28 Utilization Management Jobs - Page 2

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8.0 - 13.0 years

8 - 18 Lacs

Farakka

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Profile Overview: We are looking for an experienced professional in the FLYASH Thermal sector, who will oversee and manage business operations at the assigned Thermal power plant by setting up the entire operations team for flyash disposal. Job Description Responsible for setting up the entire operations team. Assisting and overseeing the site engaged in disposing ash from Thermal power for both fly and legacy ash disposal as per the margins agreed by the management. Monitor the work progress on a regular basis and formulate reports as required (daily, weekly monthly, yearly planning etc) Arranging local transporters from power plants to mines/low-lying areas and ensuring that the vehicles r...

Posted 5 months ago

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8.0 - 13.0 years

8 - 18 Lacs

Bokaro

Work from Office

Profile Overview: We are looking for an experienced professional in the FLYASH Thermal sector, who will oversee and manage business operations at the assigned Thermal power plant by setting up the entire operations team for flyash disposal. Job Description Responsible for setting up the entire operations team. Assisting and overseeing the site engaged in disposing ash from Thermal power for both fly and legacy ash disposal as per the margins agreed by the management. Monitor the work progress on a regular basis and formulate reports as required (daily, weekly monthly, yearly planning etc) Arranging local transporters from power plants to mines/low-lying areas and ensuring that the vehicles r...

Posted 5 months ago

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5.0 - 10.0 years

5 - 10 Lacs

Chennai

Work from Office

Role & responsibilities We are seeking a dedicated Utilization Management Specialist to join our Chennai office. In this role, you will be responsible for reviewing and analyzing clinical information to determine the medical necessity and appropriateness of healthcare services, ensuring compliance with established guidelines and policies. Your expertise will contribute to optimizing patient care and resource utilization. Key Responsibilities Conduct prior authorization, concurrent, and retrospective reviews for various healthcare services, including inpatient, outpatient, home health, and behavioral health. Apply evidence-based criteria (e.g., MCG, InterQual) to assess the necessity of medic...

Posted 5 months ago

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