245 utilization jobs at 127 companies in Palmetto, 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.
Acadia HealthcareNasdaq: ACHC: Provider of inpatient and outpatient behavioral health services.
2+ YOEHigh school diploma or equivalent required; clinical experience or 2+ years working with the population. Preferred clinical degree/licensure; CPR and de-escalation/restraint training required. Experience with utilization management preferred.
Acadia HealthcareNASDAQ: ACHC: Provides inpatient and outpatient behavioral healthcare and addiction treatment.
2+ YOEHigh school diploma or equivalent required; clinical experience or 2+ years working with the facility population; preferred health-related degree; preferred clinical licensure; CPR and de-escalation/restraint certifications.
Sarasota Memorial Health Care System: Regional public health system providing comprehensive hospital and clinical care.
3+ YOEBSN required, FL RN license, 3+ years utilization review and acute care experience, experience with hospital information systems and PC, strong clinical assessment and communication skills.
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
Clinical Program Manager, Utilization Management - Remote
Houston or Atlanta or Nashville or New Orleans or Charlotte or Tampa
$92k-$164k/yrRemoteFull Time
UnitedHealth GroupNYSE: UNH: Provides health insurance and technology-enabled health care services.
5+ YOE4+ MgmtMaster's/doctoral in behavioral health, current unrestricted independent clinical license, 5+ years post-licensure clinical experience, 4+ years people management, utilization management knowledge.
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
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.
George F. Young: Civil engineering and land surveying for property development.
10+ YOE10+ years FDOT utility coordination experience, strong FDOT/FHWA/AASHTO knowledge, proven business development success, established FDOT and utility relationships, MS Office and Adobe proficiency, valid U.S. driver’s license.
City of North Port: Managing municipal infrastructure and public services for North Port residents.
8+ YOE5+ MgmtManage and lead utilities operations, planning, budgeting, regulatory compliance, public presentations, and staff supervision; strong leadership, communication, and judgment required.
LCS: A retirement community employer providing culinary and hospitality services in an upscale senior living environment.
High school diploma or equivalent preferred; six months dishwashing/utility experience preferred but not required; must be available for all shifts and perform physical tasks.
Charlotte County: Local government providing essential public services and infrastructure.
5+ YOEAssociate's preferred; 5+ years construction/project management with fiscal responsibilities and supervisory experience; knowledge of construction practices, budgeting, and utilities; valid driver’s license required.
Terracon: Provides geotechnical, environmental, construction, and facilities engineering services.
3+ YOEAssociates/bachelor’s degree or 3 years field experience; 2+ years utility locating or GPR; valid driver’s license; willingness to travel; overnight travel.
Dallas 1 Construction & Development: Provides underground utility and site development construction services.
5+ YOE2+ Mgmt5+ years underground utility construction experience with 2+ years supervisory experience; ability to read blueprints, manage production and costs, enforce safety, and hold crews accountable.
Pinellas County: Administering public services and infrastructure for Pinellas County residents.
3+ YOE3 years customer service/administrative experience with utility accounts or equivalent education plus experience; able to follow procedures, use computer applications, and work emergency schedules.
Grand Prairie or Atlanta or Tampa or Mason or Miami or Wilmington
HybridFull Time
Elevance HealthNYSE: ELV: Provides health insurance plans and integrated healthcare services.
3+ YOEAS in nursing and current unrestricted RN license, minimum 3 years clinical nursing (or 1 year utilization/medical management), familiarity with utilization management, ICD-10/CPT-4 coding preferred.
TRC Companies: Engineering and environmental consulting for infrastructure and energy projects.
10+ YOEMinimum 10 years project management experience in the utility domain; proven delivery of large Operational Technologies projects for electric/gas utilities; PMBOK proficiency; strong leadership, communication, budgeting, and presentation skills; up to 50% travel.
Microsoft Project, Microsoft Excel, Microsoft PowerPoint, Microsoft Word, Advanced Distribution Management System (ADMS), GE ADMS
BESS Maintenance Specialist- Solar (Mulberry, Florida, US, 33860)
Mulberry, Florida, United States
OnsiteFull Time
Peoples GasToronto Stock Exchange: EMA: Distributes natural gas to homes and businesses across Florida.
5+ YOEHigh school diploma and commercial/utility BESS training, minimum 5 years related experience, troubleshooting and maintenance of utility-scale BESS and solar systems, knowledge of medium-voltage systems, reliability-centered maintenance, and safety practices.
Atlanta or Charlotte or Tampa or Raleigh or Arlington
HybridFull Time
Guidehouse: Provides management and technology consulting services to diverse organizations.
5+ YOEUS citizen or permanent resident; Bachelor\u0002s+7 years or Master\u0002s+5 years experience in consulting or strategy with utilities/energy; utility regulatory and grid knowledge; client engagement, team leadership, and analytics skills; PowerPoint and Excel proficiency.