- University of Michigan (Ann Arbor, MI)
- …as Allscripts + Participate in venues to reduce barriers to discharge ** Utilization Review and Utilization Management ** + Conduct clinical review on ... position is unique in that it combines clinical/quality considerations with regulatory/financial/ utilization review demands. The position creates a balance… 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
- Point32Health (MA)
- …Point32Health (https://www.point32health.org/) . **Job Summary** Under the supervision of the Utilization Management Supervisor , the Behavioral Health (BH) ... and care management principles. Health Plan experience performing utilization review activities. Experience with McKesson's InterQual Clinical Screening… more
- MTA (New York, NY)
- Analyst Series/Assistant Transit Management Analyst Series - Budget (Buses) Job ID: 13998 Business Unit: MABSTOA Location: New York, NY, United States ... Date Posted: Dec 22, 2025 Description Job Information Analyst Series/Assistant Transit Management Analyst Series - Budget (Buses) First date of posting: December 19,… more
- Ryder System (Billings, MT)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** The ... Operations Management Trainee will support the shop management ...path of progression in this role is an Ops Supervisor . **Now hiring individuals that are interested in working… more
- Ryder System (Urbana, IL)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : START ON A CAREER ... Monday through Friday** **Salary- Paid Weekly!** **Summary** The **Operations Management Trainee** will support the shop management ...path of progression in this role is an Ops Supervisor . If you're motivated, coachable, and looking for a… more
- Ryder System (Moonachie, NJ)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : START ON A CAREER ... develop your transportation & logistics career. **Summary** The Operations Management Trainee will support the shop management ...path of progression in this role is an Ops Supervisor . If you're motivated, coachable, and looking for a… 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 ... and elder abuse and neglect, domestic violence and complex care management (when appropriate). Adherence to established Psychiatry Department protocols and (OMH)… more
- The County of Los Angeles (Los Angeles, CA)
- …predictive and prescriptive analytics, to support data-driven program design and management ; and produces dashboards, reports, and other advanced data visualization ... to this class work under the immediate supervision of a Data Scientist Supervisor , or supervisor or manager responsible for the data analytics, research,… more
- Elevance Health (Wilmington, NC)
- …Assistance programs is very strongly preferred. + At least 2 years of management / supervisor experience (with direct reports) is needed for this position. + ... **Manager Care Management , Foster Care (Manager I GBD Special Programs)**...but are not limited to** **:** + Manages resource utilization to ensure appropriate delivery of care to members,… more