1925 Utilization Management jobs in Avondale,AZ

New, Posted 1 day ago

ResumeLibrary

Part Time/Full Time Remote Data Entry Specialist

Apex Focus Group

Scottsdale, AZ 85261

$750/wk

Remote

New, Posted 1 day ago

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Claims Auto Adjuster - Non Injury

USAA

Phoenix, AZ 85085

RemoteFlexible ScheduleHealth InsurancePaid Time OffRetirement Benefit

High School Diploma or General Equivalency Diploma
1 year of customer service experience.
Progressive experience handling low complexity auto non injury liability claims.
Acquisition and maintenance of insurance adjuster license within 90 days and 3 attempts.
Developing knowledge and understanding of auto claims contracts as well as application of case law and state laws and regulations.
Demonstrated negotiation, investigation, communication, and conflict resolution skills.
Proficient in prioritizing and multi-tasking, including navigating through multiple business applications.

SmartExplore AI is experimental.

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Call Center Rep Work From Home

Hire Standard Staffing

Avondale, AZ

$120,000/yr

RemoteHealth Insurance

Must be a U.S. or Canadian citizen

SmartExplore AI is experimental.

Patient Transport Driver – $10,000 Guarantee – No Experience Needed

Veyo

Avondale, AZ 85323

$2,000 bonus

No Experience

New, Posted 1 day ago

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Program Manager, Healthcare Services

Molina Healthcare

Glendale, AZ 85301

$73,102-$142,549/yr

~ 23 min Onsite

At least 5 years of health care experience, including experience in clinical operations, and at least 3 or more years in one or more of the following areas: utilization management, care management, care transitions, behavioral health, or equivalent combination of relevant education and experience.
Registered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Advanced Practice Social Worker (APSW), Certified Health Education Specialist (CHES), Licensed Professional Counselor (LPC), Licensed Professional Clinical Counselor (LPCC) or Licensed Marriage and Family Therapist (LMFT). Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.
Strong analytical and problem-solving skills.
Strong organizational and time-management skills.
Ability to work in a cross-functional, professional environment.
Experience working within applicable state, federal, and third-party regulations.
Strong verbal and written communication skills.
Microsoft Office suite/applicable software program proficiency, and ability to navigate online portals and databases.

SmartExplore AI is experimental.

New, Posted 9 hours ago

Inside Senior Property Adjuster

USAA Careers

Phoenix, AZ 85032

New, Posted 10 hours ago

iHire

Production Manager

Westerleigh Press

Glendale, AZ 85307

$70,000-$85,000/yr

New, Posted 7 hours ago

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Call Center Agent

Adecco

Phoenix, AZ 85032

$18/hr

~ 21 min OnsiteHealth InsurancePaid Time OffRetirement Benefit

1 year minimum of recent call center experience required
Strong communication and active listening skills
Comfortable working in a fast-paced, phone-based environment
Strong computer skills and ability to navigate multiple systems
Professional demeanor and strong attention to detail
Ability to follow scripts and procedures while maintaining a positive customer experience

SmartExplore AI is experimental.

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