- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Cross Blue Shield of MN! This role is a key contributor to our Utilization Management team, helping to shape smarter, data-driven decisions that improve how we ... degree. * Experience with health care data (focus on Utilization Management a plus) * Experience with AWS tools...discover more about what we have to offer, please review our benefits page. Role Designation Hybrid Anchored in… more
- Zebra Technologies (Lincolnshire, IL)
- Remote Work: No Overview: At Zebra, we are a community of innovators who come together to create new ways of working to make everyday life better. United by ... processes and product/solution use cases to drive and increase adoption and utilization of Zebra's products. Analyze usage patterns and identify new or unutilized… more
- WellSpan Health (Chambersburg, PA)
- …patient navigation services, and report generation. **Duties and Responsibilities** ** Remote Work Capable** **Essential Functions:** + Partners with the Sales ... requests for service and/or assistance. + Provides a monthly operational review that includes monitoring product financial performance, operational challenges, and… more
- Polaris Industries (Medina, MN)
- …networks and cyberspace. Represent the legal team in the cross-functional board charged with review of and guidance with respect to utilization of AI tools ... vendor agreements with respect to data privacy, data protection, and AI utilization ** **Advise and support cybersecurity and information security leaders at all… more
- Amergis (Orange, CA)
- …help support a health insurance agency! The Medical Case Manager (BHI Utilization Management) will be responsible for reviewing and processing requests for ... providers. The incumbent will be responsible for prior authorizations, concurrent review and related processes. Position Details: Location: Orange (Full Office, no… more
- Ross Stores, Inc. (Dallas, TX)
- …Operations, MPT, etc\.\) and analytics\. + Identify shortage risks through regular review of indicator reports; partner with stores to develop action plans to ... the company and address new types of theft and fraud\. + Maximize utilization of all available merchandise protection tools and resources \(including EAS, domes,… more
- University of Colorado (Boulder, CO)
- …that all grant and non-grant budgetary transactions are appropriate. + Review department, research and instructional financial transactions and monitor the ... curriculum aimed at achieving department enrollment goals and the effective utilization of instructional resources. + Prepare course enrollment reports for future… more
- University of Michigan (Ann Arbor, MI)
- …+ Oversee communications, IT services, and facilities management, including space utilization planning, policies, and negotiations + Oversee student services and ... + Approve expenditures, reimbursements, and cash advances + Monitor reconciliations, review financial reports, and ensure compliance with internal controls + Prepare… more
- J&J Family of Companies (Santa Clara, CA)
- …build a working knowledge of their key processes including medical policy, utilization review , health outcomes, risk management, provider contracting, and claims ... within the Johnson & Johnson MedTech organization. This is a field-based remote role available in all states/cities within the United States. While specific… more
- Centene Corporation (Queens, NY)
- …such as ICD 10 codes, medical abbreviations, medications. Experience in medical records review , claims processing or utilization and case management in a ... Quality Assurance RN will work in various capacities to review , monitor and train staff in the Long Term...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
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