- RLDatix (UT)
- …members in making a difference in healthcare every day. We're searching for a remote Implementation Analyst to join our Professional Services team, so that we can ... + Deliver exceptional customer experiences that contribute to team goals of 75% utilization , 100% post-project survey completion, and a 95% CSAT rating. What Kind of… more
- Humana (Olympia, WA)
- …Clinical Drug Policy Management team which ensures synchronization of formulary utilization management policies across multiple systems. Humana is seeking a positive ... and maintenance of clinical tools which help facilitate clinical medication review decision making. + Responsible for operationalizing prior authorization criteria… more
- Owens & Minor (Indianapolis, IN)
- …SOPs / Work instructions for functions. Owns policies and procedures, follows review and update schedule. + Responsible to ensure the dedicated carrier achieves ... applicable. + Monitors and controls costs and headcounts, optimizing resource utilization . **Team Management** + Supervise and support all operational team(s),… more
- Paylocity (Schaumburg, IL)
- …our Lake Mary, Fl / Schaumburg, Il / Meridian, ID / or Rochester, NY locations. Remote or hybrid work is not available for this position. Candidates must be able to ... related to the specific HCM function (eg, payroll, HR, time, and labor). + Review , with client, configuration of system to ensure the software is aligned with the… more
- University of Rochester (Albany, NY)
- …as required by third-party payors. Refers cases appropriately to physicians and Utilization Review for additional follow-up on medical information needed. + ... to all and is a place where all can thrive. **Job Location (Full Address):** Remote Work - New York, Albany, New York, United States of America, 12224 **Opening:**… more
- CIBC (Chicago, IL)
- …the projects by interpreting complex information, and participating in client business review sessions to influence decisions regarding the use of technology to ... to project managers, coordinators and directors on technology functionality and utilization , utilizing a solid understanding of business dynamics. The role… more
- AmeriHealth Caritas (Philadelphia, PA)
- …+ Documents date that the request was received, nature of request, utilization determination (and events leading up to the determination). + Utilize technology ... Policies and Procedures, as defined by CHC Agreement (Prior Authorization, Concurrent Review ) + Assessing and applying Medical Necessity Guidelines as outlined in… more
- ServiceNow, Inc. (Chicago, IL)
- …feedback and sales feedback . Ensure proper alignment of resources and effective utilization of skill sets within the assigned region . Manage day-to-day activities ... such as resource scheduling conflicts, expense review and approval, activity reporting, commissions etc. This role...of work with flexibility and trust. Work personas (flexible, remote , or required in office) are categories that are… more
- Bassett Healthcare (Cooperstown, NY)
- …consistent with ethical standards of practice in the field* Participates in the Utilization Review Process* Collaborates with outside agencies, such as CPS/DSS* ... other duties as requested and observed by supervisor or manager* Partial remote work is available dependent upon department needs and employee capabilities What… more
- RTX Corporation (Richardson, TX)
- …with pre-CAD circuit design, including schematic capture, power, FPGA resource utilization , background knowledge of PWB stacks ups + Experience in industry ... and test fixtures. + Ability to read, create and review engineering drawings including schematics, assembly drawings and parts...whether the role is designated as on-site, hybrid or remote ._** The salary range for this role is 124,000… more
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