239 utilization management jobs at 122 companies in Naperville, IL
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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.
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.
Atlanta or Chicago or Cincinnati or Cleveland or Denver or Southfield or Indianapolis or Minneapolis or Washington or Washington
OnsiteFull Time
Taft Stettinius & Hollister: Provides comprehensive legal services to corporate and individual clients.
J.D.; experience in innovation, knowledge management, legal operations, or similar; hands-on use of legal generative AI tools; strong training, communication, and client-focused skills.
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.
Northwestern Medicine: Academic health system providing clinical care and medical research.
3+ YOEIllinois RN license, Bachelor of Science in Nursing, and 3+ years of related clinical experience required; master's degree and case management certification preferred.
Chicago or New York or United States or Detroit or Arlington or Boston
$68k-$113k/yrHybridFull Time
Guidehouse: Provides management and technology consulting services to diverse organizations.
1+ YOEUS citizen or permanent resident; bachelor’s in business/economics/STEM with 1+ years utilities experience or master’s; multiple seniority levels; strong communication; willingness to travel; onsite or client location.
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.
NiSourceNYSE: NI: Provides regulated natural gas and electric utility services.
Bachelor's degree,8+ years in utility/energy/infrastructure leadership with P&L and portfolio accountability,experience with large-load customers and cross-functional program delivery,strong communication,negotiation and decision-making skills.
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.
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.
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
Oracle Services - Meter Data Management (MDM) Functional Architect Manager- Tech Cons-Open Location
Chicago or United States
$143k-$262k/yrHybridFull Time
EY: Global firm providing audit, tax, and professional consulting services.
5+ YOEBachelor's degree, 5+ years of Oracle Utilities implementations, Meter Data Management expertise, Oracle Utilities Application Framework experience, business analysis and change management skills, and willingness to travel up to 75%.
Oracle Utilities Customer to Meter (C2M), Customer Cloud Service (CCS), Oracle Utilities Application Framework, RICE
CEDA: Providing social and economic assistance to Cook County residents.
3+ YOE3+ years in utility/energy efficiency programs with operations or program management; experience with contractors; strong reporting and metrics; valid driver’s license and reliable transportation.
Chicago or Seattle or Los Angeles or New York City or San Francisco or United States
$280k-$308k/yrHybridFull Time
West Monroe: Business and technology consultancy specializing in digital transformation.
12+ YOE8+ MgmtBachelor's or equivalent; 12+ years in energy & utilities; 8+ years consulting; deep utility modernization expertise; experience with AMI/ADMS/DER/CIS/ERP/EAM; AI tool experience; ability to travel 25–50%; must work in US without sponsorship.
AMI, ADMS, FAN, Distribution Automation, DER, CIS, ERP, EAM, ChatGPT