Utilization management Jobs

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Senior Project Solution Manager (Utilization Management) - Remote

Prime Therapeutics, LLC

Remote or Washington, District of Columbia, USA

Full-time

Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make. Job Posting Title Senior Project Solution Manager (Utilization Management) - Remote Job Description Summary Responsible for the management of a variety of projects for corporate and/or strategic business unit (SBU). Provides support through the planning and execution of these projects. Support may include establishing de

QI Nurse Specialist (RN) (Utilization Management)

CalOptima

Remote

Full-time

QI Nurse Specialist (RN) (Utilization Management) CalOptima CalOptima Health is seeking a highly motivated an experienced QI Nurse Specialist (RN) (Utilization Management) to join our team. The Quality Improvement (QI) Nurse Specialist for Utilization Management (UM) is responsible for overseeing UM for CalOptima Health's direct network and delegated Health Network teams. The incumbent will be responsible for ensuring standards are met for operational and oversight compliance and UM operations a