245 utilization management jobs at 130 companies in Hammond, IN
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Epic Tapestry Utilization Management
Boston or Chicago or New York City or Washington or Nashville
$85-$95/hrRemoteContract, Temporary
Chartis: Strategic consulting and data analytics for the healthcare sector.
Design, configure, implement, and support Epic Tapestry Utilization Management workflows; ensure regulatory compliance; perform testing and documentation; partner with clinical and operational teams.
Epic, Epic Tapestry, Tapestry Care Link, SmartTools, SmartText
Universal Health ServicesNYSE: UHS: Operates acute care hospitals and behavioral health facilities.
2+ MgmtBachelor's degree required (Master's preferred); 2+ years supervisory experience in mental health; knowledge of reimbursement, UM data and regulatory standards (JC, CMS, Illinois Mental Health Code); strong communication skills.
Utilization Management Lead-Utilization Review Full Time Days
Palos Heights, Illinois, United States
$41-$65/hrOnsiteFull Time
Northwestern Medicine: Academic health system providing clinical care and medical research.
3+ YOEBSN from an accredited nursing school and at least 3 years of case management experience in an acute care or healthcare setting. ACM certification and a master's degree are preferred.
Indianapolis or Iselin or Tampa or Miami or Wilmington or Cincinnati or St. Louis or Walnut Creek or Las Vegas or Woburn or Grand Prairie or Chicago or California or Illinois or Massachusetts or Nevada or New Jersey
$39-$56/hrRemoteFull Time
Elevance HealthNYSE: ELV: Provides health insurance plans and integrated healthcare services.
3+ YOERequires an associate degree in nursing or equivalent background, 3+ years of healthcare experience, active unrestricted RN license, and wound-care certification such as WOCN or CWS.
Utilization Management and Population Health Nurse
Chicago, Illinois, United States
OnsiteFull Time
Humboldt Park Health: A community-focused hospital providing healthcare services in Chicago.
Active RN licensure and bachelor\u0002s degree required; must meet health-plan licensure/certification requirements. Skills in care coordination, utilization review, patient outreach, education, and quality improvement.
Silver Cross Hospital: General hospital providing acute and outpatient healthcare services.
Current RN licensure, current CPR, knowledge of clinical norms, strong communication and critical thinking; experience in utilization review, case management or hospital nursing preferred.
Health - Network Performance / Utilization Manager
Chicago, Illinois, United States
$80k-$294k/yrFieldFull Time
AccentureNYSE: ACN: Global provider of management consulting and technology services.
5+ YOEMinimum 5 years in network strategy/utilization analytics or healthcare market analysis; 2 years assessing providers in Medicaid- or financially stressed environments; 2 years converting claims/encounter/provider/market data into recommendations; Bachelor's degree.
Business Finance Revenue Cycle Utilization Manager
Chicago or Austin or Atlanta or United States or Denver or Detroit or Philadelphia or Houston or Tampa or Dallas or Charlotte or Raleigh or Louisville
RemoteFull Time
Sevita: Specialized home and community-based healthcare and rehabilitation provider.
5+ YOE3+ MgmtBachelor's degree or 5+ years relevant experience, prior management experience, 3–5 years managing hourly staff, strong communication and analytical skills, and revenue cycle or healthcare systems experience.
Guidehealth: AI platforms and managed services for value-based healthcare providers.
3+ YOEActive Illinois RN license, 3+ years healthcare experience, knowledge of utilization review/managed care, Microsoft 365 skills, strong clinical judgment and communication, ability to meet CE requirements.
Microsoft 365, Microsoft Word, Microsoft Excel, Microsoft PowerPoint
CVS HealthNYSE: CVS: Provides retail pharmacy, health insurance, and pharmacy benefit management services.
3+ YOEMD or DO with an unrestricted U.S. medical license, 3+ years primary care clinical practice, 1+ year UM experience with Medicare/Medicaid, strong communication, managed care knowledge, and US work authorization.
PepsiCoNASDAQ: PEP: Produces and distributes global snack and beverage products.
7+ YOEBachelor's degree in engineering and 7–9 years of project engineering experience in manufacturing, equipment installation, packaging, processing, utilities, and project management; travel up to 30–50%.
SAP myBuy, Microsoft Excel, Microsoft PowerPoint, CAD, Microsoft Project, TPM, LSS
Utilization Management Medical Director - Medical Oncology - Remote anywhere in US
Houston or Chicago or Atlanta or Phoenix or Los Angeles or Saint Louis or San Diego or Dallas or Philadelphia or Seattle
$249k-$373k/yrRemoteFull Time
UnitedHealth GroupNYSE: UNH: Provides health insurance and technology-enabled health care services.
5+ YOEMD or DO with current medical license; Board Certification in Oncology; 5+ years clinical experience in oncology; NCCN guideline experience; able to support utilization review and case/disease management.
Powers Health: Non-profit health system offering comprehensive medical and surgical hospital services.
2+ YOEHigh school diploma, 35 words-per-minute typing, proficiency with internet, intranet, email, and online applications, plus time management and interpersonal skills. Healthcare experience and associate degree preferred.
ExelonNASDAQ: EXC: Electric utility holding delivering energy to customers.
Seeking mid-level and senior project management professionals with utility, infrastructure, engineering, or construction experience to attend a recruitment fair.
PepsiCoNASDAQ: PEP: Global food and beverage manufacturer and distributor.
7+ YOEBachelor's degree in engineering and 7–9 years of project engineering experience in manufacturing, equipment installation, packaging, processing, utilities, and project management; strong people leadership skills required.
SAP myBuy, Microsoft Excel, Microsoft PowerPoint, CAD, MS Project
Asset Management Specialist with Cascade Experience - REMOTE WORK
Hammond or United States
$80k-$150k/yrRemoteFull Time
Orbital Engineering: Provides engineering, inspection, and construction services for industrial infrastructure.
5+ YOEBachelor of Science in Engineering (ABET), 5+ years electric utility asset management experience, proficiency with DNV Cascade 4 and Microsoft Office, ability to read engineering drawings, excellent communication, and ability to pass post-offer drug/alcohol testing.
PepsiCoNASDAQ: PEP: Global manufacturer and distributor of snacks and beverages.
7+ YOEBachelor's degree in engineering and 7–9 years of project engineering experience, including manufacturing, packaging, utilities, CAPEX, and project management; travel of 30–50% required.
SAP myBuy, Microsoft Excel, Microsoft PowerPoint, CAD, Microsoft Project
Cook County or DuPage County or Will County or Lake County or Kane County or McHenry County
$81k-$121k/yrHybridFull Time
Metra: Operates regional commuter rail services in the Chicago area.
4+ YOEBachelor's in engineering/architecture/construction management or equivalent; 4+ years permitting/utility coordination; municipal permitting and underground utility knowledge; Microsoft 365 proficiency; ability to lift 50 lbs and operate a vehicle.
Microsoft 365, Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Project, Microsoft Power BI