Jobs in the United States

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Added 4 mins ago
Training & Development Manager
Amgen Inc.
OH
…strategies that support compliant and continuously improving (CI) operations. This position supports managers in the identification of training requirements, design, development, and…
Added 5 mins ago
Mid-Level Security Specialist
Patriot Group International
Herndon, VA
Patriot Group International Inc. (PGI), voted #1 Best Place to Work by Virginia Business Magazine and the Best Companies Group, offers an unrivaled hybrid of specialized services by…
Added 5 mins ago
FW
Stone Brewing Sous Chef
FIRESTONE WALKER INC
San Diego, CA
- $25 to $27 USD / hour
Manager Food Handler’s and RBS Certification Required
Added 6 mins ago
General Manager | HOA | High-Rise Residential
WRMC, Inc.
Austin, TX
We’re seeking an experienced and service-driven General Manager to lead operations at a premier condominium community.
Added 6 mins ago
Senior Project Controls Analyst
Pacific Gas And Electric Company
Fresno, CA
Job Category: Power Generation; Business Operations / Strategy
Added 7 mins ago
SA
Senior Staff Technical Program Manager (R5886)
Shield AI
Seattle, WA · Dallas, TX · Washington, DC
- $180,000 to $270,000 USD / year
We are looking for an exceptional Technical Program Manager to guide and manage our next-generation autonomous aircraft conceptual design and tradespace analysis effort. You will be…
Added 12 mins ago
Assistant Manager II
Family Dollar
Stockton, CA
We’re seeking an Assistant Store Manager to join our team to help with store operations, customer service and team development. Duties include, but are not limited to, the following:
Added 12 mins ago
Assistant Manager II
Family Dollar
Glendale, AZ
We’re seeking an Assistant Store Manager to join our team to help with store operations, customer service and team development. Duties include, but are not limited to, the following:
Added 12 mins ago
Assistant Manager I
Family Dollar
Cincinnati, OH
We’re seeking an Assistant Store Manager to join our team to help with store operations, customer service and team development. Duties include, but are not limited to, the following:
Added 12 mins ago
Assistant Manager I
Family Dollar
South Holland, IL
We’re seeking an Assistant Store Manager to join our team to help with store operations, customer service and team development. Duties include, but are not limited to, the following:
Added 12 mins ago
Assistant Manager II
Family Dollar
Jackson, TN
We’re seeking an Assistant Store Manager to join our team to help with store operations, customer service and team development. Duties include, but are not limited to, the following:
Added 14 mins ago
Senior Operational Excellence Specialist - Lic (open to remote)
AFMIC American Family Mutual Insurance Company, S.I.
Remote, United States
Analyze business processes, sales operations, performance data, and value streams to uncover opportunities, streamline workflows, and eliminate inefficiencies.
Added 15 mins ago
Quality Manager
Rohrback Cosasco Systems, Inc
United States
The Quality Manager will report directly to the VP of Operations. In this role, you will oversee all aspects of quality directly or in a supervisory capacity for our global team. You will…
Added 16 mins ago
Test Development Manager
Jabil Inc.
Austin, TX
…scalable and customized solutions. Our commitment extends beyond business success as we strive to build sustainable processes that minimize environmental impact and foster vibrant and…
Added 17 mins ago
GC
Social Worker II (CMHRP)
Guilford County
Greensboro, NC
- $23.69 to $27.84 USD / hour
…funding term requirements and is contingent upon continued program authorization and financial…
Added 18 mins ago
KC
North America Technical Engagement Manager (TEM)
KLA Corporation
Austin, TX
- $127,900 to $217,400 USD / year
The Semiconductor Products and Customers (Semi PC) business unit designs, builds and sells KLA’s product portfolio to help chip manufacturers meet high-quality standards for technologies…
Added 18 mins ago
KC
North America Inspection Technical Engagement Manager
KLA Corporation
Austin, TX
- $127,900 to $217,400 USD / year
The Semiconductor Products and Customers (Semi PC) business unit designs, builds and sells KLA’s product portfolio to help chip manufacturers meet high-quality standards for technologies…
Added 18 mins ago
K
Full-Time Warehouse Associate (Winchester, VA)
Kohl's
United States
- $16 USD / hour
- Full-time
+$.75 shift premium for night shift
Added 19 mins ago
Project Manager Construction New Store
Academy Sports + Outdoors
Katy, TX
…The role is central to delivering projects that support store operations while balancing pace, quality, and…
Added 20 mins ago
Site Procurement Manager
Haleon
Warren
The Site Procurement Manager is the primary Procurement business partner for a Haleon manufacturing site, responsible for supporting the site’s requirements across Direct and Indirect…
Added 20 mins ago
Human Resources Generalist-Madison, WI
NAVITUS HEALTH SOLUTIONS LLC
MIDDLETON, WI
Added 20 mins ago
Restaurant General Manager
sweetgreen
Madison, WI
Lead your team by balancing people, operations, and business performance. Build an inclusive culture while coaching talent, using technology to optimize operations and drive profitability.…
Added 20 mins ago
MANAGER- CLINIC - MEDICAL ONCOLOGY
Aspirus Ironwood Hospital
Wisconsin Rapids, WI
The Clinic Manager provides leadership, direction, administration and supervises, plans, organizes and directs all aspects of several clinics activities with multiple providers to ensure…
Added 20 mins ago
Charge Registered Nurse - RN
Fresenius Medical Care
Shawano, WI
With Clinical Manager conduct staff meetings at least monthly or as needed to keep patient care staff informed of changes in patient care needs or operations to improve delivery of care.
Added 20 mins ago
Plant Engineering Manager
Conagra Brands
Darien, WI
Reporting to the Plant Manager, you’ll develop and implement the overall plant technical strategy with a focus on engineering projects, maintenance excellence, and stores improvement…

