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150 fresh jobs found

Authorization Coordinator
Dallas, TX, United States

Enhabit Home Health & Hospice

Insurance authorization CPT codes Eligibility verification HCPCS ICD-10 Authorization CPT Medicare Organization +1

Entry Mid Full Time

USD 40K+

VP, PHCO Utilization Management - Medicare & Duals
Remote-FL, United States

Centene Corporation

NCQA Ncqa standards Clinical Training Financial Forecasting Provider Relations Acute care Utilization Review Medical management Training Programs +21

Exec Senior Full Time

USD 182K+

Utilization Management Nurse
Work at Home - Florida, United States

CGX Interpreting Criteria MCG Clinical Nursing Medical Services Registered Nurse Clinical knowledge Utilization management BI +38

USD 71K+

Supply Chain Optimization Manager
REMOTE- Kansas, United States

Medline Industries, LP

Logistical consulting RFP Responses Healthcare industry Microsoft PowerPoint Supply chain Sales Management Logistics Microsoft Word Microsoft Excel +9

USD 78K+

VP, PHCO Utilization Management Medicaid & Marketplace
Remote-MO, United States

Centene Corporation

NCQA Ncqa standards Clinical Training Financial Forecasting Provider Relations Acute care Utilization Review Medical management Training Programs +21

USD 182K+

Post-Acute Utilization Management Nurse (Gulf South Region)
Work at Home - Tennessee, United States

Interpreting Criteria Rehab Health Plan Experience CMS guidelines Clinical Nursing Medical Services Consumer Experiences Discharge planning CMS +41

USD 71K+

Utilization Management Nurse (Gulf South Region)
Work at Home - Louisiana, United States

Milliman Interpreting Criteria Health Plan Experience MCG Clinical Nursing Medical Services Acute care Consumer Experiences Discharge planning +46

USD 71K+

Physician Reviewer, Utilization Management
Remote

Workflow Tools Medical necessity criteria Evidence-Based Guidelines Peer-to-peer discussions Clinical Review Technology Platform Clinical Practice Clinical Acumen Utilization Review +13

Senior Full Time

USD 211K+

H2O Claims & Prior Authorization Specialist
REMOTE OPTIONS, PHOENIX

State of Arizona

PMMIS Keyboard Medicaid programs Medical Documentation Reviewing Quality of care Program Design Policies and procedures Equal Opportunity +49

Entry Mid Full Time

USD 45K+

Senior Software Engineer, Monetization
United States

User Interface Performance Fintech Technologies Transaction Reliability Social Change Technical mentorship Payment Systems Technical Planning Scalable Infrastructure Elixir +24

Senior Full Time

USD 166K+

Sr. Product Manager - Identity and Authorization
Remote - USA, United States

OpenID Connect Pluralsight OIDC Technical Concepts User-centered design BI Tools SAML OAUTH Service Oriented Architecture +13

Senior Full Time

USD 131K+

Utilization Management Nurse Consultant
Work At Home-Virginia, United States

RN license Clinical Tools Benefit utilization Benefit management Data Review Telephonic Communication Discharge planning Medical necessity Utilization Review +18

USD 58K+

Sr. Manager, Network Planning & Design Optimization
Towson MD USA - 701 E Joppa Rd Bg 100-300, United States

Stanley Black & Decker

Manufacturing capabilities Capacity forecasting Supply chain optimization Qualitative analysis Quantitative analysis Storytelling Stakeholder engagement Financial analysis Finance +8

Senior Mid Full Time

USD 93K+

Utilization Management Nurse Consultant (Weekend)
Work At Home-Illinois, United States

Med Compass CM/UM certification IT platforms Med/surg Benefit utilization Coverage determination Benefit management RN licensure Clinical Criteria +23

Entry Mid Full Time

USD 64K+

Part Time Localization AI Data Project Manager
Argentina - Remote

CAT Tools Data services Localization Quality Control Data Modeling Power BI R MS Office Microsoft Excel +9

Mid Contract Part Time

USD 24K+

Workforce Management Optimization Associate
Remote

Mitigation Strategies Workforce management Lean Six Sigma Technology Platform Six Sigma Risk mitigation Lean Metrics Health Insurance +24

USD 84K+

Wisconsin Immigrant Serving Organizations Project Student Hourly
Partially Remote

University of Wisconsin-Madison

Regression models Ability to work independently Transcription Copy Editing Literature review Cleaning Qualitative analysis Data manipulation Project Coordination +25

