Devoted Health: Provides Medicare Advantage insurance and integrated clinical care services.
3+ YOE1+ Mgmt3+ years utilization management/prior authorization experience, 1+ year supervisory experience, Medicare Advantage experience, knowledge of PA workflows, EHR proficiency, AI/LLM workflow experience, strong communication and analytical skills.
WellSense Health Plan: A nonprofit health insurance provider offering Medicare, Medicaid, and individual plans.
5+ YOE5+ years behavioral health utilization management experience in health insurance; master’s in behavioral health field or BSN; BCBA required; BLS/CPR not mentioned; strong documentation, clinical judgment, and Microsoft Office skills.
Microsoft Outlook, Microsoft Word, Microsoft Excel
Blue Cross Blue Shield of Massachusetts: Provides health and dental insurance plans and managed care.
3+ YOEDPT/MSPT/BSPT from CAPTE program, Massachusetts licensure within 6 months, 3-5 years clinical experience, utilization management experience preferred, ability to assess clinical documentation, InterQual proficiency, and electronic clinical record skills.
VericelNASDAQ: VCEL: Produces advanced cell therapies for sports medicine and burn care.
3+ YOEBachelor's in life sciences plus 3+ years (or Associate/GED plus 5+ years) in cGMP manufacturing, MS Office proficiency, OpCenter/MES experience preferred, Lean/Six Sigma certification within first year, strong communication and leadership skills.
OpCenter Execution Pharma, OpCenter APS, Siemens, Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Project
KARL STORZ: Developer and manufacturer of endoscopic medical equipment.
1+ YOE2–3 years OR sales/service or 1+ year KARL STORZ video/integration experience; Bachelor's preferred; willingness to travel 50–80%+; good driving record; ability to work in OR environments.
UnitedHealth GroupNYSE: UNH: Provides health insurance and technology-enabled health care services.
4+ YOEActive MA RN license, RAC/CT MDS certification prior to start, 4+ years nursing long-term care/record review, knowledge of Medicare/Medicaid and UM processes, HIPAA compliance, ability to travel across Massachusetts and reliable transportation.
Behavioral Health Intake and Utilization Review Coordinator
Providence, Rhode Island, United States
OnsiteFull Time
CharterCARE Health of Rhode Island: Regional healthcare network providing hospital and medical services.
2+ YOERN in Rhode Island with 2+ years behavioral health experience, knowledge of levels-of-care and utilization review, EHR proficiency, strong assessment, communication, and organizational skills.
MCG, InterQual, EHR, Microsoft Office Suite, API, Oracle, HealthStream, Meditech
5+ YOECompleted US residency/fellowship in Internal Medicine, MD or DO board certification, active state medical license, 5+ years clinical practice post-training, B2B managed care knowledge, clinical review experience desirable, comfortable with technology and able to obtain additional state licenses.
Registered Nurse Case Manager (RN) - Utilization Management (Per Diem)
Willimantic, Connecticut, United States
OnsiteAll Commitments Available
Hartford HealthCare: Hartford HealthCare provides medical services through hospitals and clinics.
5+ YOEThree years clinical nursing; two years in case management/discharge planning/utilization; Connecticut RN license; Bachelor's degree; MS Office; MIDAS experience a plus.
Registered Nurse Case Manager (RN) - Utilization Management (Per Diem)
Willimantic, Connecticut, United States
OnsiteAll Commitments Available
Hartford HealthCare: Integrated healthcare network providing comprehensive medical and behavioral services.
3+ YOEThree years clinical nursing; two years in case management, discharge planning, utilization review, or home care; CT RN license; Bachelor's degree; MIDAS and MS Office experience preferred.
CVS HealthNYSE: CVS: Provides retail pharmacy, health insurance, and pharmacy benefit management services.
3+ YOE3+ years analytic experience; programming in R or Python; experience with SQL; strong algorithm and predictive modeling knowledge; experience with LLMs/Generative AI preferred; bachelor’s degree or equivalent.
Partner, AI-Enabled CDI, Care Management, and Utilization Management Transformation
Boston or Chicago or New York City or Washington or Nashville or United States
$250k-$350k/yrRemoteFull Time
Chartis: Strategic consulting and data analytics for the healthcare sector.
10+ YOEBachelor's required (advanced preferred), 10+ years in CDI/care management/utilization management or healthcare consulting, deep knowledge of DRGs/denial prevention, EHR workflows, AI-enabled solutions, and strong executive communication.
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.
Senior Business Development Manager – Utilities (Americas)
Houston or New York City or Boston
HybridFull Time
Wood Mackenzie: Provides data and analytics for energy and natural resources.
5+ YOE5+ years selling into utilities with track record closing complex, long-cycle enterprise deals; experience with utilities stakeholders, strategic selling, pipeline management, and commercial acumen; Bachelor's degree required.
Peak Utility Services Group: Provides engineering and construction services for utility infrastructure.
5+ YOE1+ MgmtFive+ years construction, 3+ years dry utility (gas/electric), 1+ year management; driver’s license; pass background checks and drug screen.
Sr. Engineer, Facilities and Utilities, ARI Engineering Projects
West Greenwich, Rhode Island, United States
$115k-$156k/yrOnsiteFull Time
AmgenNASDAQ: AMGN: Develops and manufactures biotechnology medicines for serious diseases.
4+ YOESenior facilities engineer with extensive experience in site infrastructure, utilities, and fire/life safety in regulated manufacturing environments.