Utilization Review Jobs in Madison
Search jobs in
1 - 7 of 7
Search Results - Utilization Review Jobs in Madison
Gainwell-Madison
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...
Read more
Molina Healthcare-Madison
and externally.
• Responsible for investigation of adverse incidents and quality of care concerns.
• Participates in preparation for national committee for quality assurance (NCQA) and utilization review accreditation commission (URAC) certifications.
• Provides...
Read more
appcast.io -
UnitedHealth Group-Madison
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...
Read more
Madison
Account Management, Sales and Engineering, and Implementations.
Your role in our mission
• Pre:payment and post:payment versions of the following solutions: Clinical Claim Reviews (DRG Audit, Itemized Bill Review, Place of Service, Utilization Review...
Read more
tiptopjob.com -
Cummins-Madison
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...
Read more
UnitedHealth Group-Madison
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...
Read more
UnitedHealth Group-Madison
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...
Read more
Companies now hiring in Madison:
Utilization Review jobs in Madison – Similar offers:
Broaden your job search:
Don’t miss out on new job openings!
Create a job alert for: Utilization Review, Madison
It's free, and you can cancel email updates at any time