Operations Business Analyst
Hartselle, AL · On-site
... review, release readiness, training, field communications, and post-go-live adoption for ... utilization, productivity, cost, service levels, and scenario analysis; and present findings ...
Hartselle, AL · On-site
... review, release readiness, training, field communications, and post-go-live adoption for ... utilization, productivity, cost, service levels, and scenario analysis; and present findings ...
Hartselle, AL · On-site
... review, release readiness, training, field communications, and post-go-live adoption for ... utilization, productivity, cost, service levels, and scenario analysis; and present findings ...
Decatur, AL · On-site
... utilization of project controls for cost, schedule and quality of projects. This work will be ... Reviewing and checking vendor drawings and other discipline drawings for input. * Reviewing ...
Decatur, AL · On-site
... utilization of project controls for cost, schedule and quality of projects. This work will be ... Reviewing and checking vendor drawings and other discipline drawings for input. * Reviewing ...
Decatur, AL · On-site
... utilization of project controls for cost, schedule and quality of projects. This work will be ... Reviewing and checking vendor drawings and other discipline drawings for input. * Reviewing ...
Decatur, AL · On-site
... utilization of project controls for cost, schedule and quality of projects. This work will be ... Reviewing and checking vendor drawings and other discipline drawings for input. * Reviewing ...
Decatur, AL · On-site
... utilization of project controls for cost, schedule and quality of projects. This work will be ... Reviewing and checking vendor drawings and other discipline drawings for input. * Reviewing ...
Decatur, AL · On-site
... utilization of project controls for cost, schedule and quality of projects. This work will be ... Reviewing and checking vendor drawings and other discipline drawings for input. * Reviewing ...
Decatur, AL · On-site
... utilization of project controls for cost, schedule and quality of projects. This work will be ... Reviewing and checking vendor drawings and other discipline drawings for input. * Reviewing ...
Decatur, AL · On-site
... utilization of project controls for cost, schedule and quality of projects. This work will be ... Reviewing and checking vendor drawings and other discipline drawings for input. * Reviewing ...
Cullman, AL · On-site
Perform all DVP testing, including data review and analysis. * Use the Marmon Toolbox to ... QUALIFICATIONS * Knowledge and experience with utilization of CAD/3-D Modeling Software.
Cullman, AL · On-site
Perform all DVP testing, including data review and analysis. * Use the Marmon Toolbox to ... QUALIFICATIONS * Knowledge and experience with utilization of CAD/3-D Modeling Software.
Perform all DVP testing, including data review and analysis. * Use the Marmon Toolbox to ... QUALIFICATIONS * Knowledge and experience with utilization of CAD/3-D Modeling Software.
Perform all DVP testing, including data review and analysis. * Use the Marmon Toolbox to ... QUALIFICATIONS * Knowledge and experience with utilization of CAD/3-D Modeling Software.
Decatur, AL · On-site
Conduct timely performance evaluations , including 30/60/90day, midyear, and annual reviews ... Drive continuous improvement in work methods, production efficiency, equipment utilization, and ...
Decatur, AL · On-site
Conduct timely performance evaluations , including 30/60/90day, midyear, and annual reviews ... Drive continuous improvement in work methods, production efficiency, equipment utilization, and ...
Oversee scheduling, staffing levels, and workforce management to ensure adequate coverage and optimal team utilization * Conduct regular performance reviews, provide constructive feedback, and ...
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Oversee scheduling, staffing levels, and workforce management to ensure adequate coverage and optimal team utilization * Conduct regular performance reviews, provide constructive feedback, and ...
Oversee scheduling, staffing levels, and workforce management to ensure adequate coverage and optimal team utilization * Conduct regular performance reviews, provide constructive feedback, and ...
Oversee scheduling, staffing levels, and workforce management to ensure adequate coverage and optimal team utilization * Conduct regular performance reviews, provide constructive feedback, and ...
Oversee scheduling, staffing levels, and workforce management to ensure adequate coverage and optimal team utilization * Conduct regular performance reviews, provide constructive feedback, and ...
Oversee scheduling, staffing levels, and workforce management to ensure adequate coverage and optimal team utilization * Conduct regular performance reviews, provide constructive feedback, and ...
Oversee scheduling, staffing levels, and workforce management to ensure adequate coverage and optimal team utilization * Conduct regular performance reviews, provide constructive feedback, and ...
Oversee scheduling, staffing levels, and workforce management to ensure adequate coverage and optimal team utilization * Conduct regular performance reviews, provide constructive feedback, and ...
Cullman, AL · On-site
Promote effective utilization and monitoring of healthcare resources and communicates with the multidisciplinary team to achieve optimal clinical and resource outcomes. * Apply process improvement ...
Cullman, AL · On-site
Promote effective utilization and monitoring of healthcare resources and communicates with the multidisciplinary team to achieve optimal clinical and resource outcomes. * Apply process improvement ...
Cullman, AL · On-site
$65 - $80/hr
Promote effective utilization and monitoring of healthcare resources and communicates with the multidisciplinary team to achieve optimal clinical and resource outcomes.Apply process improvement ...
