5320 management representative jobs found

Utilization Management Representative I Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. The Utilization Management Representative I will be responsible for coordinating cases for precertification and prior authorization review. How you will make an impact: Managing incoming calls or incoming post services claims work. Determines contract and benefit eligibility; provides authorization for inpatient admission, outpatient precertification, prior authorization, and post service requests. Refers cases requiring clinical review to a Nurse reviewer. Responsible for the identification and data entry of referral requests into the UM system in accordance with the plan certificate....

CHS Inc. is a leading global agribusiness owned by farmers, ranchers and cooperatives across the United States that provides grain, food and energy resources to businesses and consumers around the world.  We serve agriculture customers and consumers across the United States and around the world.  Most of our 10,000 employees are in the United States, but today we have employees in 19 countries. At CHS, we are creating connections to empower agriculture. Summary CHS, Inc. has an exciting opportunity for a Senior Account Management Representative on the Unbranded Lubricants Sales team. This role performs customer service and account maintenance duties for established and stable customers and markets. The focus is on maintaining and growing the customers based on segmentation, achieving the annual budget and managing essential business operations. Responsibilities Develop and strengthen relationships with assigned and targeted prospects to maximize customer...

Location: This role enables associates to work virtually full-time, with the exception of required in person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, support work-life integration, and ensures essential face-to-face onboarding and kill development. Candidates must reside in one of the following states to be considered: Nevada, Kansas, or Texas. Hours: Monday - Friday, 8am - 5pm PST The Utilization Management Representative I is responsible for coordinating cases for precertification and prior authorization review. How will you make an impact Managing incoming calls or incoming post services claims work. Determines contract and benefit eligibility; provides authorization for inpatient admission, outpatient precertification, prior authorization, and post service requests. Refers cases requiring clinical review to a Nurse reviewer. Responsible for the identification and data entry of referral requests into the UM...

Location: This role enables associates to work virtually full-time, with the exception of required in person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, support work-life integration, and ensures essential face-to-face onboarding and kill development. Candidates must reside in one of the following states to be considered: Nevada, Kansas, or Texas. Hours: Monday - Friday, 8am - 5pm PST The Utilization Management Representative I is responsible for coordinating cases for precertification and prior authorization review. How will you make an impact Managing incoming calls or incoming post services claims work. Determines contract and benefit eligibility; provides authorization for inpatient admission, outpatient precertification, prior authorization, and post service requests. Refers cases requiring clinical review to a Nurse reviewer. Responsible for the identification and data entry of referral requests into the UM...

Utilization Management Representative I Location: This role enables associates to work virtually full-time, with the exception of required in person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, support work-life integration, and ensures essential face-to-face onboarding and kill development. Candidates must reside in one of the following states to be considered: Nevada, Kansas, or Texas. Hours: Monday - Friday, 8am - 5pm PST The Utilization Management Representative I is responsible for coordinating cases for precertification and prior authorization review. How will you make an impact: Managing incoming calls or incoming post services claims work. Determines contract and benefit eligibility; provides authorization for inpatient admission, outpatient precertification, prior authorization, and post service requests. Refers cases requiring clinical review to a Nurse reviewer....

Location: Within 50 miles of Wallingford or Rocky Hill, Connecticut Hours: Monday - Friday, from 8:30 am - 5:00 pm EST. The Utilization Management Representative I is responsible for coordinating cases for precertification and prior authorization review. How will you make an impact Managing incoming calls or incoming post services claims work. Determines contract and benefit eligibility; provides authorization for inpatient admission, outpatient precertification, prior authorization, and post service requests. Refers cases requiring clinical review to a Nurse reviewer. Responsible for the identification and data entry of referral requests into the UM system in accordance with the plan certificate. Responds to telephone and written inquiries from clients, providers and in-house departments. Conducts clinical screening process. Authorizes initial set of sessions to provider. Checks benefits for facility based treatment. Develops and maintains positive customer...

Job Summary Iowa Health Care department of Patient Financial Services is seeking a Revenue Cycle Representative (RCR) for an entry-level customer service position in the healthcare industry. The Patient Access Management (PAM) Division RCRs will provide exceptional customer service to our external customers: patients, insurance contacts, etc; as well as internal customers. You will support UI Health Care’s “Service Excellence” standards to all our customer groups, utilize tools and processes to make independent decisions and will maintain integrity and treat internal and external customers respectfully. The RCR will work in a high-volume phone and web-based application environment and be part of an incoming and outbound call environment. You must have a demonstrated ability to prioritize, multi-task & quickly change focus in fast-paced team environment. The PAM RCR must have the ability to exhibit compassion and empathy when working directly with patients and/or...

