Remote Utilization Management Specialist

Utilization Management SpecialistWe are seeking a skilled Utilization Management Specialist to join our team.Job Description:Our ideal candidate will assess and interpret customer needs, requirements and medical records, reviewing medical claims for medical necessity.Key Responsibilities:Assess and interpret customer needs, requirements and medical...

Job Overview">The Utility Team Lead will be responsible for leading and managing a team of Utility Engineers to ensure high-quality inspections and data accuracy within the electric utility sector.">This role will oversee the cataloging of utility assets, identify equipment issues or hazards, and collaborate with utility companies to meet project goals and...

Job OpportunityWe are seeking a highly organized and detail-oriented individual to fill the position of Remote Data Entry Specialist.This role involves building and customizing websites, managing plugins, handling website migrations and launches, and providing critical support as a trusted point of contact.ResponsibilitiesMaintain accurate and up-to-date...

Job Title: Utilization Review SpecialistWe are seeking a skilled professional to assess and interpret customer needs, requirements, and medical records.Key Responsibilities:Assess and interpret customer needs, requirements, and medical records.Review medical claims for medical necessity, ensuring alignment with industry standards.Requirements include an...

Insurance Billing and Collections SpecialistWe are seeking a skilled Insurance Billing and Collections Specialist to join our remote team. As a key member of our billing and collections department, you will be responsible for managing insurance billing and collections for assigned facilities.The ideal candidate will have proven experience in insurance...

Job Title:Operational Management SpecialistDescription:We are seeking a highly organized and process-driven professional to oversee the execution of daily workflows, team coordination, and administrative functions within our organization.The ideal candidate will be confident in managing a remote team in a fast-paced environment and play a key role in...

Schedule: Monday to Friday | 9:00 AM – 5:00 PM EST | Fully RemoteRemote VA PH is looking for an experienced Social Media Manager with a flair for writing original content—particularly within the construction and multifamily real estate space. If you know how to capture attention with scroll-worthy posts and keep content pipelines running smoothly, we'd...

OverviewPosition SummaryWe are seeking a highly skilled and detail-oriented Peer Review Specialist to support our Residential, PHP, and IOP levels of care. This individual will be responsible for conducting peer reviews, case consultations, and interfacing with insurance payers to obtain continued authorization. The ideal candidate will be a licensed...

Unlock your potential as a senior professional in infrastructure inspections.The role requires leadership skills to oversee detailed inspections of overhead utility infrastructure, ensuring data integrity and contributing to process improvements in the electric utility sector.Responsibilities include:Conducting thorough inspections to identify faults and...

Job SummaryWe are seeking a highly skilled Utility Systems Manager to oversee the efficient operation and maintenance of our plant's utility equipment and systems.This role requires a strong background in mechanical engineering, with experience in designing, implementing, and maintaining complex systems.Develop and implement effective operation and...