Operations Manager for Utilization Management - Quezon City, National Capital Region

The Operations Manager for Utilization Management is responsible for managing and overseeing UM operations ensuring compliance with industry standards and regulatory requirements. · Bachelor's Degree in Nursing with an active and valid license · At least one year managerial exper ...

The Energy & Utilities Management Head establishes processes on energy audit (RA 11285), utilities management, · & solar system data management. · Sets direction for Energy & Utilities Management Section. · Conducts strategic assessment & evaluation of Section's processes. · ...

The Energy and Utilities Management Head is responsible for setting the direction of the Energy and Utilities Management Section, determining its operational goals, conducting strategic assessments, monitoring achievement of metrics and goals, preparing budgets, monitoring expend ...

The Energy and Utilities Management Head establishes institutionalizes and improves processes on energy audit utilities and solar system data management. · This position also oversees compliance on energy management standards as stipulated by regulatory agencies and the Universit ...

The Utility Sales Manager will be responsible for developing and managing the PDSS business in Philippines through driving and supporting the channels and also exploring, identifying, and leading new opportunities developing new channels and customers to grow the business. · ...

This is a pre-award opportunity located on Diego Garcia in the Indian Ocean. · Provide a qualified Electrical Utility Manager who shall be responsible for managing personnel, budget, and construction and maintenance projects associated with Diego Garcia's Electrical Utility Syste ...

Measure success through key performance indicators and other metrics Provide analysis and meaningful information supporting decision-making and action-planning Analyze current processes and systems to identify inefficiencies and areas for improvement · ...

The Operations Manager – Utilization Management will oversee day-to-day UM operations focused on medical necessity approvals/denials for prospective, retrospective, and concurrent services. · Oversee daily UM operations and ensure compliance with SLAs and regulatory standards · E ...

+ Utilization Management (UM) | DAY SHIFT · Location: Bonifacio Global City (Onsite) · Work Setup: Onsite only +Job summaryA valid USRN license is required for this Utilization Management role. · 6 months to 1 year of UM experience in a BPO setting · ...

This is a pre-award opportunity for an Electrical Utility Manager. · Manage personnel, budget, and construction and maintenance projects associated with Diego Garcia's Electrical Utility System. · Conduct on-site technical risk assessments of the Electrical Utility System. · ...

The job requires a senior analyst with experience in utilization management and nursing skills to create appeal records and present case summaries. · QualificationsBachelor of Science Nursing (BSN) degree or General Nursing & Midwifery (GNM) Diploma or Basic Bachelor of Science ( ...

The Utilization and Denials Management Manager is responsible for the day-to-day operations and oversight of initial and concurrent clinical reviews in addition to Clinical Denials processes. This leader ensures adherence to regulatory guidelines and payer requirements and suppor ...

The Utilization & Denials Management Manager is responsible for day-to-day operations and oversight of initial and concurrent clinical reviews in addition to Clinical Denials processes.This role ensures accuracy in utilization management up to and including the review of claims d ...

We are looking for a US Registered Nurse (USRN) with Utilization Management experience to support clinical review and authorization processes. The role requires strong clinical judgment, clear communication, · Active PHRN and USRN license (both required) · At least 6 months Utili ...

The Utilization and Denials Management Manager is responsible for the day-to-day operations and oversight of initial and concurrent clinical reviews in addition to Clinical Denials processes. This role ensures accuracy in utilization management up to and including the review of t ...

We are looking for a US Registered Nurse (USRN) with Utilization Management experience to support clinical review and authorization processes. · Active PHRN and USRN license (both required) · At least 6 months Utilization Management (UM) experience · Strong English communication ...

The USRN will perform Utilization Management (UM) reviews to ensure medical necessity and compliance with clinical guidelines. They will conduct utilization review for inpatient and outpatient cases assess medical necessity coordinate with providers document review outcomes meet ...

The Utilization and Denials Management Manager is responsible for the day-to-day operations and oversight of initial and concurrent clinical reviews in addition to Clinical Denials processes. · Manage team to achieve specific goals by overseeing daily activities, assigning tasks, ...

+ Utilization & Denials Management Manager · + Competitive Rewards: Enjoy above-market compensation, healthcare coverage on day one, plus one or more dependents, paid time-off with cash conversion, group life insurance, · and performance bonuses. · Job summary ...

Oversee and implement initiatives aimed at improving UM operations. · ...