Job Summary Iowa Health Care department of Patient Financial Services is seeking a Revenue Cycle Representative (RCR) for an entry-level customer service position in the healthcare industry. The Patient Access Management (PAM) Division RCRs will provide exceptional customer service to our external customers: patients, insurance contacts, etc; as well as internal customers. You will support UI Health Care’s “Service Excellence” standards to all our customer groups, utilize tools and processes to make independent decisions and will maintain integrity and treat internal and external customers respectfully. The RCR will work in a high-volume phone and web-based application environment and be part of an incoming and outbound call environment. You must have a demonstrated ability to prioritize, multi-task & quickly change focus in fast-paced team environment. The PAM RCR must have the ability to exhibit compassion and empathy when working directly with patients and/or their...

Lensa is the leading career site for job seekers at every stage of their career. Our client, Enterprise Mobility Inc, is seeking professionals. Apply via Lensa today! Overview As we continue to build our team in support of our vision to the be the world’s best and most trusted mobility company, Enterprise Fleet Management, a business line of Enterprise Mobility is excited to announce the opening of a Shared Services Representative! The Shared Services Representative for our National Service Department will primarily be responsible for ensuring timely follow up on maintenance replacement rentals and roadside related services, while communicating client approval of repairs to maintenance facilities. The Shared Services Representative will also assist with various tasks, projects, and reports related to managing vehicle recalls, historical repair orders, and manufacturer claims. This is a full-time, work from home position, that will allow you to work 100% from your home...

Lensa is the leading career site for job seekers at every stage of their career. Our client, Enterprise Mobility Inc, is seeking professionals. Apply via Lensa today! Overview As we continue to build our team in support of our vision to the be the world’s best and most trusted mobility company, Enterprise Fleet Management, a business line of Enterprise Mobility is excited to announce the opening of a Shared Services Representative! The Shared Services Representative for our National Service Department will primarily be responsible for ensuring timely follow up on maintenance replacement rentals and roadside related services, while communicating client approval of repairs to maintenance facilities. The Shared Services Representative will also assist with various tasks, projects, and reports related to managing vehicle recalls, historical repair orders, and manufacturer claims. This is a full-time, work from home position, that will allow you to work 100% from your home...

Overview:The Patient Services Representative 1 coordinates and participates in a variety of duties associated with daily clinic preparation process, patient identification, patient check in, charge posting, cash management and basic patient appointment scheduling. Conveys a positive image and provides information to ensure patients' needs are met.Responsibilities:Coordinates and participates in a variety of duties associated with daily clinic preparation process including: patient identification, patient check in/out, charge posting, cash management, patient appointment scheduling, patient registration and account set-up, phone calls.Competent in telephone system, takes and delivers messages to physicians, nurses and others. Reports medical information obtained from patients and referring physicians accurately, completely and in a timely manner. Distributes all messages according to practice communication standards.Serves as a role model by conducting self in a responsible,...

Construction Safety Facilitator Job ID 220217 Posted 15-May-2025 Service line PJM Segment Role type Full-time Areas of Interest Construction, Data Centers, Project Management Location(s) Charleston - South Carolina - United States of America, Moncks Corner - South Carolina - United States of America, North Charleston - South Carolina - United States of America, Summerville - South Carolina - United States of America About the role The purpose of this position is to monitor construction projects for clients, with direct accountability for project delivery on data center projects. On site in Moncks Corner, SC What you’ll do Routinely monitor the GC’s EHS performance to ensure that the GC is in compliance with their stated practices and procedures, regulatory requirements and any additional owner expectations/deliverables that may have been identified in the contract of...

Job Requisition ID: 46048 Opening Date: 05/15/2025 Closing Date: 05/29/2025 Agency: Department of Human Services Class Title: HUMAN RESOURCES SPECIALIST - 19693 Skill Option: None Bilingual Option: None Salary: Anticipated Salary: $6,339 - $7,800 per month ($76,068 - $93,600 per year) Job Type: Salaried Category: Full Time County: Schuyler Number of Vacancies: 1 Bargaining Unit Code: None Merit Comp Code: Confidential (Management Bill) Exclusion from RC062 Collective Bargaining Coverage **************** A RESUME IS REQUIRED FOR THIS JOB POSTING **************** Please attach a DETAILED Resume/Curriculum Vitae (CV) to the MY DOCUMENTS section of your application. You WILL NOT be considered for the position if you attach a CMS100, CMS100b or any other document that is not a Resume or CV. When applicable, titles that require specific coursework, professional license or certification will include a notation...

