Operations Manager – Utilities - Taguig
3 araw ang nakalipas
Paglalarawan ng trabaho
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Mga katulad na trabaho
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, ...
2 linggo ang nakalipas
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 ...
2 linggo ang nakalipas
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 ...
1 buwan ang nakalipas
Job Title: Operations Manager – Utilities & Telecom (Service Delivery & Performance) · Location: Manila, Philippines · Open Roles: 2 · Industry: Utilities / Telecommunications · Experience Required: 10–12 Years · Role Summary · We are looking for a strategic and results-oriented ...
2 araw ang nakalipas
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 ...
1 buwan ang nakalipas
Utilization & Denials Management Manager
Para lamang sa mga rehistradong miyembro
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 ...
1 buwan ang nakalipas
Utilization & Denials Management Manager
Para lamang sa mga rehistradong miyembro
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 ...
2 buwan ang nakalipas
Job Title: Operations Manager – Utilities & Telecom (Service Delivery & Performance) · Location: Manila, Philippines · Open Roles: 2 · Industry: Utilities / Telecommunications · Experience Required: 10–12 Years · Role Summary · We are looking for a strategic and results-oriented ...
2 araw ang nakalipas
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 ...
1 buwan ang nakalipas
Utilization & Denials Management Manager
Para lamang sa mga rehistradong miyembro
+ 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 ...
3 linggo ang nakalipas
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 · ...
1 buwan ang nakalipas
Assistant Manager-Utilization Management Projects
Para lamang sa mga rehistradong miyembro
Oversee and implement initiatives aimed at improving UM operations. · ...
1 buwan ang nakalipas
USRN Team Leader for Utilization Management Campaign
Para lamang sa mga rehistradong miyembro
This is an entry-level position as a Team Leader for Utilization Management Campaign. · ...
1 buwan ang nakalipas
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 ...
1 buwan ang nakalipas
Utilization & Denials Management Manager l 100k sign-on bonus
Para lamang sa mga rehistradong miyembro
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. · ...
1 buwan ang nakalipas
Utilization & Denials Management Manager l 100k sign-on bonus
Para lamang sa mga rehistradong miyembro
+Utilization & Denials Management Manager · The Utilization And Denials Management Manager is responsible for ensuring accuracy in utilization management up to and including review of claims denied. The manager ensures team carries out appeals process appropriately · +Operational ...
1 buwan ang nakalipas
Utilization & Denials Management Manager l 100k sign-on bonus
Para lamang sa mga rehistradong miyembro
+ Manage team to achieve specific goals by overseeing daily activities, assigning tasks, providing guidance and motivation. · + Address Utilization management and Clinical Denials · + Effectively communicate the team's performance in Operations Meeting including reporting on KPIs ...
3 linggo ang nakalipas
Utilization Management US RN Sr Analyst
Para lamang sa mga rehistradong miyembro
Grievance & Appeals · Creates complete appeal records for external appeal reviews, using standardized Independent Review Entity (IRE) forms and including all required documentation. · Creates a detailed case summary in narrative format for each appeal. · Submits cases as directed ...
3 araw ang nakalipas
+ 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 · ...
1 buwan ang nakalipas
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. · ...
1 buwan ang nakalipas