Dallas, TX · Remote
$40/hr
Provides information regarding utilization management requirements and operational procedures to ... setting or health care insurance company. * Knowledge of medical terminology and procedures.
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Dallas, TX · Remote
$40/hr
Provides information regarding utilization management requirements and operational procedures to ... setting or health care insurance company. * Knowledge of medical terminology and procedures.
Plano, TX · Remote
... Health Care Insurance Company. * Knowledge of medical terminology and procedures. * Verbal and ... Utilization management experience LOCATION: REMOTE in Texas ( Richardson area ? Dallas/Collin ...
Plano, TX · Remote
... Health Care Insurance Company. * Knowledge of medical terminology and procedures. * Verbal and ... Utilization management experience LOCATION: REMOTE in Texas ( Richardson area ? Dallas/Collin ...
Work location: Remote Work hours: Full time from 6:45am to 3:15p, rotating days, weekends and ... Provide consultation to medical and nursing staff, health information management, and payers on ...
Work location: Remote Work hours: Full time from 6:45am to 3:15p, rotating days, weekends and ... Provide consultation to medical and nursing staff, health information management, and payers on ...
Dallas, TX · Remote
$275K - $325K/yr
REMOTE (work from home) California Nevada Arizona Oregon Florida The Medical Director role provides ... Excellent communication skills to engage effectively with healthcare providers, payers, and ...
Dallas, TX · Remote
$275K - $325K/yr
REMOTE (work from home) California Nevada Arizona Oregon Florida The Medical Director role provides ... Excellent communication skills to engage effectively with healthcare providers, payers, and ...
... utilization management and clinical medical review solutions. We're a leader in Peer and ... sensitive health information. California Consumer Privacy Act (CCPA) Information (California ...
... utilization management and clinical medical review solutions. We're a leader in Peer and ... sensitive health information. California Consumer Privacy Act (CCPA) Information (California ...
... utilization management and clinical medical review solutions. We're a leader in Peer and ... sensitive health information. California Consumer Privacy Act (CCPA) Information (California ...
... utilization management and clinical medical review solutions. We're a leader in Peer and ... sensitive health information. California Consumer Privacy Act (CCPA) Information (California ...
... utilization management and clinical medical review solutions. We're a leader in Peer and ... sensitive health information. California Consumer Privacy Act (CCPA) Information (California ...
... utilization management and clinical medical review solutions. We're a leader in Peer and ... sensitive health information. California Consumer Privacy Act (CCPA) Information (California ...
Irving, TX · On-site +1
$118K - $236K/yr
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Hybrid position: remote work permitted but must live within commuting distance of designated office ...
Irving, TX · On-site +1
$118K - $236K/yr
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Hybrid position: remote work permitted but must live within commuting distance of designated office ...
Irving, TX · On-site +1
$114K - $185K/yr
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Hybrid position: remote work permitted but must live within commuting distance of designated office ...
Irving, TX · On-site +1
$114K - $185K/yr
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Hybrid position: remote work permitted but must live within commuting distance of designated office ...
Irving, TX · On-site +1
$141K - $144K/yr
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Hybrid position: remote work permitted but must live within commuting distance of designated office ...
Irving, TX · On-site +1
$141K - $144K/yr
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Hybrid position: remote work permitted but must live within commuting distance of designated office ...
Irving, TX · On-site +1
$112K - $185K/yr
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Remote work permitted but must live within commuting distance of designated office location and ...
Irving, TX · On-site +1
$112K - $185K/yr
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Remote work permitted but must live within commuting distance of designated office location and ...
Dallas, TX · Remote
$60K - $132K/yr
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... years remote workforce management * Intermediate understanding of business analytics * Prior ...
Dallas, TX · Remote
$60K - $132K/yr
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... years remote workforce management * Intermediate understanding of business analytics * Prior ...
CVS Health is seeking a Staff Software Engineer with a strong background in enterprise software ... We will consider remote US for the right candidate Key Responsibilities * Lead the architecture ...
CVS Health is seeking a Staff Software Engineer with a strong background in enterprise software ... We will consider remote US for the right candidate Key Responsibilities * Lead the architecture ...
Dallas, TX · On-site +1
$18.50 - $35.29/hr
Requisition CVS Business Unit: Signify Health Location / Logistics: This role is open to remote ... This position provides guidance to staff and customers, helps manage workflow improvement projects ...
Dallas, TX · On-site +1
$18.50 - $35.29/hr
Requisition CVS Business Unit: Signify Health Location / Logistics: This role is open to remote ... This position provides guidance to staff and customers, helps manage workflow improvement projects ...
Plano, TX · On-site +1
$120K - $140K/yr
Sr. Cybersecurity Engineer, Vulnerability Management (Remote) Overview A leading healthcare organization is seeking a Senior Cybersecurity Engineer, Vulnerability Management (Remote) to support and ...