Job Summary Under the direction of the Director/Associate Director of Clinical Management, the Senior Clinical Study Manager is responsible for the oversight and management of Otsuka clinical studies, including coordination with other relevant parties (e.g., other Otsuka departments, external service providers (ESPs), etc.). Responsibilities include the planning, execution and completion of clinical trials according to applicable regulations and guidance; ICH Guidelines Good Clinical Practices (GCP), and Otsuka SOPs, within agreed-upon timeframes and budget. Job Description Provides oversight and management of clinical studies at Otsuka, including planning, execution, and completion of clinical trials according to all applicable regulations and guidance, ICH/GCP, and Otsuka SOPs. Contribute to the development and review of all critical clinical study documents, including clinical protocols, informed consent forms, or other study-related clinical documents....

Job Summary Under the direction of the Director/Associate Director of Clinical Management, the Senior Clinical Study Manager is responsible for the oversight and management of Otsuka clinical studies, including coordination with other relevant parties (e.g., other Otsuka departments, external service providers (ESPs), etc.). Responsibilities include the planning, execution and completion of clinical trials according to applicable regulations and guidance; ICH Guidelines Good Clinical Practices (GCP), and Otsuka SOPs, within agreed-upon timeframes and budget. Job Description Provides oversight and management of clinical studies at Otsuka, including planning, execution, and completion of clinical trials according to all applicable regulations and guidance, ICH/GCP, and Otsuka SOPs. Contribute to the development and review of all critical clinical study documents, including clinical protocols, informed consent forms, or other study-related clinical documents....

Job Summary Under the direction of the Director/Associate Director of Clinical Management, the Senior Clinical Study Manager is responsible for the oversight and management of Otsuka clinical studies, including coordination with other relevant parties (e.g., other Otsuka departments, external service providers (ESPs), etc.). Responsibilities include the planning, execution and completion of clinical trials according to applicable regulations and guidance; ICH Guidelines Good Clinical Practices (GCP), and Otsuka SOPs, within agreed-upon timeframes and budget. Job Description Provides oversight and management of clinical studies at Otsuka, including planning, execution, and completion of clinical trials according to all applicable regulations and guidance, ICH/GCP, and Otsuka SOPs. Contribute to the development and review of all critical clinical study documents, including clinical protocols, informed consent forms, or other study-related clinical documents....

Job Summary Under the direction of the Director/Associate Director of Clinical Management, the Senior Clinical Study Manager is responsible for the oversight and management of Otsuka clinical studies, including coordination with other relevant parties (e.g., other Otsuka departments, external service providers (ESPs), etc.). Responsibilities include the planning, execution and completion of clinical trials according to applicable regulations and guidance; ICH Guidelines Good Clinical Practices (GCP), and Otsuka SOPs, within agreed-upon timeframes and budget. Job Description Provides oversight and management of clinical studies at Otsuka, including planning, execution, and completion of clinical trials according to all applicable regulations and guidance, ICH/GCP, and Otsuka SOPs. Contribute to the development and review of all critical clinical study documents, including clinical protocols, informed consent forms, or other study-related clinical documents....

Job Summary Under the direction of the Director/Associate Director of Clinical Management, the Senior Clinical Study Manager is responsible for the oversight and management of Otsuka clinical studies, including coordination with other relevant parties (e.g., other Otsuka departments, external service providers (ESPs), etc.). Responsibilities include the planning, execution and completion of clinical trials according to applicable regulations and guidance; ICH Guidelines Good Clinical Practices (GCP), and Otsuka SOPs, within agreed-upon timeframes and budget. Job Description Provides oversight and management of clinical studies at Otsuka, including planning, execution, and completion of clinical trials according to all applicable regulations and guidance, ICH/GCP, and Otsuka SOPs. Contribute to the development and review of all critical clinical study documents, including clinical protocols, informed consent forms, or other study-related clinical documents....