Entry Full Time

USD 40K+

Supervisor, Prior Authorizations
US Remote

Healthcare research Payment analysis Google Enterprise Suite Healthcare reimbursement PHI Insurance Billing Healthcare policy Research and Analysis Insurance Verification +42

USD 76K+

PNW PACE Utilization Management RN
Working Virtually, United States

MultiCare Health System

Chart documentation Authorization Insurance Industry Clinical Experience Utilization management Judgment Nursing Health care Patient care +10

Senior Full Time

USD 98K+

Organizational Change Management Consultant - Remote
Nationwide Remote Office (US99), United States

ICF Remote-first

OCM strategy Prosci ADKAR Project plans Systems Management Organizational Change Management Workforce Scaled Agile Framework Scaled Agile Organizational Change +58

USD 81K+

Utilization Review Clinician - Behavioral Health
Remote-CA, United States

Centene Corporation

Education provision Medical appropriateness Clinical licensure Healthcare Collaboration Treatment plans Substance abuse Clinical Review Discharge planning Utilization Review +19

USD 95K+

Physician Reviewer, Utilization Management (part-time)
Remote

Workflow Tools Medical necessity criteria Evidence-Based Guidelines Peer-to-peer discussions Clinical Review Technology Platform Clinical Practice Clinical Acumen Utilization Review +13

Senior Part Time

USD 202K+

Revenue Cycle Optimization
Remote

The Wilshire Group

Denial prevention Authorization Management Financial Clearance Call center Operations Workflow Optimization Eligibility verification EPIC Revenue Cycle Management Patient Access +11

Senior Mid Full Time

USD 200K+

Visualization/SCADA Controls Engineer (Hybrid/Remote)
Grand Rapids, MI, United States, United States

Ethernet/IP Windows Server configuration Siemens Iconics Genesis64 Control system design Genesis32 Rockwell Wonderware +20

Senior Mid Full Time

USD 65K+

Utilization Review Clinician - Behavioral Health
Remote-NJ, United States

Centene Corporation

Case formulation Education provision Medical appropriateness Healthcare Collaboration Treatment plans Substance abuse Clinical Review Discharge planning Utilization Review +18

USD 52K+

Senior Vice President, Business Development - Video SaaS Streaming and Monetization
San Jose, California, United States; United States

OTT Systems Video streaming OTT Sales Strategy Business Development SaaS Organizational Leadership Sales +1

Senior Full Time

USD 250K+

Associate Revenue Cycle Analyst - Prior Authorizations
US Remote

UB revenue codes Procedure coding Modifier selection Insurance collections Medical billing systems Billing and Coding Billing Systems Team Player Dispute resolution +33

USD 59K+

Epic Optimization Specialist
Work at Home - Ohio - Other, United States

Ensemble Health Partners

System Build Epic certification Workflow Design Key Performance Indicators Color Performance monitoring User Acceptance Testing EPIC Revenue Cycle Management +11

USD 83K+

Director Analyst - Supply Chain Organizational Design and Development - US remote
Remote - New York City, United States

Research methodology Client interaction Organizational design Advisory Intellectual Curiosity Resilience Workshops Financial Acumen Project Planning +30

Exec Senior Full Time

USD 132K+

Utilization Management Review Nurse
Remote US, United States

Interpreting Criteria Health Plan Experience Clinical Nursing Rehabilitation Medical Services Health outcomes Acute care Consumer Experiences Registered Nurse +46

USD 71K+

TxDMV - Organizational Change Manager (Project Manager V) (Remote in Texas)
Texas-Austin

Texas Comptroller of Public Accounts

Stakeholder Analysis Communication Planning IT systems Financial Operations Report Preparation Organizational design Independent Judgment Performance Measurement Training Development +10

Senior Mid Full Time

USD 102K+

Inbound Optimization Lead, Demand Generation Specialist
Chicago, IL; Washington, DC; Bellevue, WA

Okta Remote-first

Analyst reports Inbound marketing Web optimization Customer identity Customer Journey Access Management Identity and Access Management Campaign Optimization Okta +27

Senior Mid Full Time

USD 103K+

App Modernization Director - Remote
United States

App modernization Sales partnership Strategic thought leadership Gen AI Strategic Relationships Partner Engagement Co-selling Partner Sales Content +30

Exec Senior Full Time

USD 103K+

Lead Site Survey Engineer, Department of the Air Force (DAF) Base Infrastructure Modernization (BIM)
Remote, US

