University of Utah Health: Provides academic medical care and health services.
2+ YOE2 years healthcare experience or equivalent; understanding of medical terminology; prior utilization review experience; ability to check eligibility, obtain records, and communicate authorization decisions.
Lewiston or Salt Lake City or Renton or Medford or Portland or Boise or Spokane or Burlington or Fargo or Vancouver
$81k-$142k/yrHybridFull Time
Cambia Health Solutions: Non-profit health solutions providing insurance and care services.
5+ YOE3+ MgmtBachelor's in nursing or related, current unrestricted RN license, 5+ years clinical experience, 3+ years leadership, state license/certification allowing assessments, clinical utilization management competency.
Phoenix or Alaska or Arkansas or Arizona or Colorado or Florida or Hawaii or Iowa or Idaho or Illinois or Kansas or Louisiana or Maryland or Minnesota or Missouri or Montana or Nebraska or Nevada or New Mexico or North Carolina or North Dakota or Oklahoma or Oregon or South Carolina or South Dakota or Tennessee or Texas or Utah or Virginia or District of Columbia or Washington or Wisconsin or Wyoming
$91k-$107k/yrRemoteFull Time
TriWest Healthcare Alliance: Manages healthcare programs for veterans and military families.
3+ YOE3+ MgmtCurrent RN license, 3+ years healthcare experience, 3+ years supervisory experience, 2+ years utilization review/case management, U.S. citizenship and favorable DoD background investigation required.
InterQual, ICD, DSM, CPT, HCPCS, American Dental codes, Microsoft Office, Microsoft Word, Microsoft Outlook, TriWest Intranet
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.
Behavioral Health Utilization Management Specialist
Draper or Sandy
$60k-$70k/yrHybridFull Time
Ampian HR: Provides outsourced payroll, benefits, and HR administration services.
2+ YOE2+ years experience in utilization management, case management, or behavioral health preferred; familiarity with behavioral health diagnoses, insurance coding/authorization, and strong communication skills.
KARL STORZ: Developer and manufacturer of endoscopic medical equipment.
2+ YOE2–3 years OR 1+ year KARL STORZ video/integration service experience; bachelor’s degree with technical aptitude; strong leadership, communication, and cross-functional collaboration skills.
Salt Lake City or District of Columbia or Maryland or United States
RemoteContract
Medical Review Institute of America: Provides independent clinical and utilization review services for healthcare.
5+ YOEBoard-certified radiologist (MD or DO) with a DC or Maryland medical license, 5+ years clinical experience, daytime availability for peer-to-peer conversations, HIPAA compliance, and ability to perform remote utilization reviews.
Park City Municipal Corporation: The municipal government providing public services to Park City.
7+ YOESupervisory water treatment experience, Grade IV Utah operators certification, CDL, 7 years' water treatment operations/maintenance experience, ability to respond on-call within 60 minutes and perform physical plant work.
Alabama or Oklahoma or Ohio or New Mexico or New Jersey or New Hampshire or Nebraska or Montana or Missouri or Mississippi or Maryland or Maine or Louisiana or Kentucky or Kansas or Iowa or Indiana or Idaho or Georgia or Florida or Delaware or Colorado or Arkansas or Arizona or Wyoming or Wisconsin or West Virginia or Washington or Virginia or Vermont or Utah or Texas or Tennessee or South Dakota or South Carolina or Rhode Island or Pennsylvania or United States
$71k-$98k/yrRemoteFull Time
HumanaNYSE: HUM: Provides health insurance plans and clinical healthcare services.
1+ YOECompact RN in state of residence, >1 year clinical RN experience (hospital/SNF/home health/acute), ability to apply medical necessity criteria and complete timely determinations in a remote, metrics-focused role.
Behavioral Health Utilization Management Clinician/LCSW/LPC/LMFT/RN for Substance Abuse - Flexible Weekend Dayshift - Remote in VA and NC
Norfolk or Alabama or Delaware or Florida or Georgia or Idaho or Indiana or Kansas or Louisiana or Maine or Maryland or Minnesota or Nebraska or Nevada or New Hampshire or North Carolina or North Dakota or Ohio or Oklahoma or Pennsylvania or South Carolina or South Dakota or Tennessee or Texas or Utah or Virginia or Washington or West Virginia or Wisconsin or Wyoming
RemoteFull Time
Sentara Health: Operates hospitals and provides health insurance and medical services
2+ YOEMaster's in counseling/social work/MFT (or BSN for RN), valid state license (LCSW/LPC/LMFT/RN), 2 years behavioral health and 1 year case management, ASAM/substance use experience preferred.
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
Lochner: Engineering and planning services for transportation and water infrastructure.
5+ YOE5+ years utility design/coordination experience; proficiency with OpenRoads Designer, MicroStation, AutoCAD/Civil3D, and Microsoft Excel; experience with utility relocation, conflict analysis, and 3D utility modeling.
MicroStation, OpenRoads Designer, AutoCAD/Civil3D, Microsoft Excel
US E-Consulting Services-Power and Utilities OT Operational Technology-Manager-Cyber/Enterprise Security-352459
Houston or Dallas or Cleveland or Detroit or St. Louis or Pittsburgh or Boston or Charlotte or Atlanta or Miami or Memphis or Denver or Phoenix or Salt Lake City or Los Angeles or San Diego or San Francisco or Seattle
$135k-$265k/yrHybridFull Time
Deloitte: Provides professional audit, consulting, advisory, and tax services.
7+ YOE7+ years in Power and Utilities OT security, with governance and risk management expertise.
Conservice: Provides automated utility management and billing for properties.
Strong phone communication, tech-savvy with multiple systems, attention to detail, adaptability under shifting priorities, and problem-solving for utility account issues.
7+ YOEBachelor’s degree in engineering or science; 7-10 years in related management; 5+ years coordinating utility relocations; strong communication and coordination skills.
AE2S: Specialized civil and environmental engineering consulting firm.
8+ YOEBachelor's degree, 8+ years leadership experience in engineering/consulting/utilities, ability to build municipal and utility relationships, travel within Utah, strong communication and strategic planning skills.