Integra Partners

Advanced Utilization Management Operations Specialist

Integra Partners · Full Time · 10 hours ago

Integra Partners

🌎 United States 💵 $24 per hour ⭐ 5-10 yrs exp 💼 Others

The specialist serves as an escalation resource for complex authorization cases and conducts root cause analysis to resolve operational workflow breakdowns. They also oversee utilization management inventory to ensure accuracy, compliance, and timely resolution of stalled or misrouted cases.

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Utilization Management Coordinator

Integra Partners · Full Time · 3 days ago

Integra Partners

🌎 United States 💵 $19 per hour ⭐ 0-2 yrs exp 💼 Others

The Utilization Management Coordinator supports the clinical team by processing prior authorizations, appeals, and verifying eligibility using proprietary platforms. They are responsible for maintaining documentation, communicating with providers, and ensuring compliance with internal and regulatory deadlines.

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Director of Utilization Management

Integra Partners · Full Time · 16 days ago

Integra Partners

🌎 United States 💵 $160K - $160K per year ⭐ 10+ yrs exp 💼 Others

The Director of Utilization Management oversees clinical and non-clinical teams to ensure efficient prior authorization and appeals processes while maintaining regulatory and NCQA standards. They collaborate with executive leadership and account managers to align UM programs with corporate initiatives and client contractual requirements.

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Medical Coding Specialist

Integra Partners · Full Time · 24 days ago

Integra Partners

🌎 United States 💵 $65000 - $65001 per year ⭐ 2-5 yrs exp 💼 Healthcare

The specialist researches and interprets HCPCS, CPT, and ICD-10 coding to support prior authorization requirements and clinical policy initiatives. They collaborate with clinical and operational teams to ensure coding recommendations are accurate and compliant across various lines of business.

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Business Development Representative

Integra Partners · Full Time · a month ago

Integra Partners

🌎 United States 💵 $70000 - $70001 per year ⭐ 2-5 yrs exp 💼 Sales

The role focuses on identifying, researching, and qualifying new business prospects among Payer organizations to accelerate growth. Key duties include managing the sales pipeline in Salesforce, executing outreach campaigns, and supporting prospect meetings with briefing materials.

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Sales Director

Integra Partners · Full Time · a month ago

Integra Partners

🌎 United States 💵 $150K - $150K per year ⭐ 5-10 yrs exp 💼 Sales

The Sales Director will be responsible for creating a robust pipeline of new business opportunities and managing all sales activities to convert revenue opportunities. This includes prospecting, generating qualified leads, and developing relationships with key decision makers in the healthcare sector.

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Healthcare Claims Quality Analyst

Integra Partners · Full Time · 2 months ago

Integra Partners

🌎 United States ⭐ 2-5 yrs exp 💼 Legal

The analyst monitors and documents production quality within the Revenue Cycle Management function, focusing on claims auditing and compliance. They identify trends, report findings to leadership, and collaborate with operations to reduce defects and improve reimbursement outcomes.

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Claims Quality Assurance Analyst

Integra Partners · Full Time · 2 months ago

Integra Partners

🌎 United States ⭐ 2-5 yrs exp 💼 Software Development

The analyst monitors and documents production quality within the Revenue Cycle Management function, focusing on claims auditing and compliance. They identify trends, prepare quality reports, and collaborate with leadership to drive continuous improvement and training.

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