716 utilization jobs at 302 companies in Greenbelt, MD
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Utilization Reviewer
Largo, Maryland, United States
OnsiteFull Time
University of Maryland Medical System: Operates hospitals and clinics providing comprehensive medical healthcare services.
Active Maryland RN licensure (or compact eligibility) required; utilization/case management and acute care experience preferred; CPUR preferred; strong communication and analytical skills.
Commonwealth of Virginia: State government providing public services to Virginia residents.
Knowledge of inpatient psychiatric treatment, utilization management, third-party reimbursement, and regulatory requirements; ability to conduct chart and continued-stay reviews, communicate with clinicians and payers, produce reports, and write policies.
Luminis Health: Provides comprehensive hospital and healthcare services in Maryland.
3+ YOECurrent Maryland RN license, BSN (or ADN with equivalent experience; BSN to be completed within 5 years), 3 years acute care nursing, chart review and utilization management experience, EPIC proficiency.
LifeBridge Health: Provides hospital and comprehensive healthcare services in Maryland
Utilization review experience required; BSN from CCNE-accredited school required (with exceptions for internal candidates); discharge planning and care coordination skills.
CareFirst BlueCross BlueShield: Provides health insurance coverage and administrative healthcare services.
3+ YOERN licensure, 3+ years medical/surgical experience, knowledge of utilization review and accreditation standards, supervisory experience, strong analytical and communication skills, Microsoft Office proficiency.
MedStar Health: Operates hospitals and provides diverse clinical healthcare services.
3+ YOEAssociate degree in nursing required (BSN preferred); active Maryland RN licensure; 3+ years acute care experience; 2 years UR/case management preferred; CCM preferred; strong documentation, problem-solving, and computer skills; local to DC/MD region.
UnitedHealth GroupNYSE: UNH: Provides health insurance and technology-enabled health care services.
2+ YOEHigh school diploma/GED, 2+ years managed care experience, knowledge of medical terminology and referral processes, strong communication and data-entry skills, valid Texas driver’s license.
Director Utilization Management MedStar Family Choice
Washington, District of Columbia, United States
$121k-$238k/yrOnsiteFull Time
MedStar Health: Providing comprehensive healthcare services and patient care.
8+ YOE5+ MgmtProvides enterprise UM leadership; requires bachelor's in nursing/social work/related, RN licensure in MD/DC, 8+ years managed care experience, 5+ years UM leadership, InterQual experience, strong data and communication skills.
Verida: Manages non-emergency medical transportation for Medicaid and Medicare members.
2+ YOEActive RN licensed in DC/MD/VA, 2+ years clinical/utilization review or case management experience, strong clinical judgment, Medicaid knowledge, excellent communication, and ability to manage competing priorities.
American WaterNYSE: AWK: Provides regulated water and wastewater services to US customers.
Performs construction, operation and maintenance of water distribution systems; must work safely, handle chemicals, operate trucks and equipment, and perform physical outdoor tasks.
Scope Services: Provides infrastructure and workforce solutions for the utility industry.
1+ YOEHigh school diploma, valid driver's license, ability to pass background and drug screen, 1+ year field or hand-tools experience preferred, ability to work outdoors and drive company vehicle.
Stake Center Locating: Identifies and marks underground utility lines for excavation safety.
Entry-level role; 18+; high school diploma or equivalent; valid driver license and acceptable driving record; pass background and drug screen; able to walk up to 5 miles and lift up to 25 lbs (assisted lifting up to 75+ lbs).
DC Water: Distributes drinking water and treats wastewater for District residents.
5+ YOEBachelor's in environmental/chemical engineering, 5+ years wastewater process experience, Class IV wastewater operator within 24 months, DC PE or reciprocity within 6 months, strong troubleshooting and process control skills.
PLC, HMI, Process Control and Computer System, Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Outlook, Microsoft Teams
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.
Senior Technical Infra Program Manager, DC Power Utilization Management
Seattle or Arlington or Herndon
$149k-$201k/yrOnsiteFull Time
AmazonNASDAQ: AMZN: Global online retail and cloud computing technology provider.
5+ YOE5+ years program or technical project management experience, bachelor's degree or equivalent, experience owning program strategy and delivery, strong communication, technical aptitude, and proficiency with Microsoft Office, Microsoft Project, and Microsoft SharePoint.
Microsoft Office, Microsoft Project, Microsoft SharePoint, Tableau, KanBan, Playbook, SQL
Redwood City or Texas or Oregon or Washington or Washington or Ohio or Chicago
$185k-$285k/yrHybridFull Time
GridCARE: Unlocking electrical grid capacity for AI data center power.
10+ YOE10+ years in utility business development or senior utility leadership, established utility executive relationships, deep utility industry and regulatory knowledge, startup/commercial experience, bachelor's degree required.
Samsung BiologicsKorea Exchange: 207940: Global contract development and manufacturing organization for biopharmaceuticals.
5+ YOEBS in engineering; 5+ years utilities/facility engineering in biopharma; knowledge of utility systems; project engineering; MS Project; PE preferred.
MS Project, Microsoft Word, Microsoft Excel, Microsoft PowerPoint