Utilization Manager Jobs in Hartford
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Search Results - Utilization Manager Jobs in Hartford
Medix™-Hartford
Job Title: Utilization Management Registered Nurse (UM RN) – SNF / MLTC
Location: Remote (Must reside in NY, NJ, or CT)
Schedule: Monday – Friday, 9:00 AM – 5:00 PM
Position Type: Full-Time
Position Overview
We are seeking an experienced...
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Health Data Movers-Hartford
Duration: 08/31/2026 - 12/31/2026
Location: Remote
We are seeking experienced Epic Tapestry Utilization Management (UM) Workflow Configuration Consultants to support its Epic transformation initiative. The consultants will work closely with client’s...
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360X Staffing-Hartford
oversight, medical expertise, and operational support for physical health services. This position ensures high quality, evidence based medical review processes and supports organizational goals related to clinical quality, utilization management, and care...
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Voto Consulting LLC-Hartford
Job Role: Registered Nurse
REMOTE
• Must hold an active Massachusetts Registered Nurse (RN) license.
• Requires 2–4 years of experience in Utilization Management (UM) and 2–4 years of experience within a managed care environment.
• Hands-on...
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Medasource-Hartford
The pharmacist will evaluate requests across multiple service lines and collaborate with physicians, nurses, case managers, medical directors, providers, and other clinical stakeholders to ensure appropriate, safe, and cost-effective utilization of healthcare...
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ATHENA Consulting-Hartford
The Behavioral Health Care Manager II (ABA Specialist) is responsible for managing behavioral health utilization management (UM) activities focused on Applied Behavior Analysis (ABA) services for children and adolescents.
This role reviews autism spectrum...
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TALENT Software Services-Hartford
at their company.
Description: Medical Director/ Physician Reviewer
(•Active medical state licensure required for PA, NY, or WV)
This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance...
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MethodHub-Hartford
Admin Platforms is required.
• Experience with Case Management, Care Management, and Utilization Management.
• Ability to translate technical/development requirements into clear business language.
• Day-to-day collaboration with the Solutions Group...
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Optum-Hartford
Additionally, performs Utilization Management reviews and directs/coordinates aspects of the utilization review staff activities, and participates in the Quality Improvement programs for the company.
The Medical Director also provides/assists in the direction...
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Luxoft-Hartford
Prior healthcare industry experience is preferred, particularly experience with Utilization Management, Prior Authorization, Care Management, or Optum Clinical Manager. Experience leading or mentoring engineers within Agile PODs and driving enterprise AI...
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Infinite Computer Solutions-Hartford
Position - Genetic Counselor Reviewer
Location - Remote
Type- Full Time
ABOUT THE ROLE
Position Summary
Our team provides this specialized expertise via multiple modalities, including utilization management, policy writing and advising, general...
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Integra Connect-Hartford
requires a blend of data analysis and trend identification, clinical expertise, and strong consultative skills. The PTM will leverage claims and utilization management data from dashboards and reports to identify oncology practice workflow gaps...
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Cogitativo-Hartford
value-based care, ACO, payer analytics, case management, or quality improvement background, including CMS quality measures, HEDIS, MIPS, Stars, risk adjustment, or utilization management.
• Preferred experience integrating clinical data from Epic, Oracle...
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