188 utilization jobs at 94 companies in Mississippi
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Coordinator-RN Utilization (NE)
Tupelo, Mississippi, United States
OnsiteFull Time
North Mississippi Health Services: Integrated health care system serving Northeast Mississippi.
5+ YOEAssociates degree in nursing and active Mississippi RN license required; minimum 5 years clinical/healthcare experience; ACM desirable; knowledge of payer regulations and strong communication skills.
Arizona or Arkansas or Connecticut or Florida or Georgia or Idaho or Indiana or Iowa or Kansas or Kentucky or Louisiana or Michigan or Mississippi or Missouri or Montana or Nebraska or Nevada or New Hampshire or New Mexico or North Carolina or Oklahoma or Oregon or Pennsylvania or South Carolina or South Dakota or Tennessee or Texas or Utah or Virginia or West Virginia or Wisconsin
RemoteFull Time
Samaritan Health Services: Operates a regional network of non-profit hospitals and clinics.
5+ YOEUnencumbered Oregon RN within 90 days, 1 year clinical nursing plus 4 years health-plan utilization management, experience with managed care, data analysis, quality management, and electronic documentation.
Georgia or Mississippi or Oregon or Idaho or Arizona or Oklahoma or Minnesota or Nevada or California
$26-$56/hrRemoteFull Time
CVS HealthNYSE: CVS: Provides retail pharmacy, health insurance, and pharmacy benefit management services.
3+ YOEActive unrestricted RN license in state of residence,3+ years RN experience including 1+ year Med/Surg,Associate Degree in Nursing,EMR and Microsoft Office proficiency,ability to work weekday 9am–6pm with holidays/evenings.
Microsoft Outlook, Microsoft Teams, Microsoft Excel, MedCompass
Freedom Behavioral: Provides specialized inpatient and outpatient psychiatric services for adults and seniors.
2+ YOE2+ years behavioral health or case management experience; knowledge of levels of care and medical necessity; EMR proficiency; strong communication and organizational skills.
University of Mississippi Medical Center: Provides clinical care, medical education, and health research.
1+ YOEValid RN license, 1+ year inpatient nursing experience, knowledge of utilization review/case management, familiarity with ICD-10/CPT/DSM-IV, strong communication and computer skills.
Avēsis: Administers supplemental dental, vision, and hearing health insurance benefits.
2+ YOEDental clinical expertise to review x-rays and records for prior authorizations; 2+ years dental assistant or hygienist experience; high school diploma; 13–18 cases/hour productivity; reliable high-speed internet and remote workspace.
Microsoft Teams, Microsoft Outlook, Microsoft Office, Windows
Strategy Consultant - Utilization Management and Medical Policy
Pennsylvania or Maryland or Washington or North Carolina or Louisiana or Kentucky or Kansas or Indiana or Illinois or Georgia or Iowa or Florida or Colorado or California or Delaware or Connecticut or Arkansas or Arizona or Alabama or Alaska or Nevada or Vermont or Tennessee or Idaho or Oklahoma or Hawaii or Mississippi or Utah or New Hampshire or New Mexico or Wyoming or North Dakota or South Dakota or Rhode Island or West Virginia or Montana or Texas or District of Columbia or Ohio or New Jersey or Oregon or South Carolina or Missouri or Virginia or Massachusetts or Nebraska or Minnesota or Michigan or Wisconsin or New York or Maine
$109k-$181k/yrRemoteFull Time
Highmark Health: Provides health insurance and integrated medical care services.
6+ YOEMasters in Business/Healthcare/Economics required (or Bachelor's with experience),6+ years related experience (or 2 years post-grad consulting plus 6 years related),healthcare strategy experience,advanced data modeling and analytics skills.
SQL, Python, R, Power BI, Tableau, Microsoft PowerPoint, Microsoft Excel, EHR, ICD-10
Compass GroupLondon Stock Exchange: CPG: Provides contract food and support services globally.
Maintains kitchen work areas, cleans equipment and utensils, complies with sanitation and safety standards; previous food service utility experience preferred.
New York City or Lake Mary or New York or North Dakota or Indiana or Virginia or Texas or Tennessee or South Carolina or Pennsylvania or Ohio or Nevada or New Jersey or North Carolina or Minnesota or Maryland or Massachusetts or Kansas or Illinois or Iowa or Georgia or Florida or Delaware or Connecticut or Colorado or New Hampshire or Vermont or Arizona or Alabama or Maine or Utah or Mississippi or Montana or South Dakota or Nebraska or New Mexico or Washington or Michigan or Oklahoma
$73k-$120k/yrRemoteFull Time
Healthfirst: Provides not-for-profit health insurance coverage to New York residents.
Active registered nurse (rn) required; experience in appeals & grievances, utilization review, claims processing preferred; familiarity with Utilization Review guidelines and care management systems; strong documentation and case management skills.
Microsoft Word, Microsoft Excel, Macess, CCMS, TruCare, Hyland, InterQual, Milliman
The Davey Tree Expert Company: Provides tree care, landscaping, and environmental consulting services.
Supervise crews for large tree removal and utility line clearance; operate and maintain chainsaws, chippers, and aerial lifts; valid driver's license; certifications (pesticide/herbicide/line clearance/ISA) preferred; utility tree experience preferred.
Sales Director, Electric Meters - Southeast Remote
United States or Portsmouth or Florida or Georgia or North Carolina or South Carolina or Tennessee or Alabama or Mississippi
RemoteFull Time
HubbellNYSE: HUBB: Designs and manufactures electrical products and utility infrastructure solutions.
5+ YOEBachelor's degree required, 5+ years utility industry and 5+ years sales/commercial/product experience, strong utility relationships, advanced knowledge of electric meters/AMI, familiarity with electrical standards, Salesforce and Microsoft Office experience, ability to travel up to 60%.
Salesforce.com, Microsoft Word, Microsoft Excel, Microsoft PowerPoint
4-County Electric Power Association: Distributes electric power and broadband internet to northeast Mississippi.
2+ YOEHigh school/GED, minimum 2 years electric distribution utility experience, ability to operate underground line locator, read computerized distribution maps, valid driver\u0000s license, lift 50 lbs, use Partner Mapping and PCs, work outdoors in all seasons.