utilization management jobs in Phoenix

The Utilization Management (UM) Nurse Supervisor is responsible for providing direct leadership and oversight to the UM nursing team. This role ensures team performance, accountability, and professional development by conducting regular 1:1s, managing performance reviews, and driving compliance with organizational, state, and federal requirements. The...

Highmark Health is seeking a seasoned Product Management leader for Utilization Management. You will direct strategy, roadmap, and value realization, partnering with UM operations and delivery to shape the UM portfolio and business outcomes.The role requires 7 years in product management and 5 years in leadership, plus deep knowledge of health insurance...

Become a part of our caring community The Utilization Management Registered Nurse uses clinical nursing skills to interpret and support the coordination, documentation and communication of medical services and benefit administration determinations. You will report to the Manager of Utilization Management and serve as a member of the One Home/Home Solutions...

Become a part of our caring community The Utilization Management Clinical Pharmacist 2 (VSP/PT) is a clinical pharmacist who completes medical necessity and comprehensive medication reviews for prescriptions requiring pre-authorization. The Utilization Management Clinical Pharmacist 2 (VSP/PT) work assignments are varied and frequently require...

Company : Highmark Inc. Job Description : JOB SUMMARY This job reviews requests for medication coverage determination for prior authorization review and appeals. Through the Utilization Review system, the incumbent evaluates clinical information provided by the physician against medical policy criteria. The incumbent then uses his/her clinical...

Job DescriptionPlease read the following job description thoroughly to ensure you are the right fit for this role before applying.PROJECT ENGINEER (Utilities) - Phoenix, AZThis role of Project Engineer is responsible for preparation of detailed design drawings and contract documents for water and wastewater infrastructure projects involving water supply...

Job Summary Manages day-to-day construction activities, including supervision of craft employees and subcontractors. Schedules field activities in coordination with the project schedule. Is responsible for safety, production goals, quality control, and cost control. May supervise one or more craft groups and/or scopes of work. This position includes three...

Sundt is seeking a Field Supervisor to manage daily construction activities, supervise craft employees and subcontractors, and align field work with the project schedule. The role emphasizes safety, cost control, quality, and coordination across teams on underground utility projects.The position supports multiple foremen/crews, with progression through three...

Summary of Responsibilities: The utility services manager works with all Avenue5 national suppliers regarding utilities at a property, i.e., utility billing, waste, telecom, Wi‑Fi, and anything falling under this purview. This role is responsible for managing the onboarding of all national utility supplier accounts for new and existing properties and...

Additional Information Relocation Assistance Available Job Number Job Category Food and Beverage & Culinary Location 5402 East Lincoln Drive, SCOTTSDALE AZ 85253, United States VIEW ON MAP Schedule Full Time Located Remotely? N Position Type Non-Management POSITION SUMMARY Our Utility Cleaners play an important role in support of a number of vital hotel...

Compensation: $18.00 Hourly Are you an outdoor enthusiast who enjoys independent field work and is looking to jump start your career? If you are a quality-conscious, safety focused, hard-working individual, then consider an exciting long-term career at USIC! The USIC name and brand are highly recognized and respected for our strong commitment to quality...

About USS: United Site Services is the industry leader in comprehensive site services, committed to creating partnerships that help enable our customers’ project and event success. Our deep industry expertise, excellence in process management, and dedication to corporate responsibility are pillars of our value proposition; each supported by tangible,...

Utilities Clerk - #22 Phoenix - 32nd El Super #22 Starting Rate $16.00 per hour Do you? Provide excellent Customer Service? Love your Community? Love Food? Join our El Super Store Operations Team as a Utilities Clerk - #22 Phoenix - 32nd! Store Location 3130 E. Thomas Rd Phoenix, Arizona, 85016 United States Who We Are With a rich history rooted in family...

Utilities Clerk - #55 Camelback (ages 16-17) El Super #55 Starting Rate $16.00 per hour Do you? Provide excellent Customer Service? Love your Community? Love Food? Join our El Super Store Operations Team as a Utilities Clerk - #55 Camelback (ages 16-17)! Store Location 2211 W. Camelback Rd. Phoenix, Arizona, 85013 United States Who We Are With a rich...

Utilities Clerk - #22 Phoenix - 32nd (ages 16-17) El Super #22 Starting Rate $16.00 per hour Do you? Provide excellent Customer Service? Love your Community? Love Food? Join our El Super Store Operations Team as a Utilities Clerk - #22 Phoenix - 32nd (ages 16-17)! Store Location 3130 E. Thomas Rd Phoenix, Arizona, 85016 United States Who We Are With a rich...

ResponsibilitiesUtilization Management Coordinator PRN- As Needed Monday - Friday (Not Remote) Quail Run Behavioral Health Hospital in Phoenix is seeking a dynamic and talented UM Coordinator to join our team of compassionate, dedicated professionals in our utilization review department.BenefitsChallenging and rewarding work environment Competitive...

TriWest Healthcare Alliance is seeking an RN to supervise daily Utilization Management operations for the DoD/TRICARE contract. The role coordinates across teams to ensure timeliness, quality care, and accreditation standards. Requirements include an active registered nurse license, 3+ years in healthcare with leadership experience, and familiarity with...

Job DescriptionTake the next step in your career now, scroll down to read the full role description and make your application.The Manager of Transaction Management oversees all real estate transactions for House Buyers of America, managing both acquisition and disposition deals from contract through closing. This is a hands-on, player/coach role responsible...

Overview The Safety Manager manages all aspects of safety performance and Bergelectric’s Work Safe. Live Safe. program at one or more sites throughout the region. The Safety Manager may report to the Regional Safety Manager, Corporate Safety Director, Regional Vice President, or Other Manager as approved by the Corporate Safety Director. The Safety Manager...

Assistant Manager AZ Biltmore - Phoenix, AZ 85018 Overview Position Type Full Time Job Shift M-Th 8:30-5:15; F 8:30-6:15 Education Level High School Category Retail Description At First Fidelity Bank, people matter, including our customers, our communities, and especially our employees. In our Retail Banking teams, employees serve as trusted financial...