353 utilization jobs at 135 companies in New Port Richey, FL
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Utilization Reviewer 2
Tampa, Florida, United States
$60k-$76k/yrOnsiteFull Time
Enlyte: Providing technology and clinical services for insurance claims management.
2+ YOEFL-licensed RN or chiropractor, Bachelor's degree, 2+ years utilization review experience (or advanced degree), knowledge of medical terminology, strong analytical and communication skills.
Enlyte: Provides technology and clinical services for insurance claims management.
2+ YOEFlorida RN or chiropractor license required, bachelor’s degree, minimum 2 years utilization review experience (or advanced degree), knowledge of medical terminology, strong analytical and communication skills.
Acadia HealthcareNASDAQ: ACHC: Provides inpatient and outpatient behavioral healthcare and addiction treatment.
High school diploma or equivalent and clinical experience, or 2+ years working with the facility population. Requires CPR and de-escalation/restraint certification; clinical licensure preferred.
Tampa General Hospital: Provides specialized medical care and academic hospital services.
3+ YOEFlorida RN license and three years of practicing RN experience required. Utilization management experience preferred. Requires utilization review expertise, medical necessity assessment, payer collaboration, documentation, and Microsoft applications.
InterQual, Electronic Medical Records (EMR), utilization management systems, Microsoft Outlook, Microsoft Teams, Microsoft Word, Microsoft Excel
Children's Network of Hillsborough: Managing state-contracted child welfare and foster care services.
1+ YOEBachelor's degree and at least one year in child welfare, social services, behavioral health, or a related field. Requires driver's license, insurance, Microsoft Office proficiency, and 45 wpm typing.
Microsoft Office Suite, Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Access, Microsoft Publisher, Microsoft Outlook
BayCare Health System: Operates non-profit hospitals and outpatient healthcare facilities in Florida.
2+ YOEHigh school diploma or equivalent and 2 years' experience in case management, medical billing, or registration; perform UM liaison, administrative support, and coordination of case management services.
Clean Recovery Centers: Provides addiction treatment and mental health recovery services.
Manage insurance authorizations, review medical necessity and records, navigate EMRs and payer portals, communicate with clinicians and payors, and track denials; high school diploma and attention to detail required.
EMR, payspan, zelis, Microsoft Word, Microsoft Outlook, Microsoft Excel, Adobe, InterQual, ASAM, LOCUS
Meridian or Atlanta or Lake Mary or Indianapolis or Louisville or Tampa or Miami or Durham or Columbus or Winston-Salem
RemoteFull Time
Elevance HealthNYSE: ELV: Provides health insurance plans and integrated healthcare services.
1+ YOERequires a high school diploma or GED and at least 1 year of customer service or call-center experience; inbound call center and medical or insurance experience preferred.
Cobalt Benefits Group: Manages self-funded health and dental benefit plans for employers.
High school diploma or equivalent; strong computer, organizational, communication, prioritization, and decision-making skills. Medical office or hospital experience is preferred but not required.
Windows, Microsoft Word, Microsoft Excel, Microsoft Outlook, Electronic Medical Records (EMR), ICD-10, CPT
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.
Olameter: Provides utility meter reading and infrastructure asset management services.
No experience required; paid training provided. Requires a valid driver's license, pre-employment screenings, outdoor physical work, basic computer skills, mapping ability, and accurate data recording.
U.S. Water Services Corporation: Operates and maintains municipal water and wastewater utility systems.
2+ YOERequires Class B or higher wastewater operator license, high school diploma or GED, 2+ years of experience, and a valid driver's license. Duties involve plant operations, testing, equipment maintenance, chemical handling, and compliance records.
Peoples GasToronto Stock Exchange: EMA: Distributes natural gas to homes and businesses across Florida.
1+ YOEHigh school diploma, valid Florida driver's license, 1 year of natural gas operations experience, map reading, computer and equipment skills, basic math, judgment, communication, and pipeline regulation knowledge.
mobile leakage survey vehicle, electronic testing equipment, manual testing equipment, communication devices, power tools
City of Tarpon Springs: Local government providing public services to Tarpon Springs, Florida.
6+ YOE6+ MgmtAssociate's or vocational technical degree, six years of wastewater plant operations including supervisory experience, a valid commercial driver's license, and Wastewater Operations A License.
Children's Home Network: Provides residential care, foster care, and family support services.
2+ YOEHigh school diploma (or equivalent) plus 2 years as an Intake/Data Coordinator (associates or bachelor's may substitute). Must hold valid Florida driver credentials, pass FDLE/federal/state background checks and sexual predator screening, and complete required annual trainings.
Myevolv, Microsoft Word, Microsoft Excel, Microsoft Publisher, Microsoft PowerPoint
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 Herndon or Houston or Irvine or Irving or Kirkland or Los Angeles 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/yrHybridFull Time
AccentureNYSE: ACN: Global professional services firm providing consulting and technology solutions.
7+ YOERequires 7+ years in utility GIS solution architecture and implementations, electric and gas utility expertise, ArcGIS Utility Network experience, enterprise integration, and leadership of full-lifecycle transformations.
ArcGIS Utility Network, ArcGIS Enterprise, ArcGIS Pro, Enterprise Asset Management (EAM), Work Management, Outage Management Systems (OMS)
New York City or Milwaukee or Herndon or Dallas or Columbus or Kirkland or Irvine or Cincinnati or Cleveland or Oklahoma City or Austin or Albany or Chicago or Arlington or St. Petersburg or Hartford or Pittsburgh or St. Louis or Miami or Sacramento or Raleigh or Minneapolis or Mountain View or Scottsdale or Morristown or San Francisco or Denver or Boston or Philadelphia or Des Moines or Overland Park or Los Angeles or Charlotte or Walnut Creek or Carmel or Seattle or Houston or Arlington or Atlanta or Redmond or Bentonville or Beaverton or Nashville or Detroit or San Diego
$139k-$434k/yrHybridFull Time
AccentureNYSE: ACN: Global provider of management consulting and technology services.
10+ YOE10+ years in utility GIS solution architecture with full‑lifecycle ArcGIS Utility Network implementations; experience advising utility executives, defining enterprise GIS architecture, and leading large transformation programs; must be eligible to work in the US and willing to travel.
Citrus County: Providing public services and safety for Citrus County residents.
High school diploma or GED, related utility experience or equivalent training, Florida driver's license, and ability to obtain Class A CDL, utility certifications, and FEMA NIMS certifications.
county vehicle, sewage pump truck, county-issued cell phone/pager
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)
Conti Corporation: Provides multi-trade construction services for infrastructure and energy projects.
2+ YOEHigh school diploma/GED, utility locating experience preferred, utility maps and equipment proficiency, outdoor field work ability, and strong communication skills. Florida driver's license and OSHA 10 or 30 preferred.