Cullman, AL · On-site
$65 - $80/hr
Promote effective utilization and monitoring of healthcare resources and communicates with the multidisciplinary team to achieve optimal clinical and resource outcomes.Apply process improvement ...
Cullman, AL · On-site
Promote effective utilization and monitoring of healthcare resources and communicates with the multidisciplinary team to achieve optimal clinical and resource outcomes. * Apply process improvement ...
Cullman, AL · On-site
Promote effective utilization and monitoring of healthcare resources and communicates with the multidisciplinary team to achieve optimal clinical and resource outcomes. * Apply process improvement ...
Valhermoso Springs, AL · On-site
$97K - $128K/yr
... resource utilization. [TDP Integration, DFMEA/PFMEA risk management/updates, KC updates ... Represent the AL Material Review Board processes. * Understand pertinent codes, rules, and ...
Valhermoso Springs, AL · On-site
$97K - $128K/yr
... resource utilization. [TDP Integration, DFMEA/PFMEA risk management/updates, KC updates ... Represent the AL Material Review Board processes. * Understand pertinent codes, rules, and ...
County Line, AL · On-site
$332K - $375K/yr
Reviews PCP requests for external cardiology referrals and participates in delegated utilization authorizations; determines level of urgency of follow-up, referral/consultation appointments. * May ...
County Line, AL · On-site
$332K - $375K/yr
Reviews PCP requests for external cardiology referrals and participates in delegated utilization authorizations; determines level of urgency of follow-up, referral/consultation appointments. * May ...
Decatur, AL · On-site
... utilization, and support efficient material flow, including vendor managed inventory (VMI) solutions. • Conduct review of inventory data and system transactions, implement controls to maintain ...
Decatur, AL · On-site
... utilization, and support efficient material flow, including vendor managed inventory (VMI) solutions. • Conduct review of inventory data and system transactions, implement controls to maintain ...
Cullman, AL · On-site
$56 - $85/hr
Promote effective utilization and monitoring of healthcare resources and communicates with the multidisciplinary team to achieve optimal clinical and resource outcomes. * Apply process improvement ...
Cullman, AL · On-site
$56 - $85/hr
Promote effective utilization and monitoring of healthcare resources and communicates with the multidisciplinary team to achieve optimal clinical and resource outcomes. * Apply process improvement ...
Guntersville, AL · On-site
$270K/yr
Encourages utilization of evidence-psychotherapy protocols, and * Encourages research activities ... review of the EDRP application. Former EDRP participants ineligible to apply for incentive. Contact ...
Guntersville, AL · On-site
$270K/yr
Encourages utilization of evidence-psychotherapy protocols, and * Encourages research activities ... review of the EDRP application. Former EDRP participants ineligible to apply for incentive. Contact ...
$18.88 - $22.69
2% of jobs
$22.69 - $26.51
9% of jobs
$29.12 is the 25th percentile. Wages below this are outliers.
$26.51 - $30.33
21% of jobs
The median wage is $33.42 / hr.
$30.33 - $34.14
23% of jobs
$34.14 - $37.96
13% of jobs
$40.93 is the 75th percentile. Wages above this are outliers.
$37.96 - $41.78
10% of jobs
$41.78 - $45.60
8% of jobs
$45.60 - $49.41
5% of jobs
$49.41 - $53.23
5% of jobs
$53.23 - $57.05
2% of jobs
$57.05 - $60.87
2% of jobs
$18
$37
$60
A Utilization Review (UR) job involves assessing the medical necessity, efficiency, and appropriateness of healthcare services. UR professionals, often nurses or healthcare specialists, review patient records, insurance claims, and treatment plans to ensure they meet industry standards and payer requirements. They work with healthcare providers, insurance companies, and regulatory agencies to optimize care while controlling costs. Their goal is to balance quality patient care with cost-effective resource utilization.
A typical day in Utilization Review involves reviewing patient medical records, evaluating the necessity and appropriateness of proposed treatments or services, and documenting recommendations based on clinical criteria and insurance policies. Utilization Review specialists often collaborate closely with physicians, nurses, and insurance representatives to gather additional information and clarify cases. While much of the role is desk-based and may include remote work options, it requires regular communication with both clinical and administrative teams. This position offers variety and challenge, as no two cases are exactly alike, and there are often opportunities to advance into supervisory or quality improvement roles within the department.
To thrive in Utilization Review, professionals typically need a background in nursing or healthcare, strong clinical assessment capabilities, and a thorough understanding of medical guidelines and insurance regulations. Familiarity with electronic medical records (EMR) systems and utilization management software, and often certification such as Certified Utilization Review Specialist (CURN), are important. Excellent critical thinking, attention to detail, and strong communication skills enable effective case evaluation and collaboration with healthcare teams. These skills and qualifications ensure objective, accurate decisions that support cost-effective, quality patient care within compliance standards.
For Utilization Review jobs in Cullman, AL, the most frequently searched job titles are:
Cities near Cullman, AL with the most Utilization Review job openings:

Full-time
Posted 15 days ago
Sourced by ZipRecruiter
Utilities
201 - 500 Employees
Hartselle, AL, US
2016