Alaska or Arkansas or Arizona or Colorado or Florida or Hawaii or Iowa or Idaho or Illinois or Kansas or Louisiana or Maryland or Minnesota or Missouri or Montana or Nebraska or Nevada or New Mexico or North Carolina or North Dakota or Oklahoma or Oregon or South Carolina or South Dakota or Tennessee or Texas or Utah or Virginia or District of Columbia or Washington or Wisconsin or Wyoming or Phoenix
$101k-$107k/yrRemoteFull Time
TriWest Healthcare Alliance: Manages healthcare programs for veterans and military families.
3+ YOE3+ MgmtActive RN license, 3+ years healthcare experience, 3+ years supervisory experience, 2+ years utilization review/case management, U.S. citizenship and favorable DoD background investigation required.
InterQual, Microsoft Office, Microsoft Word, Microsoft Outlook, TriWest Intranet, Internet, International Classification of Diseases, Diagnostic and Statistical Manual of Mental Disorders, Current Procedural Terminology, Healthcare Common Procedural Coding System, American Dental codes
Maverick Transportation: Provides specialized flatbed and glass transportation and logistics services.
1+ YOE1+ years experience preferred; proficiency with SQL and Microsoft Excel; ability to audit dwell/detention data, produce reports, communicate with drivers/customers, and identify process improvements.
St. Bernards Healthcare: Regional healthcare system providing comprehensive medical and hospital services.
3+ YOEActive Arkansas RN licensure, minimum 3 years clinical nursing experience, BLS/CPR, case management or utilization review experience preferred, strong communication and clinical documentation skills.
ARcare: Provides comprehensive, accessible healthcare services to rural communities.
2+ YOEHigh school diploma, 2 years office experience with Microsoft Office, ability to use EMR and electronic data systems, recordkeeping and reporting skills, scheduling and coordination experience.
Universal Health ServicesNYSE: UHS: Operates acute care hospitals and behavioral health facilities.
Bachelor's degree in a related field; strong medical records review knowledge; familiarity with regulations; detail-oriented; good communicator; compassionate.
Arizona or Arkansas or Connecticut or Florida or Georgia or Idaho or Indiana or Iowa or Kansas or Kentucky or Louisiana or Michigan or Mississippi or Missouri or Montana or Nebraska or Nevada or New Hampshire or New Mexico or North Carolina or Oklahoma or Oregon or Pennsylvania or South Carolina or South Dakota or Tennessee or Texas or Utah or Virginia or West Virginia or Wisconsin
RemoteFull Time
Samaritan Health Services: Operates a regional network of non-profit hospitals and clinics.
5+ YOEUnencumbered Oregon RN within 90 days, 1 year clinical nursing plus 4 years health-plan utilization management, experience with managed care, data analysis, quality management, and electronic documentation.
Michigan or Mississippi or Pennsylvania or North Carolina or Maryland or Minnesota or Nebraska or Missouri or Colorado or New York or New Jersey or Arizona or Connecticut or Texas or District of Columbia or Florida or Rhode Island or Iowa or Alaska or Arkansas or South Dakota or Idaho or Illinois or Kansas or Tennessee or Virginia or Delaware or Wisconsin or Georgia or West Virginia or Oregon or Oklahoma
$29-$62/hrRemoteFull Time
CVS HealthNYSE: CVS: Provides retail pharmacy, health insurance, and pharmacy benefit management services.
3+ YOEActive unrestricted RN license in state of residence, 3+ years Med-Surg RN hospital experience, Associates in Nursing required (BSN preferred), 1+ year Microsoft Office (Outlook, Teams, Excel) experience, ability to work multiple IT platforms.
Microsoft Outlook, Microsoft Teams, Microsoft Excel
Unity Health: Providing comprehensive medical and hospital services in Arkansas.
Current Arkansas RN licensure (RN or LPN considered), strong clinical knowledge, experience with medical staff/hospitals and insurers, familiarity with ICD-CM and CPT, strong verbal/written communication, and chart review skills.
Utilization Management Behavioral Health Professional
Virginia or Texas or Tennessee or South Carolina or Pennsylvania or West Virginia or New York or Wisconsin or North Carolina or New Jersey or Massachusetts or Louisiana or Michigan or Kentucky or Maryland or Kansas or Indiana or Illinois or Georgia or Florida or Arkansas or Alabama or Vermont or Rhode Island or Maine or Delaware or Connecticut
$65k-$89k/yrRemoteFull Time
HumanaNYSE: HUM: Provides health insurance plans and clinical healthcare services.
