• Manager, Risk Adjustment Operations - Remote

    Datavant (Providence, RI)
    …staffing plans and staff performance to ensure optimal talent management and utilization . + Effective team management and utilization to achieve coding ... operational KPI's. + Accountability and mentoring of supervisors and staff to business values and coding operations KPI's + Reporting to coding leadership on business trends and project coding patterns as well as an obstacles to achieving KPI's or deadline. +… more
    Datavant (12/19/25)
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  • RN Specialist Complex Case Manager

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …and their family to avoid unnecessary hospitalizations and emergency department utilization , optimize site of care whenever possible, and ensure evidence-based ... Experience * 2+ years of managed care experience; eg case management/health coach, utilization management and/or auditing experience (may be included in the 5 years… more
    Blue Cross and Blue Shield of Minnesota (12/19/25)
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  • Clinical Appeals and Disputes Nurse

    University of Washington (Seattle, WA)
    …of the following: certified healthcare chart auditor, certified professional in utilization review (or utilization management or healthcare management), ... certified case manager, certified documentation specialist, certified coder, certified professional medical auditor + Previous experience working as an RN + Extensive knowledge of ICD-10-PCS, ICD-10-CM, CPT and HCPCS coding principles and guidelines +… more
    University of Washington (12/19/25)
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  • RN Case Manager PRN

    HCA Healthcare (San Antonio, TX)
    …functional and self-care abilities; 2) facilitate system access and appropriate utilization of services; 3) facilitate communication and coordination of efforts ... Bachelor of Science in Nursing + At least one year experience in utilization review, resource management, discharge planning or case management. Prior Case Manager… more
    HCA Healthcare (12/19/25)
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  • Senior HRIS Analyst

    Gulfstream (Savannah, GA)
    …HR data . + Combines and integrates data from multiple HR systems for reporting or utilization in other HR initiatives . + Assists in the delivery of advanced ad hoc ... required. to educate the HR departments on system access, navigation and utilization . Perform other duties as assigned. Other Requirements: + Strong quantitative… more
    Gulfstream (12/19/25)
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  • Specialized Consulting Manager - Pharmacy…

    Wolters Kluwer (Lincoln, NE)
    …Consulting Manager - Pharmacy Compliance ensures successful adoption and optimal utilization of our Simplifi+ pharmacy portfolios by acting as the subject ... Sterile Compounding (BCSCP) strongly preferred. * Expertise in sterile compounding and utilization of an IV Workflow management system. * Expertise in pharmacy… more
    Wolters Kluwer (12/19/25)
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  • LTSS Service Coordinator - RN

    Elevance Health (Odessa, TX)
    …illnesses, co-morbidities, and/or disabilities, to insure cost effective and efficient utilization of health benefits. + Obtains a thorough and accurate member ... the implementation of member care plans by facilitating authorizations/referrals for utilization of services, as appropriate, within benefits structure or through… more
    Elevance Health (12/19/25)
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  • Lead Systems Engineer

    EPAM Systems (NY)
    …completion of migration to the cloud, and ensuring the ongoing optimization and utilization of our Webex environment. This position offers a unique blend of ... Conduct regular reviews and identify opportunities for further optimization and feature utilization + Provide technical leadership and expertise to the UCC team,… more
    EPAM Systems (12/19/25)
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  • Lead Customer Diagnostics Engineer

    GE Aerospace (Cincinnati, OH)
    …early detection and customer notification reports (CNRs), to maximize aircraft utilization . The Fleet Manager will also develop prognostic analytics to detect ... + Provide effective training to airline/operator customers to improve their utilization of the self-service diagnostic tools. + Identify product failure trends… more
    GE Aerospace (12/19/25)
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  • Industrial Engineering Manager 2

    Northrop Grumman (Oxnard, CA)
    …+ Develop and maintain applicable labor and resource requirements plans and utilization reports + Apply advanced engineering methods and models to develop optimal ... process designs and efficient utilization of resources **Basic Qualifications** + Bachelor's degree in a STEM discipline with eight years' experience performing… more
    Northrop Grumman (12/19/25)
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