ume jobs in Chicago

Registered Nurse (RN) - Utilization ManagementMake an impact on patient care while working in a dynamic, collaborative environment. We're seeking an experienced Registered Nurse (RN) to join our Utilization Management team, where you'll help ensure members receive the right care at the right time through evidence-based clinical review and care...

Avsis is seeking an Utilization Management Administrative Support professional to assist in data entry, correspondence, and clerical duties across the UM department.The full job description covers all associated skills, previous experience, and any qualifications that applicants are expected to have.You will liaise with provider offices to collect missing...

Humana, Inc.Please make sure you read the following details carefully before making any applications.is seeking a Compliance (UM) Coordinator III to support utilization management activities and ensure adherence to policies and regulations.The role emphasizes independent judgment, data analysis, and strong attention to detail.Bilingual English/Spanish...

Humana, Inc.Increase your chances of reaching the interview stage by reading the complete job description and applying promptly.is seeking a Compliance (UM) Coordinator 3 to review utilization management activities and documentation for adherence to policies and regulatory standards.The role requires bilingual English/Spanish proficiency and independent...

Humana, Inc.Make your application after reading the following skill and qualification requirements for this position.is seeking a Compliance (UM) Coordinator 3 to review utilization management activities and ensure adherence to policies and regulations.This remote role follows a four-day, 10-hour shift schedule within a Wednesday through Sunday work week,...

Humana, Inc.Interested in this role You can find all the relevant information in the description below.is seeking a Compliance (UM) Coordinator 3 to support utilization management activities and ensure adherence to policies and regulations.The role involves data collection and analysis, interpreting guidelines, and making independent decisions in a...

Avesis Incorporated is hiring for a Utilization Management Administrative Support role.Like the look of this opportunity Make sure to apply fast, as a high volume of applications is expected Scroll down to read the complete job description.You will handle provider email requests, gather missing information for claims, and prepare correspondence for providers...

Integra Partners in Michigan is seeking an UM Nurse Supervisor to lead the UM nursing team, balance hands-on operations with leadership duties, and ensure performance, accountability, and regulatory compliance.Is this the role you are looking for If so read on for more details, and make sure to apply today.You will conduct regular 1:1s, performance reviews,...

Humana, Inc.Apply fast, check the full description by scrolling below to find out the full requirements for this role.is seeking a remote UM Administration Coordinator to support utilization management operations with provider and member-facing phone support and back-office tasks.The role reports to the Supervisor, UM Management and requires strong customer...

Oversee delegated audits related to UM, Credentialing, Claims, Enrollment, and Appeals in coordination with Compliance.Act as a subject matter expert on state and national regulatory bodies, aligning policies and workflows.Work with leadership on audit activities, corrective action plans, and contract delegation.Qualifications:Five years of experience in...

Humana Inc.Please ensure you read the below overview and requirements for this employment opportunity completely.is seeking a Compliance (UM) Coordinator 3 to review utilization management activities and ensure adherence to policies, procedures, and regulations.The role involves data collection and analysis to assess metrics, with independent judgment in...

Capital Blue Cross is seeking a detail-oriented administrative support professional to assist with medical record documentation requests and to coordinate UM/CM case initiations using the medical management system.Do you have the skills to fill this role Read the complete details below, and make your application today.The role covers communications with...

About Us On a mission to deliver affordable, delightful healthcare for all, First Stop Health provides connected, whole-person virtual care to employers 24/7 through app, website, or phone in all 50 states. First Stop Health prioritizes an engaging and easy-to-use experience, setting people on healthier journeys through care at multiple stages. We are proud...

Humana is seeking an UM Administration Coordinator to support UM operations remotely.Are you the right applicant for this opportunity Find out by reading through the role overview below.The role involves provider/member-facing calls, back-office tasks, and collaboration with clinical teams.Schedule includes 8-hour shifts with weekend work and holidays;...

Clyde & Co US LLP in Chicago seeks an Associate Attorney for our Trial & Defense practice. The role covers catastrophic injury, bodily injury, complex business and commercial litigation, premises liability, bad faith and fraud, UM/UIM, class actions, mass tort, and trucking matters. The ideal candidate has litigation and trial experience and is proactive,...

Humana, Inc.Considering making an application for this job Check all the details in this job description, and then click on Apply.is seeking a Compliance (UM) Coordinator 3 to review utilization management activities and documentation for adherence to policies and regulatory standards.The role requires bilingual English/Spanish proficiency and independent...

CVS Health UM Nurse ConsultantWe're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us...

Alliance Health is seeking an Administrative Clinical Support Specialist I for a remote, North Carolina-based role.Is your CV ready If so, and you are confident this is the role for you, make sure to apply asap.The position involves coordinating administrative tasks, handling prior authorization data, and ensuring compliance with regulatory standards while...

T.Scroll down to find the complete details of the job offer, including experience required and associated duties and tasks.Eilers & Partner sucht eine Persönlichkeit für das Digital Front Office / den Empfang.Sie prägt den ersten Eindruck des Unternehmens mit Freundlichkeit, Professionalität, Organisationstalent und hohem Qualitätsanspruch im digitalen...

SelectLine Group sucht eine Sales Administration, die den kaufmännischen Vertriebsprozess von Angebotserstellung bis Rechnungsstellung steuert.Do you have the following skills, experience and drive to succeed in this role Find out below.Du setzt KI-Tools im Vertriebsalltag ein, optimierst Abläufe und bringst Struktur in Prozesse rund um Angebote, Aufträge...