Utilization Management Nurse Jobs

Become a part of our caring community The Population Health Strategy Director is responsible for improving the quality of care and outcomes while managing costs for our Illinois members. The Population Health Strategy Director identifies health needs including chronic diseases, disabilities, and health disparities within the health plan membership and develops functional strategies (often segment specific) to address these. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks and works under minimal supervision; Uses independent judgment requiring analysis of variable factors and determining the best course of action. Identify health needs such as chronic diseases or disabilities, or the health needs of the underserved and influence department’s strategy. Develop strategic design, operational implementation plan, and ongoing evaluation of population health initiatives based on a deep understanding of scientific population health principles. Serve as the consultative subject matter expert and liaison to internal and external stakeholders on population health activities and established goals. Provide insights required to improve coordination of care, access to care, member utilization of healthcare systems, and improve overall health outcomes. Collaborate with cross functional teams such as clinical, operational, and financial to support Market-wide initiatives. Use your skills to make an impact REQUIRED QUALIFICATIONS: Must reside in Illinois or within 40 miles of the border; Occasional travel to office for staff meetings, training, etc. Bachelor’s degree in nursing, social work, health services research, health policy, information technology or related field. Minimum five (5) years of progressive

You’ve invested a lot of time and energy in your education. Now you want the chance to make your mark. We offer challenging opportunities for you to learn and grow professionally. In our programs, you’ll be immersed in a culture of continuous improvement, with the goal of changing health care for the better. Position Summary: At CVS Health, we are focused on transforming health care for our customers and making our company a great place to work. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. Within our Retail locations, we bring this promise to life with heart every day and our Graduate Pharmacy Interns play a critical role in supporting our pharmacy teams to consistently deliver on our brand promise, while developing their own skills in preparation for increasing responsibility. As a Graduate Pharmacy Intern, you will apply your didactic learning from pharmacy school and pharmacy practice into real-world practice to become ready for a Pharmacist role. Under the direction of your preceptor and District Leader, you will complete a comprehensive training roadmap within 120 days of graduation designed to further your knowledge of store, district, and regional operations. Through your hands-on experience, training roadmap, and time spent with leaders in your district you will deepen your understanding of patient safety and error prevention, quality assurance drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility and red flag detection. While in the pharmacy, you will assist the pharmacy team to ensure that pharmacy operations run smoothly, our patients’ prescriptions are filled promptly, safely, and accurately, and we are providing caring service that exceeds

Our Purpose Mastercard powers economies and empowers people in 200+ countries and territories worldwide. Together with our customers, we’re helping build a sustainable economy where everyone can prosper. We support a wide range of digital payments choices, making transactions secure, simple, smart and accessible. Our technology and innovation, partnerships and networks combine to deliver a unique set of products and services that help people, businesses and governments realize their greatest potential. Title and Summary Manager Network Partnerships The Manager – Network Commercialization will be responsible for driving the growth, optimization, and commercialization of the receiving network across the GCC countries. The role will focus on expanding payout capabilities, strengthening relationships with Receiving Service Providers (RSPs), banks, and payment partners, and ensuring the network delivers best-in-class coverage, pricing, speed, and customer experience. The successful candidate will play a critical role in expanding cross-border remittance capabilities across account deposit, wallet payouts, and push-to-card solutions while identifying opportunities to improve network performance, increase transaction volumes, and enhance partner economics. Key Responsibilities Network Growth & Commercialization Develop and execute regional network commercialization strategies to drive growth across key remittance corridors. Identify, evaluate, negotiate, and onboard new Receiving Service Providers (RSPs), banks, fintechs, wallet providers, and payment institutions. Expand payout coverage across bank account deposit, mobile wallet, and push-to-card capabilities. Build and manage a robust pipeline of network expansion opportunities within assigned markets. Drive activation and utilization of new network capabi