Lumen Technologies

Wired Infrastructure Site Survey Network Cabling Wireless Infrastructure Engineering principles Technical Specifications MS Project Telecommunications System Integration +12

Senior Full Time

USD 103K+

Growth PM, Mobile Optimization
New York City

AB Tasty Mobile UX/UI design Statsig Adobe Target Mobile product management Mobile Measurement Firebase Mobile Optimization Appsflyer +23

USD 210K+

Senior Organizational Change Management Analyst for SAP
999 REMOTE, United States

CACI International Inc

SAP S/4 HANA Communication Planning Organizational Change Management HANA Application Support System Integration Learning and development Project Digital solutions +23

Senior Full Time

USD 74K+

Lead Data Scientist, Infrastructure Optimization
US CA Remote, United States

ServiceTitan Remote-first

Skforecast H2O Bidding recommendation engines Statsmodels Home Service Industry Time series forecasting SciPy Anomaly Detection XGBoost +24

Senior Full Time

USD 154K+

Senior Business Systems Analyst – Finance Modernization
Work From Home, USA, United States

Finance Applications System Configuration Retirement Solutions Investment solutions Annuities Retirement plans Employee Benefits Requirements Gathering Database Management +27

Senior Full Time

USD 85K+

Senior Counsel - Technology Commercialization
(USA) CA SUNNYVALE Home Office SUNNYVALE III - 840 W CALIFORNIA, United States

Technology commercialization Data protection laws Product counseling Data Privacy Compliance Legal expertise Contract drafting Risk Identification Contract Review Standard Operating Procedures +8

Senior Full Time

USD 169K+

Mapping & Localization Engineer
Los Angeles, CA

Geospatial datasets RGB-D Camera SLAM Lidar Cloud Applications Mapping Localization CUDA +8

USD 119K+

Senior Manager, Software Engineering-Growth & Monetization (USA)
San Francisco, California, USA

Software Development Practices Build Automation Technical mentorship Multi-cloud Test Automation Cloud Technology Performance Optimization Scalability Observability +3

Senior Full Time

USD 202K+

Senior Manager, Software Engineering-Growth & Monetization (USA)
Detroit, Michigan, USA

Software Development Practices Build Automation Technical mentorship Multi-cloud Concurrency Test Automation Cloud Technology Performance Optimization Scalability +4

Senior Full Time

USD 202K+

Senior Manager, Software Engineering-Growth & Monetization (USA)
Dallas, Texas, USA

Software Development Practices Build Automation Technical mentorship Multi-cloud Concurrency Test Automation Cloud Technology Performance Optimization Scalability +4

Senior Full Time

USD 202K+

Senior Manager, Software Engineering-Growth & Monetization (USA)
Chicago, Illinois, USA

Software Development Practices Build Automation Technical mentorship Multi-cloud Concurrency Test Automation Cloud Technology Performance Optimization Scalability +4

Senior Full Time

USD 202K+

Senior Manager, Software Engineering-Growth & Monetization (USA)
Portland, Oregon, USA

Software Development Practices Build Automation Technical mentorship Multi-cloud Concurrency Test Automation Cloud Technology Performance Optimization Scalability +4

Senior Full Time

USD 202K+

Senior Learning & Organizational Development Program Manager
Remote, US

GitLab Remote-first

Data-driven measurement Inclusive Design Learning Design Strategic Relationships Adult Learning Principles Asynchronous Work Program Implementation Digital Platforms Ai-powered devsecops +32

Senior Full Time

USD 84K+

Search Engine Optimization Specialist
São Paulo, State of São Paulo, Brazil - Remote

SEO Audits Backlink Building Data Studio Analytics Reporting Off-page SEO Content Optimization Technical SEO PPC Keyword Research +5

USD 36K+

Search Engine Optimization Specialist
Metro Manila, Philippines - Remote

SEO Audits Backlink Building Data Studio Analytics Reporting Off-page SEO Content Optimization Technical SEO PPC Keyword Research +5

USD 36K+

OD Practice Lead – Organization Design – Remote
East Hanover, United States

Methodology Development Organization design Project delivery Methodologies Talent Management Insights Influencing Medical Performance Management +17

Senior Full Time

USD 194K+

Prior Authorization Clinician RN
Work At Home-Oklahoma, United States

Precertification Navigating multiple systems Keyboarding Coverage determination Benefit management Benefit utilization Clinical Criteria RN licensure Clinical Judgment +18

USD 52K+

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