Healthcare Utilization Manager

Transforming Healthcare with OptumAt Optum, we're redefining healthcare by integrating programs across the entire continuum of care. If you're passionate about inventing the future of healthcare, this is your opportunity to make a meaningful impact.Key Responsibilities:Ensure the integrity of adverse determination processes and accuracy of clinical...

Clinical Pharmacist - Pharmacy Utilization Management**Role Summary:**We are seeking a skilled Clinical Pharmacist to join our Pharmacy Utilization Management team. As a Clinical Pharmacist, you will play a critical role in ensuring that patients receive the best possible care by reviewing and authorizing prior authorization requests.**Key...

Unlock the Future of HealthcareWe're seeking a skilled Clinical Pharmacist to join our Pharmacy Utilization Management team. As a key member of our team, you'll play a crucial role in ensuring the highest quality care for our patients.Key Responsibilities:Collaborate with coordinators and nurses to process referrals, answering clinical questions and...

Are you passionate about shaping the future of healthcare? As a Healthcare Innovation Coordinator at UnitedHealth Group, you will play a key role in developing and implementing integrated health programs across the entire continuum of care.Under the guidance of the Delegation Oversight Manager, you will be responsible for coordinating Health Plan Delegation...

Healthcare Operations CoordinatorAt Optum, we're working to help people live healthier lives and make the health system work better for everyone. As a Healthcare Operations Coordinator, you'll play a critical role in ensuring the smooth operation of our healthcare services.Key Responsibilities:Coordinate all components of Health Plan Delegation Oversight...

About the Role:ACI Federal Defunct is seeking a skilled Licensed Practical Nurse to join our team as a Family Health Specialist.Key Responsibilities:- Provide high-quality patient care to variable patient populations, utilizing judgment in selecting the appropriate order and sequence of procedures and treatments.- Accurately recognize, report, and record...

Job Title: Senior Manager, Quality Control MicrobiologyAt ImmunityBio, we are seeking a highly experienced Senior Manager, Quality Control Microbiology to lead our Quality Control Microbiology team. This role will be responsible for overseeing all GMP QC Microbiology activities supporting clinical and commercial manufacturing operations.Key...

Job Summary:We are seeking a highly skilled Human Resources Manager, Journeyman to support one of our valued customers. This exciting opportunity will allow you to utilize your expertise in human resources management to deliver top-notch products and services.Key Responsibilities: Manage and supervise human resources management products or services...

Job OverviewFenton Sanger - State Farm Agent is seeking a highly motivated and customer-focused professional to join their team as an Account Manager. This role involves establishing and maintaining strong relationships with customers, providing personalized insurance solutions, and working collaboratively with the agent to achieve marketing goals.Key...

Job SummaryThe Financial Analyst will be responsible for managing all business finance systems, processes, controls, and internal and customer reporting requirements for the portfolio. This role requires a strong understanding of financial management and analysis, as well as excellent communication and problem-solving skills.Key ResponsibilitiesEnsure the...

Job SummaryThe Quality Assurance Manager will oversee the production of low earth orbit satellites, ensuring quality and reliability processes are maintained. This role will serve as the advocate for the quality team and technical subject matter expert for manufacturing and integration organizations.ResponsibilitiesProvide mentorship and guidance to the...

Your RoleThe Utilization Management team reviews inpatient stays for our members under nationally recognized levels of care guidelines.This role reports to the Utilization Management Nurse Manager.As a Senior Utilization Management Nurse, you will be assigned a list of inpatient facilities and review clinical information provided by the facilities to...

Job Summary:As a Construction Relationship Manager at Pacific Premier Bank, you will be responsible for originating construction and bridge loans on both a direct and wholesale basis, as well as establishing overall banking relationships. You will meet with customers, prospects, and brokers to originate loans and open business accounts and services related...

Job SummaryAs a key member of the NRG team, we invite you to take charge of your career and development journey. Our dynamic work environment provides variety and challenge, and we encourage you to explore exciting opportunities across our businesses. Your growth is key to our ongoing success—take the lead in shaping your career development, goals, and...

Job Title: IT Operations ManagerFabletics is seeking an experienced IT Operations Manager to lead our high-performance team in ensuring 24/7/365 operational efficiency.As an IT Operations Manager, you will oversee the day-to-day operations of the IT department, including monitoring, tickets, service requests, hardware, software, networks, and systems...

We are seeking a highly skilled Tax Manager to join our team at Fabletics. As a key member of our global tax and finance teams, you will play a critical role in driving efficiency and ensuring accurate and timely tax compliance.The ideal candidate will have 7+ years of tax accounting and/or indirect tax experience, with a strong analytical mindset, excellent...

Job SummaryThe Digital and Influencer Marketing Specialist will be responsible for managing digital influencer and ambassador programs, as well as supporting local market digital marketing campaigns for the LA Kings.This role will focus on identifying and building partnerships with influencers who align with the LA Kings brand, managing digital ad copy and...

About CastelionCastelion is a pioneering defense development and production company that's revolutionizing the industry with its innovative approach. We're committed to delivering cutting-edge, next-generation long-range strike weapons systems that give America and its allies a decisive edge.Job SummaryWe're seeking a highly skilled and experienced Strategic...

Optum: A Global Leader in HealthcareAt Optum, we're dedicated to delivering innovative healthcare solutions that improve lives. As a Sr. Network Contract Manager, you'll play a critical role in shaping our network development strategy.With a strong focus on provider contracting and network pricing modeling, you'll work closely with our team to develop and...

About CastelionWe're pushing the boundaries of defense development and production with a new approach that emphasizes short design cycles, rapid testing, and commercial manufacturing strategies. Our goal is to give America and its Allies a decisive edge and prevent future conflicts.Manager, Strategic SourcingThis role requires a seasoned supply chain...