At Affirm, we exist for the moments that matter—giving people a clear, predictable way to pay over time, with no hidden fees, no surprises, and no tradeoffs on what matters most. About the People team The People team helps Affirmers cultivate a high-performing, inclusive organization. We focus on three core areas: attracting talent aligned to our mission, enabling growth through people and team development, and retaining employees through thoughtful experiences and rewards. We develop Affirm’s people programs and systems to create a workplace where all employees can thrive and contribute meaningfully. By investing in our people, we create a long-term advantage for the business. About the Role Affirm is seeking an experienced, people-focused, and hands-on Manager to lead a distributed Workplace team and the day-to-day operations and evolution of our Workplace function within the broader Places & Experiences team. Based out of our San Francisco HQ office and reporting to the Senior Manager of Real Estate & Workplace, this role will focus on delivering exceptional workplace experiences that support connection, productivity, and flexibility in a remote-first environment. This leader will play a critical role in ensuring our spaces are thoughtfully operated, consistently engaging, and aligned with Affirm’s culture and ways of working. What You'll Do Own the North America workplace strategy and operating model, aligning office experience with business priorities, headcount planning, and ways of working. Translate company and team needs into workplace plans, including capacity, service levels, and programming across all locations. Make and drive decisions on workplace standards, policies, and investments, balancing employee experience, cost, and scalability. Establish and track key performance metrics (e.g., employee experience, utilization, vendor performance, budget adherence) and drive continuous improvement. Provide functional leadership across locations,

You’ve invested a lot of time and energy in your education. Now you want the chance to make your mark. We offer challenging opportunities for you to learn and grow professionally. In our programs, you’ll be immersed in a culture of continuous improvement, with the goal of changing health care for the better. Position Summary: At CVS Health, we are focused on transforming health care for our customers and making our company a great place to work. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. Within our Retail locations, we bring this promise to life with heart every day and our Graduate Pharmacy Interns play a critical role in supporting our pharmacy teams to consistently deliver on our brand promise, while developing their own skills in preparation for increasing responsibility. As a Graduate Pharmacy Intern, you will apply your didactic learning from pharmacy school and pharmacy practice into real-world practice to become ready for a Pharmacist role. Under the direction of your preceptor and District Leader, you will complete a comprehensive training roadmap within 120 days of graduation designed to further your knowledge of store, district, and regional operations. Through your hands-on experience, training roadmap, and time spent with leaders in your district you will deepen your understanding of patient safety and error prevention, quality assurance drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility and red flag detection. While in the pharmacy, you will assist the pharmacy team to ensure that pharmacy operations run smoothly, our patients’ prescriptions are filled promptly, safely, and accurately, and we are providing caring service that exceeds

You’ve invested a lot of time and energy in your education. Now you want the chance to make your mark. We offer challenging opportunities for you to learn and grow professionally. In our programs, you’ll be immersed in a culture of continuous improvement, with the goal of changing health care for the better. Position Summary: At CVS Health, we are focused on transforming health care for our customers and making our company a great place to work. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. Within our Retail locations, we bring this promise to life with heart every day and our Graduate Pharmacy Interns play a critical role in supporting our pharmacy teams to consistently deliver on our brand promise, while developing their own skills in preparation for increasing responsibility. As a Graduate Pharmacy Intern, you will apply your didactic learning from pharmacy school and pharmacy practice into real-world practice to become ready for a Pharmacist role. Under the direction of your preceptor and District Leader, you will complete a comprehensive training roadmap within 120 days of graduation designed to further your knowledge of store, district, and regional operations. Through your hands-on experience, training roadmap, and time spent with leaders in your district you will deepen your understanding of patient safety and error prevention, quality assurance drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility and red flag detection. While in the pharmacy, you will assist the pharmacy team to ensure that pharmacy operations run smoothly, our patients’ prescriptions are filled promptly, safely, and accurately, and we are providing caring service that exceeds