Job Summary Under the direction of the Director/Associate Director of Clinical Management, the Senior Clinical Study Manager is responsible for the oversight and management of Otsuka clinical studies, including coordination with other relevant parties (e.g., other Otsuka departments, external service providers (ESPs), etc.). Responsibilities include the planning, execution and completion of clinical trials according to applicable regulations and guidance; ICH Guidelines Good Clinical Practices (GCP), and Otsuka SOPs, within agreed-upon timeframes and budget. Job Description Provides oversight and management of clinical studies at Otsuka, including planning, execution, and completion of clinical trials according to all applicable regulations and guidance, ICH/GCP, and Otsuka SOPs. Contribute to the development and review of all critical clinical study documents, including clinical protocols, informed consent forms, or other study-related clinical documents....

Job Summary Under the direction of the Director/Associate Director of Clinical Management, the Senior Clinical Study Manager is responsible for the oversight and management of Otsuka clinical studies, including coordination with other relevant parties (e.g., other Otsuka departments, external service providers (ESPs), etc.). Responsibilities include the planning, execution and completion of clinical trials according to applicable regulations and guidance; ICH Guidelines Good Clinical Practices (GCP), and Otsuka SOPs, within agreed-upon timeframes and budget. Job Description Provides oversight and management of clinical studies at Otsuka, including planning, execution, and completion of clinical trials according to all applicable regulations and guidance, ICH/GCP, and Otsuka SOPs. Contribute to the development and review of all critical clinical study documents, including clinical protocols, informed consent forms, or other study-related clinical documents....

Job Summary Under the direction of the Director/Associate Director of Clinical Management, the Senior Clinical Study Manager is responsible for the oversight and management of Otsuka clinical studies, including coordination with other relevant parties (e.g., other Otsuka departments, external service providers (ESPs), etc.). Responsibilities include the planning, execution and completion of clinical trials according to applicable regulations and guidance; ICH Guidelines Good Clinical Practices (GCP), and Otsuka SOPs, within agreed-upon timeframes and budget. Job Description Provides oversight and management of clinical studies at Otsuka, including planning, execution, and completion of clinical trials according to all applicable regulations and guidance, ICH/GCP, and Otsuka SOPs. Contribute to the development and review of all critical clinical study documents, including clinical protocols, informed consent forms, or other study-related clinical documents....

Job Summary Under the direction of the Director/Associate Director of Clinical Management, the Senior Clinical Study Manager is responsible for the oversight and management of Otsuka clinical studies, including coordination with other relevant parties (e.g., other Otsuka departments, external service providers (ESPs), etc.). Responsibilities include the planning, execution and completion of clinical trials according to applicable regulations and guidance; ICH Guidelines Good Clinical Practices (GCP), and Otsuka SOPs, within agreed-upon timeframes and budget. Job Description Provides oversight and management of clinical studies at Otsuka, including planning, execution, and completion of clinical trials according to all applicable regulations and guidance, ICH/GCP, and Otsuka SOPs. Contribute to the development and review of all critical clinical study documents, including clinical protocols, informed consent forms, or other study-related clinical documents....

Job Summary Under the direction of the Director/Associate Director of Clinical Management, the Senior Clinical Study Manager is responsible for the oversight and management of Otsuka clinical studies, including coordination with other relevant parties (e.g., other Otsuka departments, external service providers (ESPs), etc.). Responsibilities include the planning, execution and completion of clinical trials according to applicable regulations and guidance; ICH Guidelines Good Clinical Practices (GCP), and Otsuka SOPs, within agreed-upon timeframes and budget. Job Description Provides oversight and management of clinical studies at Otsuka, including planning, execution, and completion of clinical trials according to all applicable regulations and guidance, ICH/GCP, and Otsuka SOPs. Contribute to the development and review of all critical clinical study documents, including clinical protocols, informed consent forms, or other study-related clinical documents....

Job Summary Under the direction of the Director/Associate Director of Clinical Management, the Senior Clinical Study Manager is responsible for the oversight and management of Otsuka clinical studies, including coordination with other relevant parties (e.g., other Otsuka departments, external service providers (ESPs), etc.). Responsibilities include the planning, execution and completion of clinical trials according to applicable regulations and guidance; ICH Guidelines Good Clinical Practices (GCP), and Otsuka SOPs, within agreed-upon timeframes and budget. Job Description Provides oversight and management of clinical studies at Otsuka, including planning, execution, and completion of clinical trials according to all applicable regulations and guidance, ICH/GCP, and Otsuka SOPs. Contribute to the development and review of all critical clinical study documents, including clinical protocols, informed consent forms, or other study-related clinical documents....