Centene Corporation

Manager, Utilization Management

Oklahoma City, OK, United States

$87,000 to $161,300 USD / year · Full-time

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Job details

Pay: $87,000 to $161,300 USD / year
Job type: Full-time
Work location: Key Details: This is a remote position, but candidates must reside in Oklahoma and hold an active RN license
Experience: Education/Experience: Requires Graduate of an Accredited School of Nursing or Bachelor's degree and 5+ years of related experience.
Posting language: English
Posted: Oct 31, 2026

Original job description

Business Area: Clinical & Care Management

Job Type: Full time

Position Purpose: Manages Prior Authorization, Concurrent Review, Retrospective Review Clinical Review and/or Appeals team to ensure appropriate care to members. Manages utilization management issues related to member care, provider interactions, and facilitates operations within utilization management.

Key Details: This is a remote position, but candidates must reside in Oklahoma and hold an active RN license. The ideal candidate must be willing to participate in weekend on-call coverage and have experience in healthcare leadership, utilization management, and managed care. Candidates should be computer-savvy and proficient in Microsoft Office applications, with excellent communication and customer service skills. Strong attention to detail, organizational and management abilities, and effective time management skills are also essential for success in this role..

Manages prior authorization, concurrent review, appeals, and/or retrospective clinical review team and ensures compliance with applicable guidelines, policies, and procedures
Reviews and analyzes utilization management activities, operations, costs, and forecasted data to identify areas for improvement within utilization management (UM) to align to goals and objectives
Develops, implements, and maintains compliance with utilization management policies and procedures
Reviews utilization management reports to identify trends and areas of improvement and provide recommendations to senior leadership
Maintains knowledge of processes, regulations, accreditation standards, and industry best practices related to utilization management
Educates and provides resources for utilization management team on key initiatives and to facilitate on-going communication between utilization management team, members, and providers
Works with the senior management team to develop and implement UM policies, procedures, and guidelines that ensure appropriate and effective utilization of healthcare services
Works with utilization management senior management team to provide updates and insights on team goals and objectives
Provides coaching and guidance to utilization management team to ensure adherence to quality and performance standards
Assists utilization management senior leadership with onboarding, hiring, and training utilization management team members
Leads and champions change within scope of responsibility
Performs other duties as assigned.
Complies with all policies and standards.

Education/Experience: Requires Graduate of an Accredited School of Nursing or Bachelor's degree and 5+ years of related experience.

2+ years supervisory experience preferred.

Knowledge of utilization management principles preferred.

License/Certification:

RN - Registered Nurse - State Licensure and/or Compact State Licensure required

Pay Range: $87,000.00 - $161,300.00 per year

At Centene, we connect people to the care they need to live healthier lives - and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

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Jobs in the United States