- Trinity Health (Silver Spring, MD)
- …and accountable for: + Cost effective decision-making regarding operations including utilization and application of resources. (ie, human resources, patient care ... including orientation and training. + Participating in performance evaluation and management including verbal coaching and counseling. + Participating in the… more
- Cardinal Health (Fife, WA)
- …implement programs, policies, and strategies to increase production and efficient space utilization + Ensure quality service is provided to the customers and ensures ... Frequently interacts with subordinates, customers and peer groups at various management levels + Interactions normally involve information exchange and basic problem… more
- Point32Health (Canton, MA)
- …(https://www.point32health.org/) . **Job Summary** Under the direction of the Pharmacy Utilization Management (UM) Supervisor , the Clinical Pharmacist ... other roles/duties and projects as assigned by the Pharmacy UM Supervisor or Manager **Salary Range** $107,989.60 -$161,984.40 **Compensation & Total Rewards… more
- Bon Secours Mercy Health (Portsmouth, VA)
- …transitions of care. + Partners with physician leader to optimize the Utilization Management Committee, providing actionable data related to utilization ... management scope of service: Education, Care Coordination, Compliance, Transition Management and Resource Utilization . + Utilizes systems within the Care… more
- Banner Health (AZ)
- …pre-service requests, provide case management , care coordination and perform utilization management duties within the appropriate time period as outlined ... health Plan consumer/beneficiaries' and providers with issues related to prior authorization, utilization management , and/or case management . Meets internal… more
- Sevita (MN)
- …strategy to increase census, maintain occupancy, improve daily attendance, and maximize utilization . **Financial Management ** 1. Management : Responsible for ... **SUMMARY** + Position Type: Full-time, exempt, salaried supervisor role. + Scope of Role: + Manages...million in annual revenue. + Key Responsibilities: + Operational Management : Oversees service delivery and ensures alignment with state-level… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Utilization Management Specialist, Revenue Integrity and Utilization Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: ... Tennessee to be named a Forbes "Best Employer" seven times. Position Summary: The Utilization Management Specialist I will perform utilization management … more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …true colors to blue. The Role:The Compliance Program Consultant will focus on utilization management compliance and audit readiness activities such as evaluating ... Medical Management 's (HMM) and delegate's compliance with the applicable NCQA utilization management standards and state and federal regulations. The Team:… more
- Sevita (Tucson, AZ)
- …experience a career well lived. **SUMMARY** + Position Type: Full-time, exempt, salaried supervisor role. + Scope of Role: + Responsible for managing the services ... care, advocacy, stakeholder relations, regulatory compliance, staffing, training, financial management , and maintenance of the physical environment. **ESSENTIAL JOB… more
- MyFlorida (Tallahassee, FL)
- SENIOR MANAGEMENT ANALYST SUPV- SES - 65000098 Date: Dec 23, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... . Requisition No: 867322 Agency: Elder Affairs Working Title: SENIOR MANAGEMENT ANALYST SUPV- SES - 65000098 Pay Plan: SES Position Number:… more