Senior Game Economy Manager optimizing game economies for leading titles at Product Madness. Collaborating with product, game ops, and data teams to design balanced economies and actionable insights.
About the role
- Utilization Review Manager overseeing daily review operations and compliance at Saint Alphonsus in Boise, Idaho. Providing supervisory leadership and collaborating with medical teams for optimal outcomes.
Responsibilities
- Oversee daily utilization review operations, serving as first point of escalation for issue resolution.
- Ensure compliance with payer and regulatory requirements.
- Provide supervisory leadership through scheduling, performance management, and guiding staff development.
- Direct utilization review workflows and medical necessity evaluations.
- Manage denial prevention, expedited appeals, and payer communication to secure authorizations.
- Collaborate closely with Physician Advisors, CRM Managers, and the multidisciplinary team to maintain reporting and optimize departmental processes.
Requirements
- Licensed in the State of Idaho as a Registered Nurse as defined by the Idaho State Board of Nursing.
- BSN required
- 5 or more years of experience in utilization review or case management or similar required.
- 2 or more years of supervisory experience required.
- American Heart Association Basic Life Support for HealthCare Provider (BLS/HCP) certification required
Benefits
- Day 1 Benefits – colleagues are eligible for our plans from their very first day of work.
- Market-competitive pay
- Generous PTO
- Retirement planning and matching
- College savings plans for your family
- Multiple life insurance plans
- Employee Assistance Programs
- Tuition reimbursement
- Educational opportunities
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
Manager of Professional Services at i4pro ensuring client satisfaction and effective service delivery. Leading strategic account management and operational excellence in technology solutions for the insurance sector.
Development Manager driving fundraising strategies and donor engagement for Pratham USA's NY Tri - State Chapter. Collaborating with regional leadership and board members to achieve revenue targets.
Lead ABB's Power Reliability Business Line in Italy, driving strategy, portfolio management, and market growth. Implement high - quality execution of projects and build customer relationships.
Senior Manager leading Salesforce development and overseeing technical resources globally. Enhancing critical back office systems and ensuring alignment with business goals.
Manager of IT Asset and Renewals Management for Rocket Software, focusing on ITAM and CMP strategies. Lead a diverse team to provide world - class service in asset management and compliance.
Project Manager overseeing end - to - end software development projects in a Hamburg - based digital health agency. Engaging with clients and teams to ensure projects remain on course amidst challenges.
Senior Manager handling Quality Management System for External Manufacturing at Teva Pharmaceuticals. Overseeing supplier relationships and ensuring compliance with pharmaceutical guidelines.
Project Execution Manager responsible for fabrication projects from contract to delivery. Leading technical documentation control and financial performance monitoring in a global flow solutions company.
Area Services Manager overseeing service relationships for energy storage projects at Fluence. Driving operational excellence and managing customer relationships with significant travel requirements.