- Sedgwick (Charleston, SC)
- …and physician filings and decisions on appropriate treatments recommended by utilization review . + Maintains professional client relationships. **ADDITIONAL ... Fortune Best Workplaces in Financial Services & Insurance Claims Adjuster - Liability ( REMOTE - Southeast State exp) Are you looking for an opportunity to join a… more
- Teleflex (Houston, TX)
- Clinical Affairs Manager, Interventional Access ( REMOTE ) **Date:** Dec 8, 2025 **Location:** Houston, TX, US **Company:** Teleflex **Expected Travel** : Up to 50% ... with Teleflex policy & local legal regulations * Manage utilization of HCPs in accordance with Teleflex IPPs. *...programs. * Coordinate and participate in content development and review of education material as needed by IA BU… more
- Sedgwick (Fayetteville, NC)
- …and physician filings and decisions on appropriate treatments recommended by utilization review . + Maintains professional client relationships. **ADDITIONAL ... Workplaces in Financial Services & Insurance Claims Representative - Workers Compensation ( REMOTE - State License Required)) Are you looking for an opportunity to… more
- Prime Therapeutics (Providence, RI)
- …of pharmacy with us. **Job Posting Title** Clinical Account Director - Remote **Job Description** The Clinical Account Director is responsible for the management ... specific clinical programs and drug strategy recommendations including drug formulary, Utilization Management programs, and other drug therapy related products and… more
- Prime Therapeutics (Cheyenne, WY)
- …pharmacy with us. **Job Posting Title** Network Management Consultant - Remote **Job Description** The Network Management Consultant is responsible for development, ... to update contract documents including agreements and applications for utilization in contracting/re-contracting activities based on new network participation… more
- Insight Global (Silver Spring, MD)
- …Salesforce platform to gain insights into system performance, reliability, and utilization to proactively identify potential issues * Configuring alerts on systems ... we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/. Skills and… more
- The ODP Corporation (Boca Raton, FL)
- **Overview** REMOTE ROLE Salary Range 65K - 75K In this role, you will be responsible for establishing a system/data catalog, to identify data/metric owners and ... an ongoing basis and for building relationship across Marketing and BU owners. Review and make recommendations for the improvement of our processes and technology.… more
- Actalent (Austin, TX)
- Clinical Review Nurse - Concurrent Review Location: Remote - Compact Nursing License required; must be able to work CST hours Schedule: Tuesday-Friday, 10:00 ... with clinical policies and guidelines. This role is fully remote but requires a Compact State Nursing License and...providers to approve determinations or provide recommendations based on review findings + Educate providers on utilization … more
- Ryder System (Augusta, ME)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **SUMMARY** This ... customers, insurance carriers, and third party claimants. Participates in large claim review calls and updates field operations personnel on claim status. Possess a… more
- Molina Healthcare (Rochester, NY)
- …team and key stakeholder meetings (PowerPoint) + Coordinates and provides peer review of our quarterly national contract performance analysis by team members to ... stakeholders requiring decision support. + Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on… more