Director, Provider Service Engagement
Cleveland, Ohio
Description Note: this is a fully remote opportunity based in Ohio. Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million members thr...
1d
| Job Type | Full Time |
Utilization Management Nurse, Senior (Behavioral Health Post-Service Review)
Long Beach, California
Your Role The Commercial Post Service Review team is responsible for clinically reviewing claims that are the result of a claim denial. The Commercial Post Service Review RN will report to the Manager, Post Service. In this role you will pe...
1d
| Job Type | Full Time |
Utilization Management Nurse, Senior (Behavioral Health Post-Service Review)
Woodland Hills, California
Your Role The Commercial Post Service Review team is responsible for clinically reviewing claims that are the result of a claim denial. The Commercial Post Service Review RN will report to the Manager, Post Service. In this role you will pe...
1d
| Job Type | Full Time |
Utilization Management Nurse, Senior (Behavioral Health Post-Service Review)
San Diego, California
Your Role The Commercial Post Service Review team is responsible for clinically reviewing claims that are the result of a claim denial. The Commercial Post Service Review RN will report to the Manager, Post Service. In this role you will pe...
1d
| Job Type | Full Time |
Utilization Management Nurse, Senior (Behavioral Health Post-Service Review)
El Dorado Hills, California
Your Role The Commercial Post Service Review team is responsible for clinically reviewing claims that are the result of a claim denial. The Commercial Post Service Review RN will report to the Manager, Post Service. In this role you will pe...
1d
| Job Type | Full Time |
Utilization Management Nurse, Senior (Behavioral Health Post-Service Review)
Rancho Cordova, California
Your Role The Commercial Post Service Review team is responsible for clinically reviewing claims that are the result of a claim denial. The Commercial Post Service Review RN will report to the Manager, Post Service. In this role you will pe...
1d
| Job Type | Full Time |
Utilization Management Nurse, Senior (Behavioral Health Post-Service Review)
Oakland, California
Your Role The Commercial Post Service Review team is responsible for clinically reviewing claims that are the result of a claim denial. The Commercial Post Service Review RN will report to the Manager, Post Service. In this role you will pe...
1d
| Job Type | Full Time |
Director, Senior Medical (Palmetto GBA)
Columbia, South Carolina
BlueCross BlueShield of South Carolina
Internal Reference Number: R1045875 Summary Position Purpose As a member of the leadership team, you will oversee and direct the synthesis of data and clinical knowledge in the development of information that is used to inform the detection...
1d
| Job Type | Full Time |
LTSS Service Care Manager - J01031
Raleigh, North Carolina
Job Profile SummaryPosition Purpose:Assists in developing, assessing, and coordinating holistic care management activities to enable quality, costeffective healthcare outcomes. May develop or assist with developing personalized service care...
1d
| Job Type | Full Time |
Kansas City, Missouri
Mgr, BMT Requisition ID 2025-34352 Requisition Post Information* : Posted Date 6 hours ago(8/8/2025 11:31 AM) Posting Category Professionals Division TRANSPLANT BONE MARROW Work Type Full Time Work Days M-F Work Hours 0800-1630 FLSA Status ...
1d
| Job Type | Full Time |