ... guidelines, Carelon Medical Benefits Management guidelines and CarelonRx) + Identifies and develops opportunities...state or territory of the United States when conducting utilization review or an appeals consideration and cannot be… more
    Elevance Health (10/04/25)
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  • Insurance Contract Consultant/Full Time/Hybrid

    Henry Ford Health System (Troy, MI)
    …relevant contractual requirements and issues to internal customers such as Utilization Management , Finance, Patient Billing, Administration, Legal, etc. 7. ... Reporting to Director or Manager , assist in the development of Contract Strategy...and rates on behalf of HFHS Hospitals, Medical Group, Behavioral Health Services and other business units. 1. Independently… more
    Henry Ford Health System (08/22/25)
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  • Accounts Payable Control Specialist II

    Beth Israel Lahey Health (Charlestown, MA)
    …making a difference in people's lives.** Under the supervision of the manager /lead and following the established guidelines, performs a variety of processing and ... the accounts payable payment reporting and control function. Activities include: utilization of ERP system to: review daily payment/banking information loads,… more
    Beth Israel Lahey Health (07/17/25)
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