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Harris Health System Logo
Sales Rep - Marketplace Inside
Harris Health System

Houston, Texas

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AdventHealth Logo
Medical Assistant Primary Care
AdventHealth

Winter Haven, Florida

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Baylor Scott & White Health Logo
Patient Services Specialist
Baylor Scott & White Health

Fort Worth, Texas

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CHRISTUS Health Logo
OT, Occupational Therapist - Rehabilitation Hospital - Full Time
CHRISTUS Health

Texarkana, Texas

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CHRISTUS Health Logo
Manager Environmental Services - Housekeeping
CHRISTUS Health

Alamogordo, New Mexico

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BJC HealthCare Logo
Clinical Nurse High Risk Cardiac
BJC HealthCare

Belleville, Illinois

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Labcorp Logo
Health Educator (Wellness Worker) - North Central Region
Labcorp

Cleveland, Ohio

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Labcorp Logo
Phlebotomist Specialist -Client Office
Labcorp

Marietta, Georgia

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UCLA Logo
Front Desk Assistant, Orthopaedic Surgery (Per Diem)
UCLA

Los Angeles, California

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UCLA Logo
Research Finance Manager
UCLA

Los Angeles, California

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Duke University Health System Logo
Certified Medical Assistant (CMA) - Morreene Road Neurology Clinic
Duke University Health System

Durham, North Carolina

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Trinity Health Logo
Internal Medicine or Family Medicine - Hospitalist Opportunity
Trinity Health

Hartford, Connecticut

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Denver Health Logo
Registered Nurse (RN) - Acute Care - Med/Surg/Tele
Denver Health

Denver, Colorado

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Akron Children's Logo
Community Health Worker - Stark County Community
Akron Children's

Akron, Ohio

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Baylor Scott & White Health Logo
Medical Laboratory Scientist
Baylor Scott & White Health

Frisco, Texas

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Cedars Sinai Logo
Sr. Workplace Investigations Specialist
Cedars Sinai

Los Angeles, California

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Northeast Georgia Health System Logo
Registered Nurse - RN - Braselton ICU/CCU - FT Nights
Northeast Georgia Health System

Gainesville, Georgia

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Northeast Georgia Health System Logo
Accounts Payable Clerk
Northeast Georgia Health System

Gainesville, Georgia

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Denver Health Logo
Senior Business Intelligence Specialty Analyst - Denver Health Medical Plan (*Must Live In Colorado*)
Denver Health

Denver, Colorado

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AdventHealth Logo
RN M/S Ortho Days OR Nights
AdventHealth

Killeen, Texas

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Vanderbilt Health Logo
Program Manager for Executive Director (Hybrid)
Vanderbilt Health

Nashville, Tennessee

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WMCHealth Logo
Patient Care Technician
WMCHealth

Poughkeepsie, New York

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WakeMed Health & Hospitals Logo
PA or NP, Fellow - General Surgery
WakeMed Health & Hospitals

Raleigh, North Carolina

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CHRISTUS Health Logo
Clinical Supervisor Med Surg/Full Time
CHRISTUS Health

Santa Fe, New Mexico

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CHRISTUS Health Logo
RN, Registered Nurse Clinical Educator II - Nursing Education - Full Time
CHRISTUS Health

Texarkana, Texas

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Utilization Management Specialist
DescriptionUnder the direction and supervision of the Utilization Management Manager, the Utilization Management Specialist is responsible for overseeing the research, resolution and workflow development of out-of-network (OON) referral requests. This role reviews OON referral requests from members and providers, acting as a key liaison to facilitate timely, accurate, and efficient processing. In addition, the UM Specialist will:Ensure compliance with organizational guidelines and regulatory standards, promoting quality care access for members while optimizing network utilization and reducing unnecessary out-of-network expenses


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