311 utilization jobs at 147 companies in Temple Terrace, 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: 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.
Central Florida Health Care: Provider of integrated medical, dental, and behavioral healthcare services.
2+ YOERequires Florida nursing license, BLS,2+ years clinical experience, HEDIS/ utilization review or chart abstraction experience preferred, EHR proficiency, strong communication and analytical skills.
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
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+ YOEHigh school diploma/GED and 1+ year customer service or call-center experience; ability to coordinate prior authorizations, check benefits, handle inbound calls, multi-task, and use digital tools; medical terminology preferred.
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.
Hernando County: Provides local government services and administration for Hernando County.
2+ YOEMaintain and develop GIS utility datasets, produce infrastructure maps, integrate CAD/survey data, perform QA/QC, and support utilities operations; requires valid Florida driver license and 2+ years GIS experience.
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.
LonzaSIX Swiss Exchange: LONN: Manufactures medicines and provides development services for healthcare companies.
2+ YOE2+ years facilities/utilities maintenance in a GMP environment, mechanical/electrical troubleshooting, HVAC and utility system experience, CMMS documentation, and adherence to EHS/LOTO procedures.
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.
Polk County Board of County Commissioners: Local government providing public services and destination marketing in Florida.
High school diploma; valid driver’s license; multiple operator levels with related licenses; CDL and utility licenses may be required for advanced levels.
Olameter: Provides utility meter reading and infrastructure asset management services.
Previous underground utility locating experience, valid driver\u0002s license, able to work overtime, pass DOT drug testing, complete company training and field tests.