1+ YOERequires behavioral health clinical licensure (RN/LCSW/LPC/LMFT/LCP/clinical psychologist), 1+ year post-degree clinical and 1+ year managed care experience, Microsoft Office proficiency, and remote work capabilities.
Microsoft Word, Microsoft Excel, Microsoft PowerPoint, HireVue
Conway Regional Health System: Provides comprehensive medical, hospital, and inpatient healthcare services.
1+ YOEActive Arkansas RN or LPN license required, proof of nursing education, preferred 1+ year case management/utilization review experience; strong chart review, documentation, and communication skills.
Arkansas Electric Cooperative Corporation: Provides wholesale electricity to member-owned electric cooperatives in Arkansas.
2+ YOEHigh school/GED required, 2+ years related experience (varies by level), valid driver's license, welding certification for welder qualification, ability to perform physical tasks and follow safety and regulatory procedures.
Summit Utilities: Distributes natural gas to residential and commercial utility customers.
High school diploma/GED, valid driver’s license, ability to work outdoors, perform physical labor, operate tools and heavy equipment, and respond to emergencies; DOT drug testing applies.
Arkansas or Arizona or Florida or Georgia or Iowa or Illinois or Kansas or Kentucky or Michigan or Minnesota or Missouri or North Dakota or Nebraska or Oklahoma or South Dakota or Tennessee or Texas or Virginia or Wisconsin
$70k-$105k/yrRemoteFull Time
Medica: Provides health insurance coverage and health plan administration services.
5+ YOEBachelor's or equivalent and 5 years experience beyond degree; active LPN or RN license required (active unrestricted RN required); clinical assessment, UM and appeals experience preferred.
Strategy Consultant - Utilization Management and Medical Policy
Pennsylvania or Maryland or Washington or North Carolina or Louisiana or Kentucky or Kansas or Indiana or Illinois or Georgia or Iowa or Florida or Colorado or California or Delaware or Connecticut or Arkansas or Arizona or Alabama or Alaska or Nevada or Vermont or Tennessee or Idaho or Oklahoma or Hawaii or Mississippi or Utah or New Hampshire or New Mexico or Wyoming or North Dakota or South Dakota or Rhode Island or West Virginia or Montana or Texas or District of Columbia or Ohio or New Jersey or Oregon or South Carolina or Missouri or Virginia or Massachusetts or Nebraska or Minnesota or Michigan or Wisconsin or New York or Maine
$109k-$181k/yrRemoteFull Time
Highmark Health: Provides health insurance and integrated medical care services.
6+ YOEMasters in Business/Healthcare/Economics required (or Bachelor's with experience),6+ years related experience (or 2 years post-grad consulting plus 6 years related),healthcare strategy experience,advanced data modeling and analytics skills.
SQL, Python, R, Power BI, Tableau, Microsoft PowerPoint, Microsoft Excel, EHR, ICD-10
Baptist Health: Provides comprehensive medical care and healthcare education in Arkansas.
Current Arkansas RN license, UR experience in acute care, supervisory experience leading teams (10–15), BSN required, postgraduate degree preferred, UR certification preferred.
New York City or Milwaukee or Herndon or Dallas or Columbus or Kirkland or Irvine or Cincinnati or Cleveland or Oklahoma City or Austin or Albany or Chicago or Arlington or St. Petersburg or Hartford or Pittsburgh or St. Louis or Miami or Sacramento or Raleigh or Minneapolis or Mountain View or Scottsdale or Morristown or San Francisco or Denver or Boston or Philadelphia or Des Moines or Overland Park or Los Angeles or Charlotte or Walnut Creek or Carmel or Seattle or Houston or Arlington or Atlanta or Redmond or Bentonville or Beaverton or Nashville or Detroit or San Diego
$139k-$434k/yrHybridFull Time
AccentureNYSE: ACN: Global provider of management consulting and technology services.
10+ YOE10+ years in utility GIS solution architecture with full‑lifecycle ArcGIS Utility Network implementations; experience advising utility executives, defining enterprise GIS architecture, and leading large transformation programs; must be eligible to work in the US and willing to travel.