utilization review tech jobs in Philadelphia

PA RN License RequiredWe are seeking an experienced Care Management Coordinator to join our Infusion Therapy team. This role is responsible for performing utilization management reviews to determine the medical necessity of requested healthcare services, ensuring members receive appropriate, evidence-based care while maintaining compliance with regulatory...

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...

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...

Job Title: Utility Accounting SMELocation : Philadelphia PA 19107Duration : 12 Months Note: Onsite interview is must. This is Hybrid Role. Position overview / Statement of WorkThe Lead Accounting Subject Matter Expert (SME) serves as the functional authority for accounting and financial business processes throughout the CIS implementation. This individual...

Vice President of Bill Review Operations About the Company Innovative healthcare solutions provider specializing in insurance services Industry Insurance Type Privately Held Founded 2004 Employees 501-1000 Categories Insurance Specialties bill review out-of-network repricing primary ppo and alternative repricing administration edi and...

Job DescriptionJob DescriptionAbout Burns:Burns Engineering provides professional engineering design and project management services for transportation, facilities, and infrastructure projects. We help our clients attain their strategic goals and initiatives through successful large-scale infrastructure projects. Burns' full-service capabilities include...

Location: Philadelphia, PA Salary: $30.00 USD Hourly - $40.00 USD Hourly Description: Our client is currently seeking a Biomedical Equipment Tech for a 4 month + contract.Medical, dental, and vision insurance are available to qualified candidates who meet eligibility requirements.Working under limited supervision the Biomedical Equipment Technician III is...

Pharmacy Call Center Tech Handles calls and correspondence regarding pharmacy issues from providers/physicians and members. Identifies and/or responds to inquiries, benefit payments, complaints, dissatisfaction, grievances and claim issues. Document calls in inquiry tracking system. Using established protocols ensures resolutions provided are presented in...

Travel RN - Case Management/Utilization Review - Case ManagementAmerican TravelerPhiladelphia, Pennsylvania, United StatesPosition ID: P-753603Position status: OpenAssignment type: travelShift: DaysLength (weeks): 13Openings: 2Start date: 2026-10-19T00:00:00.000Z$2,488.00/week (estimated advertised weekly pay)DescriptionAmerican Traveler is hiring a Case...

MedPro Healthcare Staffing is seeking an experienced MRI Tech for an exciting Travel Allied job in Philadelphia, PA. Shift: 5x8 hr days Start Date: 10/19/2026 Duration: 13 weeks Pay: $3194 / Week MedPro Healthcare Staffing , a Joint Commission-certified staffing agency, is seeking a quality MRI Tech for a contract with one of our top healthcare clients. ...

CT Tech Location: Pittsburgh, PA Agency: Jackson Health Pros Pay: $3,383 to $3,583 per week Shift Information: Nights - 3 days x 12 hours Contract Duration: 13 Weeks Start Date: 10/1/2026 Allied Travel Careers is working with Jackson Health Pros to find a qualified CT Tech in Pittsburgh, Pennsylvania, 15219!Become a vital part of Jackson Health Pros’ team...

MRI Tech Location: Philadelphia, PA Agency: Med Pro Healthcare Staffing Pay: $3,194 per week Shift Information: 5 days x 8 hours Start Date: ASAP Allied Travel Careers is working with Med Pro Healthcare Staffing to find a qualified MRI Tech in Philadelphia, Pennsylvania, 19019!Med Pro Healthcare Staffing , a Joint Commission-certified staffing agency, is...

Company DescriptionA best-in-class city that attracts best-in-class talent, Philadelphia is an incredible place to build a career. From our thriving arts scene and rich history to our culture of passion and grit, there are countless reasons to love living and working here. With a workforce of over 30,000 people, and more than 1,000 different job categories,...

Utilization Management Coordinator - Philadelphia Malvern Treatment Centers is currently seeking a full time Utilization Management Coordinator for our location in Philadelphia! This position is a full time, benefit eligible position and reports to our brand new location at 3905 W. Ford Road Philadelphia, PA 19131. Position Summary: To conduct continued stay...

OverviewArcGIS Solutions are industry-specific configurations of ArcGIS designed to improve operations and enhance services. Our team’s mission is to develop solutions that help agencies maximize their investment in location-based data and technology. As the Product Engineer II – Utilities, you will collaborate with customers, industry teams, and other...

MedPro Healthcare Staffing is seeking an experienced MRI Tech for an exciting Travel Allied job in Philadelphia, PA. Shift: 5x8 hr days Start Date: 10/12/2026 Duration: 13 weeks Pay: $3082 / Week MedPro Healthcare Staffing , a Joint Commission-certified staffing agency, is seeking a quality MRI Tech for a contract with one of our top healthcare clients....

MedPro Healthcare Staffing is seeking an experienced MRI Tech for an exciting Travel Allied job in Philadelphia, PA. Shift: 5x8 hr days Start Date: 10/12/2026 Duration: 13 weeks Pay: $3114 / Week MedPro Healthcare Staffing , a Joint Commission-certified staffing agency, is seeking a quality MRI Tech for a contract with one of our top healthcare clients. ...

Host Healthcare is seeking an experienced Cath Lab Tech for an exciting Travel Allied job in Philadelphia, PA. Shift: Inquire Start Date: 10/11/2026 Duration: 13 weeks Pay: $ / Week About Host Healthcare: At Host Healthcare, we are dedicated to empowering the life and healthcare career you deserve. As a nurse, allied, or therapy professional, you will...

Host Healthcare is seeking an experienced MRI Tech for an exciting Travel Allied job in Philadelphia, PA. Shift: 8 hr days Start Date: 10/06/2026 Duration: 13 weeks Pay: $2974.8 / Week About Host Healthcare: At Host Healthcare, we are dedicated to empowering the life and healthcare career you deserve. As a nurse, allied, or therapy professional, you will...

CVOR Tech Location: York, PA Agency: Fusion Medical Staffing Pay: $2,351 to $2,501 per week Shift Information: Days - 4 days x 10 hours Contract Duration: 13 Weeks Start Date: 10/12/2026 Allied Travel Careers is working with Fusion Medical Staffing to find a qualified CVOR Tech in York, Pennsylvania, 17403!Travel CVOR Tech Company: Fusion Medical Staffing...