Cost and Utilization Specialist

Job DescriptionWe are seeking a highly skilled Senior Cost Accounting Specialist to join our team at Amy Cell Talent. As a key member of our internal processes, you will be responsible for developing and implementing cost accounting activities, managing budgets, and working with financial models and plans.About the PositionYou will be working closely with...

Job SummaryWe are seeking a skilled Clinical Utilization Specialist to promote the effective use of resources in our healthcare network. The ideal candidate will have a strong understanding of clinical care and treatment plans, as well as experience in utilization management.Key Responsibilities:Leverage clinical knowledge and business rules to determine...

Job Summary:Integra Partners is seeking a skilled Utilization Management Nurse to join our team. As a Utilization Management Nurse, you will play a critical role in ensuring that our patients receive the necessary medical care while minimizing unnecessary costs.Key Responsibilities:Perform pre-service and post-service utilization reviews to determine medical...

Clinical Pharmacy Analyst Fusco Personnel has been retained to recruit for a Clinical Pharmacy Analyst for an innovative medical software company located in the Capital Region.In this role, you will work to analyze pharmacy cost of care and recommend appropriate use guidelines.Key Responsibilities:Create and maintain a repository of clinically relevant...

Job SummaryWe are seeking a highly skilled Utilization Management Nurse to join our team at Integra Partners. As a key member of our team, you will play a critical role in ensuring the efficient and effective management of healthcare services.Key ResponsibilitiesConduct thorough reviews of medical necessity and eligibility for DMEPOS servicesCollaborate with...

Diagnostic Imaging SpecialistAt MLee Healthcare Staffing and Recruiting, Inc, we are seeking a skilled and dedicated Diagnostic Imaging Specialist to join our team in Vermont. In this full-time role, you will perform routine radiographic examinations, contributing vital support to the diagnostic process while delivering top-quality imaging and exceptional...

Program Management SpecialistSlate is a US company exploring development in the electric vehicle space. We are seeking an experienced Program Management Specialist to join our growing team.This role will be a key enabler in further detailing and implementing Slate's Program Management model by partnering with other teams to define business processes and...

Job Title: Energy Management SpecialistAt Ladgov Corporation, we are seeking a highly skilled Energy Management Specialist to join our team. As an Energy Management Specialist, you will be responsible for ensuring that utility bills are accurately received and processed for each facility. This includes pulling utility bills from the FileNet program,...

Job SummaryIntegra Partners is seeking a skilled LPN/LVN to perform pre-service and post-service utilization reviews and appeals for DMEPOS in a managed care payor environment.This role involves collaborating with our Medical Director to conduct benefit and medical necessity reviews and appeals within an NCQA-compliant UM program.Key ResponsibilitiesPerform...

We are seeking a highly skilled Commercial Sales Specialist to join our team at Keller Williams Somerset. As a Commercial Sales Specialist, you will be responsible for acting as an intermediary between buyers and sellers, working with loan officers and attorneys to ensure transactions are legal, accurate, and completed in a timely manner.You will provide...

Job OverviewThe Build Process and Planning Specialist plays a crucial role in overseeing the design, detailing, and processing within a fixture build environment. This position involves collaborating with various departments, including the shop floor, estimating, sales, and project management, to ensure the successful completion of projects.Key...

About MedixAt Medix, we're passionate about connecting patients with healthcare professionals to improve outcomes and reduce costs. As a remote outreach specialist, you'll play a vital role in our mission.Company OverviewWe're a leading healthcare staffing agency dedicated to providing exceptional service to our clients and candidates. Our team of experts...

Job Summary Fusco Personnel, Inc. is seeking a highly skilled Clinical Pharmacy Analyst to join our team. In this role, you will be responsible for analyzing pharmacy cost of care and developing strategies to reduce costs. Key Responsibilities Develop and maintain a repository of clinically relevant prescription informationCollaborate with data analysts to...

Job Title: Medical Physicist SpecialistJob Summary:Kettering Health Network is seeking a Medical Physicist Specialist to join our Radiation Oncology team. As a Medical Physicist Specialist, you will provide expert medical physics support for Radiation Oncology procedures, ensuring optimal performance and safety of all equipment. You will also oversee the...

Job Title: Operations UM Training SpecialistIntegra Partners is seeking an experienced nurse educator to join our Operations Training & Development team as an Operations UM Training Specialist, specializing in Utilization Management (UM) processes.Key Responsibilities:Develop and maintain the UM training curriculum for both administrative and clinical...

Clinical Support SpecialistAt HTC Global Services, we're seeking a highly skilled Clinical Support Specialist to join our team. As a key member of our support team, you'll provide first and second-level support to healthcare employees and patients, utilizing your exceptional customer service skills and clinical knowledge.Key Responsibilities:Provide timely...

Mammography Specialist Job SummaryCorewell Health is seeking a skilled Mammography Specialist to join our Diagnostic Radiology team. As a Mammography Specialist, you will be responsible for performing accurate and efficient Mammography exams utilizing appropriate imaging equipment, independent judgment, ingenuity, and initiative. You will work closely with...

Job Summary:As a Food Preparation Specialist at Benihana, Inc., you will be responsible for maintaining a high level of cleanliness in the kitchen. This includes food preparation and prep area maintenance, as well as organization of all assigned areas to ensure a sanitary and clean environment. Additional duties may include utility and/or maintenance tasks...

Job Title: Network Security SpecialistJob Summary:Mindlance is seeking a highly skilled Network Security Specialist to join our team. As a Network Security Specialist, you will be responsible for implementing and maintaining the security of our network infrastructure.Key Responsibilities:Implement and maintain network security protocols and...

About the RoleAs a Central Processing Specialist at Corewell Health, you will play a vital role in ensuring the highest level of patient care by providing sterile equipment and supplies to our operating rooms. This is a unique opportunity to work in a team environment, collaborating with technicians, coordinators, and other support staff to ensure seamless...