Utilization Review Jobs in Lebanon (NH)
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Search Results - Utilization Review Jobs in Lebanon (NH)
Gainwell-Lebanon (NH)
and technical development academies
Responsibilities
• Provide clinical guidance on policies, drug utilization, and pharmacy operations
• Perform clinical evaluations of medication therapy including prior authorization reviews and DURs
• Conduct peer-to-peer...
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UnitedHealth Group-Lebanon (NH)
Document education sessions with clear notes for internal reviews
• Participate in departmental and organizational meetings
Key requirements
• 6+ years of experience in utilization, review/management, case management, and care management
• 4+ years...
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UnitedHealth Group-Lebanon (NH)
or Marriage and Family Counseling or Licensed Ph.D. level Psychologist (independently licensed)
• Board certification as a Behavior Analyst (BCBA) and state licensure as required
• 3+ years of Managed Care and/or Utilization Review experience
• 3+ years...
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UnitedHealth Group-Lebanon (NH)
requirements
• 5+ years of people leadership in a healthcare setting
• 3+ years in training program development, QA operations, or organizational education
• 3+ years in utilization management operations or utilization review
• 3+ years working knowledge...
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Cummins-Lebanon (NH)
generation applications
• Lead project planning sessions with internal stakeholders to define scope, objectives, milestones, and performance goals
• Develop cross-functional schedules and resource plans to meet timelines and optimize utilization
• Review...
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UnitedHealth Group-Lebanon (NH)
and Pharmacy Utilization Review/trends
• Intermediate to advanced MS Office (Word, Excel, PowerPoint)
• Strong verbal and written communication skills
• Self-motivated with excellent time management and prioritization skills
• Remote work readiness per company...
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