Utilization Review Jobs in Edison, NJ

Resource Management and Training:Participation in QM resource allocationResource allocation of QA auditorsFacilitation of professional development and career advancement of Quality Management staffAdministrative supervision of Quality Management staff jointly with Senior Director Qual More...

NC Department of Health and Human Services (DHHS) Information Technology Division (ITD) seeks a Quality Assurance (QA) Test Lead for the Medicaid Enterprise System (MES) Program. This role is 100% remote.Please review the Skills matrix and place the information in a table at the top o More...

This position is responsible for designing and creating data visualizations using Power BI. The candidate should have a solid background in data analysis experience with Power BI Dataflows complex DAX calculations Power BI Datasets and implementing Row and Object Level security in More...

Engagement Type Contract Short Description Under immediate supervision the OCM Designer and Developer Contractor supports Georgia Techs data governance and IT change management programs by creating resources that drive readiness communication and adoption of key initiatives. Complete More...

Under immediate supervision the OCM Designer and Developer Contractor supports Georgia Tech s data governance and IT change management programs by creating resources that drive readiness communication and adoption of key initiatives.The OCM Designer and Developer Contractor for Geor More...

Under immediate supervision the OCM Designer and Developer Contractor supports Georgia Tech s data governance and IT change management programs by creating resources that drive readiness communication and adoption of key initiatives.The OCM Designer and Developer Contractor for Geor More...

Under immediate supervision the OCM Designer and Developer Contractor supports Georgia Tech s data governance and IT change management programs by creating resources that drive readiness communication and adoption of key initiatives.The OCM Designer and Developer Contractor for Geor More...

Under immediate supervision the OCM Designer and Developer Contractor supports Georgia Tech s data governance and IT change management programs by creating resources that drive readiness communication and adoption of key initiatives.The OCM Designer and Developer Contractor for Geor More...

The Account Specialist is responsible for maximizing opportunities for the product portfolio in single layer geography. This individual will develop and maintain strategic business relationships with a wide spectrum of customers to include Hospitals IDNs Academic Institutions Outpatie More...

At Experian Health our employees can shape more than products they shape the future of U.S. healthcare. Experian Health is a pioneer for innovations leading the way in revenue cycle management identity management patient engagement and care management for hospitals physician groups l More...

Job Description: Business Unit/Group: WMS MSC Project ManagementRequisition Number: 130731Intended Start Date: 4/1/2025Contract Duration: 2yearsPossibility For Extension / Conversion YesMax Hourly Pay Rate: BR/hrOT Required / Expected NoWhat We Do/ProjectThe main function of a busines More...

General SummaryUnder limited supervision is responsible for the collection of the account balances from all third party payors and patients for services rendered at UMMC Kernan and Specialty Hospital. Manages the Cash Posting area and Followup. Develops and maintains the policies and More...

At Experian Health our employees can shape more than products they shape the future of U.S. healthcare. Experian Health is a pioneer for innovations leading the way in revenue cycle management identity management patient engagement and care management for hospitals physician groups l More...

destinationone Consulting specializes in recruitment across diverse sectors including CleanTech Education and EdTech Government (Municipal State/Provincial and Federal) Health and MedTech Healthcare and Wellness Legal NotForProfit and Public Accounting. We are committed to building a More...

The SVP Chief Marketing Officer of Experian Consumer Services will lead the marketing strategy and execution for our directtoconsumer digital financial platform. The ideal candidate will be a visionary leader with expertise in balancing brand building and performance ma More...

Your CareerA Senior Consulting Director Digital Forensics & Incident Response is responsible for supporting the leadership of Unit 42s DFIR consulting practice for North America. This person will be active in the day to day delivery aspects and functional management of the consult More...

Were looking for a resultsoriented Senior Legal Operations Specialist Billing & Vendor Management to join Procores Legal Regulatory & Compliance (LRC) Department. In this role youll drive collaboration between LRC and outside counsel managing sensitive communications More...

Position: ServiceNow Business Analyst Location: Edison NJ (Remote) Job Description Handson design development and deployment experience with the ServiceNow platform Service now implementation experience in ITSM modules Incident Problem Change CMDB Asset Service Catalog Experienc More...

JOB SUMMARYWe are growing quickly and need a great Sourcing Specialist who are highly experienced in Sourcing candidates and can work fulltime or parttime working toward fulltime. This opportunity is focused on finding the right Top Talent for opportunities nationwide and assisting L More...

Job Title: ServiceNow Architect Location: Edison NJ (Remote) Job Description: Handson Consulting design development and deployment experience with the ServiceNow platform ServiceNow implementation experience in ITSM modules Portal Employee Center Integrations Incident Problem Change More...