- Raytheon (Marlborough, MA)
- …of technical disciplines, including product engineering, manufacturing, technical services , materials engineering, analysis and test, rapid hardware ... development/builds and configuration and data management documentation. The Rapid Hardware Solutions (RHS) department within Mechanical Engineering is chartered to… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …encourage you to apply! Job Description: Summary: This position supports the Utilization Management (UM) workflows by providing administrative support and ... outbound calls to customers (members and providers) by delivering excellent customer-centered service providing information regarding services in a call center… more
- Elevance Health (San Antonio, TX)
- …affordability, and personalized support throughout the consumer's treatment journey. **Title:** Utilization Management Representative II - Prior ... BioPlus offer consumers and providers an unparalleled level of service that's easy and focused on whole health. Through...location. **Build the Possibilities. Make an extraordinary impact.** The Utilization Management Representative II -… more
- Elevance Health (Ashburn, VA)
- ** Utilization Management Representative II** **Location:** Within 50 miles of a Pulse Point location in Virginia or North Carolina. **Hours:** Monday - ... Friday, from 9:30 am - 6:00 pm EST. The ** Utilization Management Representative II** is...an impact:** + Managing incoming calls or incoming post services claims work. + Determines contract and benefit eligibility;… more
- Elevance Health (Columbus, GA)
- ** Utilization Management Representative II** **Location :** Seeking candidates that reside within 50 miles of the **Atlanta, GA** or **Columbus, GA** ... days per week will be during these hours.** The ** Utilization Management Representative II** is...impact :** + Managing incoming calls or incoming post services claims work. + Determines contract and benefit eligibility;… more
- Elevance Health (Houston, TX)
- ** Utilization Management Representative II** **Location:** Within 50 miles of a Pulse Point location. **Hours:** Monday - Friday, 11:30 am - 8:00 pm EST The ... ** Utilization Management Representative II** is...an impact:** + Managing incoming calls or incoming post services claims work. + Determines contract and benefit eligibility;… more
- Elevance Health (Rocky Hill, CT)
- ** Utilization Management Representative I** **Location:** Within 50 miles of Wallingford or Rocky Hill, Connecticut **Hours:** Monday - Friday, from 8:30 am ... - 5:00 pm EST. The ** Utilization Management Representative I** is...an impact:** + Managing incoming calls or incoming post services claims work. + Determines contract and benefit eligibility;… more
- Elevance Health (Topeka, KS)
- ** Utilization Management Representative I** **Location:** Within 50 miles of a Pulse Point in Nevada, Kansas, or Texas **Hours:** Monday - Friday, an 8-hour ... hours of 7 am and 6 pm PST. The ** Utilization Management Representative I** is...an impact:** + Managing incoming calls or incoming post services claims work. + Determines contract and benefit eligibility;… more
- Matrix Providers (Aurora, CO)
- …in Handbook) + 401(k) Plan Minimum Requirements Registered Nurse (RN) Utilization Management : Degree/Education: Bachelor-s degree in nursing. Certifications: ... our team of talented professionals who provide health care services to our Military Service Members and...Management through the American Nurses Credentialing Center + Utilization Management Accreditation through National Committee for… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- …preferred Experience: Greater than 3 years clinical nursing experience required. Utilization management experience preferred. Must be self-directed and possess ... clinical expertise with knowledge of medical appropriateness criteria, and applies principles of utilization and quality management , and the management of… more
