313 utilization management jobs at 144 companies in Waukegan, 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.
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.
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.
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.
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
SAP Enterprise Asset Management (EAM) Manager – Utilities
Albany or Arlington or Atlanta or Austin or Beaverton or Bentonville or Boston or Carmel or Charlotte or Chicago or Cincinnati or Cleveland or Columbus or Culver City or Denver or Des Moines or Detroit or Hartford or Houston or Irving or Kirkland or Miami or Milwaukee or Minneapolis or Morristown or Mountain View or Nashville or New York City or Oklahoma City or Overland Park or Philadelphia or Pittsburgh or Raleigh or Redmond or Sacramento or San Diego or San Francisco or Scottsdale or Seattle or St. Louis or St. Petersburg or Walnut Creek or United States
$80k-$294k/yrOnsiteFull Time
AccentureNYSE: ACN: Global professional services firm providing consulting and technology solutions.
7+ YOE7+ years SAP Asset and Work Management expertise, 5+ years configuring implementations, 2 SAP S/4 end-to-end implementations, consulting experience, delivery-team management, and a bachelor's degree or equivalent experience.
SAP, SAP Asset and Work Management, SAP S/4HANA, SAP Business AI, Microsoft Excel
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
Ridgeland or Troy or New York City or Houston or Chicago or Grand Rapids or Owings Mills or Baltimore or Columbia or Memphis or Boston or San Jose or Austin or Kalamazoo or Spokane or Denver or Fort Worth or Atlanta or Milwaukee or Madison or McLean or Huntsville or Melville or Philadelphia or Charlotte or Greenville or Costa Mesa or Fort Lauderdale or Cincinnati or Cleveland or Columbus or Akron or Cherry Hill or Tampa or Minneapolis or Anchorage or Salt Lake City or Norfolk or Jacksonville or Boulder or Nashville or Oak Brook or Las Vegas or Indianapolis or Walnut Creek or Daphne or Mobile or Baton Rouge or Biloxi or Gulfport or Hattiesburg or Brentwood or Jackson or Arcadia or Tavares or Rolling Fork or Alturas or Silver City or Fort Myers or Forest or Clearwater or Greenville or Asheville or Greenwood or Boone or Aiken or Perry or Columbia or Belzoni or Naples or Amory or Chiefland or Palatka or Moss Point or Vero Beach or Edwards or Bidhan Nagar
$125k-$150k/yrHybridFull Time
BDO USA: Provides accounting, tax, and business advisory services to organizations.
5+ YOEBachelor’s degree and 5+ years in energy efficiency, utilities, or consulting, including utility or state-agency demand-side management, demand response, or greenhouse-gas reduction programs.
Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Demand-Side Management (DSM), Demand Response, Measurement and Verification (M&V), Project Management Professional (PMP), Certified Energy Manager (CEM), Business Energy Professional (BEP), Building Performance Institute (BPI), Leadership in Energy and Environmental Design (LEED)
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