You’ve invested a lot of time and energy in your education. Now you want the chance to make your mark. We offer challenging opportunities for you to learn and grow professionally. In our programs, you’ll be immersed in a culture of continuous improvement, with the goal of changing health care for the better. Position Summary: At CVS Health, we are focused on transforming health care for our customers and making our company a great place to work. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. Within our Retail locations, we bring this promise to life with heart every day and our Graduate Pharmacy Interns play a critical role in supporting our pharmacy teams to consistently deliver on our brand promise, while developing their own skills in preparation for increasing responsibility. As a Graduate Pharmacy Intern, you will apply your didactic learning from pharmacy school and pharmacy practice into real-world practice to become ready for a Pharmacist role. Under the direction of your preceptor and District Leader, you will complete a comprehensive training roadmap within 120 days of graduation designed to further your knowledge of store, district, and regional operations. Through your hands-on experience, training roadmap, and time spent with leaders in your district you will deepen your understanding of patient safety and error prevention, quality assurance drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility and red flag detection. While in the pharmacy, you will assist the pharmacy team to ensure that pharmacy operations run smoothly, our patients’ prescriptions are filled promptly, safely, and accurately, and we are providing caring service that exceeds

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary This critically important role is responsible for providing consultative support to contracted Skilled Nursing (SNF) and Assisted Living (ALF) facilities. The Clinical Nurse Specialist/Infusion Educator for LTC (Long Term Care) will work collaboratively with other Omnicare disciplines to develop client relationships, aid in the retention and expansion of existing business, and help to ensure execution of contract covenants. *** Eligible candidates will reside preferably in Phoenix AZ area and will average 32 hours or more per week traveling to facilities in the surrounding area and other states as needed. The Clinical Nurse Specialist/Infusion Educator LTC is responsible for the below, most of which must be completed on-site within LTC facilities: Build strong client relationships by consistently delivering client interactions that develop trust and show value Meet with customers to present Omnicare Infusion Services and promote utilization of support tools and programs Evaluate regulatory compliance and determine clinical education needs for our clients as it relates to pharmacy services Conduct Quality Assurance audits to assist client facilities in preparation for regulatory surveys Identify and provide recommendations regarding deficiencies and opportunities around drug inventories, storage, and distribution

About the Team Our team builds classification and evaluation systems that give post-training and research teams fast, reliable feedback on model behavior. We combine machine learning and production engineering to make these capabilities accurate, efficient, and useful at scale, helping researchers assess changes and improve models and products. We work closely with research teams to develop useful measurements and make them practical to run. Our work spans classifier development, rigorous evaluation, and efficient production inference, with ownership from initial experimentation through deployment and continued improvement. About the Role We’re looking for a machine learning engineer to develop new classification and evaluation capabilities and bring them into production. You’ll help turn open-ended questions about model behavior into well-defined ML problems, build methods that address them, and establish how reliably those methods work. This role combines traditional machine learning, model evaluation, and real-time engineering. You’ll own classifiers throughout their lifecycle, including supervised fine-tuning, distillation, evaluation, deployment, and production inference. You’ll work closely with researchers to identify valuable problems and with software engineers to make promising approaches useful at scale. In this role, you will: Build, deploy, and operate production classification and evaluation systems that provide useful feedback to post-training and research teams. Optimize production inference, including model serving, batching, caching, throughput, latency, compute utilization, and cost. Train and optimize classifiers using supervised fine-tuning and distillation, validating quality and efficiency before deployment. Own the reliability and observability of deployed classifiers, diagnose production issues, and improve their performance over time. Design rigorous evaluations that assess accuracy, calibration, generalization, and potential measurement bi

Everpure (NYSE: P) has evolved from storage pioneer to data platform, closing fiscal 2026 with $3.7 billion in revenue, its first billion-dollar quarter, and accelerating growth into FY27. Our strategic agenda spans the companies defining the next era of technology - hyperscalers, AI labs, the AI hardware supply chain, data platform providers, and the broader AI ecosystem. This type of work—work that changes the world—is what the tech industry was founded on. So, if you're ready to seize the endless opportunities and leave your mark, come join us. THE ROLE As a Customer Success Solutions Engineer (CSSE) , you will drive technical adoption, operational readiness, and time-to-value across the Evergreen//One customer lifecycle . Serving as a founding member of our Technical Success organization, you will act as the vital connective tissue between Customer Success, Product, Technical Services, Sales, and Revenue . You will be the technical authority behind key customer relationships, transforming utilization, capacity, and performance telemetry into proactive actions that protect renewals and unlock expansion . In close partnership with Customer Success Managers and client technical leaders, you will resolve complex escalations while building scalable programs and tooling that power Everpure’s subscription growth . WHAT YOU’LL DO Accelerate Adoption & Time-to-Value: Own technical onboarding and operational readiness across the Evergreen//One fleet to ensure customers rapidly achieve business outcomes and reach steady-state performance . Manage Fleet Health & Risk: Monitor enterprise storage telemetry across active customer environments, setting intervention thresholds to proactively resolve capacity, performance, and compliance risks before they impact operations . Drive Renewals & Expansion: Deliver data-driven technical evaluations and utilization insights that inform contract milestones, identify coverage gaps, and surface expansion opportun