Plano, TX · On-site +1
$120K - $140K/yr
Sr. Cybersecurity Engineer, Vulnerability Management (Remote) Overview A leading healthcare organization is seeking a Senior Cybersecurity Engineer, Vulnerability Management (Remote) to support and ...
Richardson, TX · On-site +1
$118K - $260K/yr
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Position Summary The Staff Software Development Engineer is responsible for managing the technical ...
Richardson, TX · On-site +1
$118K - $260K/yr
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Position Summary The Staff Software Development Engineer is responsible for managing the technical ...
Plano, TX · On-site +1
$60 - $70/hr
Sr. Cybersecurity Analyst - Vulnerability Management (Remote Contract) Overview A leading healthcare organization is seeking a Sr. Cybersecurity Analyst - Vulnerability Management (Remote Contract ...
Plano, TX · On-site +1
$60 - $70/hr
Sr. Cybersecurity Analyst - Vulnerability Management (Remote Contract) Overview A leading healthcare organization is seeking a Sr. Cybersecurity Analyst - Vulnerability Management (Remote Contract ...
Dallas, TX · Remote
$196K - $258K/yr
Oscar is the first health insurance company built around a full stack technology platform and a ... Partner with leaders across Claims, Network, Utilization Management, Payment Integrity, Contact ...
Dallas, TX · Remote
$196K - $258K/yr
Oscar is the first health insurance company built around a full stack technology platform and a ... Partner with leaders across Claims, Network, Utilization Management, Payment Integrity, Contact ...
Dallas, TX · Remote
$196K - $258K/yr
Oscar is the first health insurance company built around a full stack technology platform and a ... Partner with leaders across Claims, Network, Utilization Management, Payment Integrity, Contact ...
Dallas, TX · Remote
$196K - $258K/yr
Oscar is the first health insurance company built around a full stack technology platform and a ... Partner with leaders across Claims, Network, Utilization Management, Payment Integrity, Contact ...
Dallas, TX · Remote
$35 - $45.94/hr
This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois ... managed care plan This is an authentic Oscar Health job opportunity. Learn more about how you can ...
Dallas, TX · Remote
$35 - $45.94/hr
This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois ... managed care plan This is an authentic Oscar Health job opportunity. Learn more about how you can ...
$21.16 - $25.44
2% of jobs
$25.44 - $29.72
9% of jobs
$32.65 is the 25th percentile. Wages below this are outliers.
$29.72 - $34
21% of jobs
The median wage is $37.47 / hr.
$34 - $38.29
23% of jobs
$38.29 - $42.57
13% of jobs
$45.89 is the 75th percentile. Wages above this are outliers.
$42.57 - $46.85
10% of jobs
$46.85 - $51.13
8% of jobs
$51.13 - $55.41
5% of jobs
$55.41 - $59.69
5% of jobs
$59.69 - $63.97
2% of jobs
$63.97 - $68.25
2% of jobs
$21
$41
$68
| Aspect | Cvs Health Utilization Management Remote | Cvs Health Medical Reviewer |
|---|---|---|
| Credentials | RN, LPN, or other healthcare licenses | RN, MD, or DO licenses |
| Work Environment | Remote, home-based | Remote or onsite, depending on role |
| Employer & Industry Usage | Utilization management for insurance approvals | Medical review for claims and authorizations |
Both roles involve healthcare assessments, often requiring similar licenses. Utilization Management Remote focuses on reviewing medical necessity for insurance purposes, while Medical Reviewers may handle detailed case evaluations. Both are remote-friendly and integral to healthcare insurance processes, but differ slightly in scope and responsibilities.
The most popular types of Cvs Health Utilization Management jobs in Dallas, TX are:
For Cvs Health Utilization Management Remote jobs in Dallas, TX, the most frequently searched job titles are:
The top searched job categories for Cvs Health Utilization Management Remote jobs in Dallas, TX are:
Cities near Dallas, TX with the most Cvs Health Utilization Management Remote job openings:
Dallas, TX • Remote
$40/hr
Full-time
Posted 21 days ago
$40/hour - Contract for 6 months
Must reside in TX
Full time remote
Candidates must be based in TX.
RN working in the insurance or managed care industry using medically accepted criteria to validate the medical necessity and appropriateness of the treatment plan.
pay rate is $40/hour
This position is responsible for performing initial, concurrent review activities; discharge care coordination for determining efficiency, effectiveness and quality of medical/surgical services and serving as liaison between providers and medical and network management divisions. Collects clinical and non-clinical data. Verifies eligibility. Determines benefit levels in accordance to contract guidelines. Provides information regarding utilization management requirements and operational procedures to members, providers and facilities.
Registered Nurse (RN) with valid, current, unrestricted license in the state of operations.
* 3 years of clinical experience in a physician office, hospital/surgical setting or health care insurance company.
* Knowledge of medical terminology and procedures.
* Verbal and written communication skills.
PREFERRED JOB REQUIREMENTS:
* Utilization management experience
* MCG or InterQual experience
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