Manager Utilization Management: Multiple locations (remote) in Raleigh, NC for AmeriHealth Caritas

Use this area to filter your search results. Each filter option allows for multiple selections.

Discipline
Type
Level

Search Results: 1819 Jobs

Create Alert

Medical Director - Women's Health Opportunity in Beautiful Portland, Maine!

Northern Light Health

Portland, Maine

Director of Adult Outpatient Psychiatric Services Opportunity in Bangor, Maine

Northern Light Acadia Hospital

Bangor, Maine

Chief & Medical Director of OB/GYN at Tertiary Care Center in New England

Northern Light Eastern Maine Medical Center

Bangor, Maine

Medical Director - Primary Care, located in Beautiful and Historic Portland, Maine!

Northern Light Health

Portland, Maine

Medical Director of Hospital Medicine in Beautiful Portland, Maine

Northern Light Health

Portland, Maine

Hospitalist

Sky Lakes Medical Center

Klamath Falls, Oregon

NEW!

Manager, Claims Medicare

Harris Health System

Houston, Texas

NEW!

Trauma, Critical Care and Acute Care Surgery Opportunity

Trinity Health

Southeast, Michigan

NEW!

Physician - Houston, TX

Optum

Sugar Land, Texas

NEW!

Peds Neuro Muscular Program Nurse Navigator - Duke Hospital - Lenox Baker Children's Hospital

Duke University Health System

Durham, North Carolina

NEW!

Hospitalist

Sky Lakes Medical Center

Klamath Falls, Oregon

NEW!

Physician Leader - Landmark Health - Genesee County, MI

Optum

Flint, Michigan

NEW!

Rheumatology - WellMed Medical Group - Corpus Christi, TX

Optum

Corpus Christi, Texas

NEW!

Family Medicine Physician - Lynwood, CA

Optum

La Palma, California

NEW!

Registered Nurse Circulator .9 Full Time - Meridian

St. Luke's Health System

Meridian, Idaho

NEW!

Pediatric Hospitalist Opportunity

Trinity Health

Albany, New York

NEW!

Claims Audit Manager

Harris Health System

Houston, Texas

NEW!

Rheumatologist - Riverside

Southern California Permanente Medical Group

Wildomar, California

NEW!

Manager Network Contracting

CHRISTUS Health

Irving, Texas

NEW!

Physician - Urologist - Mercy Hospital South

Mercy

Saint Louis, Missouri

NEW!

Older Adult - Case Manager / Therapist

MultiCare Health System

Burien, Washington

NEW!

Sr. Counsel/VP Health Plan Operations

Harris Health System

Houston, Texas

NEW!

Dignity Health - Yavapai Regional Medical Group - Vascular Surgeon opportunity in the beautiful Pres

Dignity Health

Prescott, Arizona

NEW!

Physician - Urology - St. Louis MO

Mercy

Creve Coeur, Missouri

NEW!

Pulmonology Opportunity in Beautiful Prescott, Arizona

Dignity Health

Prescott, Arizona

NEW!

Manager Utilization Management: Multiple locations (remote)

Remote UM Leadership positions in multiple locations including North Carolina (requires state residency) and Delaware. Representing UM in state interactions and audits. Leads a team of RN clinical care reviewers for large Medicaid MCO. Partners with local plan leadership, including case management and provider network operations to achieve optimal member outcomes and plan compliance with state contracts. Develops solutions for process improvements to drive UM system functionality. Responsible for final validation and sign off of UM report submissions. Reviews corrective actions and prepares summaries of UM activity to support compliance.

This job listing is no longer active.

Check the left side of the screen for similar opportunities.

Loading...

Error