About Us SharkNinja is a global product design and technology company, with a diversified portfolio of 5-star rated lifestyle solutions that positively impact people’s lives in homes around the world. Powered by two trusted, global brands, Shark and Ninja , the company has a proven track record of bringing disruptive innovation to market and developing one consumer product after another has allowed SharkNinja to enter multiple product categories, driving significant growth and market share gains. Headquartered in Needham, Massachusetts with more than 4,100 associates, the company’s products are sold at key retailers, online and offline, and through distributors around the world. AI at SharkNinja At SharkNinja, we’re building an AI-native culture. We’re not waiting for the future; we’re creating it. Our people are expected to experiment boldly, adopt new tools, and continuously raise what’s possible to create meaningful impact for our consumers. If you believe the best way to do your job hasn’t been invented yet, you’ll fit right in. Supply Planning A ssociate - 12 month FTC Leeds (Thorpe Park) / Hybrid - 3 days per week from the office About the role The Supply Planning team is responsible for ensuring optimal inventory levels to support the sales demands in SharkNinja’s rapidly growing European business. As our Supply Chain Associate, you will interface with local Commercial Planning, Sales and Operations teams, and the Local Supply Planning function to facilitate smooth stock flow through the supply processes ensuring any resulting actions are executed by the relevant teams. This role would suit an ambitious individual at the start of their career, with good analytical skills who wishes to progress in a supply/demand planning role. Ensure that Inbound containers are routed to DCs to enable stock to be in the correct DC for future orders and optimize the utilization of storag

You’ve invested a lot of time and energy in your education. Now you want the chance to make your mark. We offer challenging opportunities for you to learn and grow professionally. In our programs, you’ll be immersed in a culture of continuous improvement, with the goal of changing health care for the better. Position Summary: At CVS Health, we are focused on transforming health care for our customers and making our company a great place to work. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. Within our Retail locations, we bring this promise to life with heart every day and our Graduate Pharmacy Interns play a critical role in supporting our pharmacy teams to consistently deliver on our brand promise, while developing their own skills in preparation for increasing responsibility. As a Graduate Pharmacy Intern, you will apply your didactic learning from pharmacy school and pharmacy practice into real-world practice to become ready for a Pharmacist role. Under the direction of your preceptor and District Leader, you will complete a comprehensive training roadmap within 120 days of graduation designed to further your knowledge of store, district, and regional operations. Through your hands-on experience, training roadmap, and time spent with leaders in your district you will deepen your understanding of patient safety and error prevention, quality assurance drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility and red flag detection. While in the pharmacy, you will assist the pharmacy team to ensure that pharmacy operations run smoothly, our patients’ prescriptions are filled promptly, safely, and accurately, and we are providing caring service that exceeds

You’ve invested a lot of time and energy in your education. Now you want the chance to make your mark. We offer challenging opportunities for you to learn and grow professionally. In our programs, you’ll be immersed in a culture of continuous improvement, with the goal of changing health care for the better. Position Summary: At CVS Health, we are focused on transforming health care for our customers and making our company a great place to work. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. Within our Retail locations, we bring this promise to life with heart every day and our Graduate Pharmacy Interns play a critical role in supporting our pharmacy teams to consistently deliver on our brand promise, while developing their own skills in preparation for increasing responsibility. As a Graduate Pharmacy Intern, you will apply your didactic learning from pharmacy school and pharmacy practice into real-world practice to become ready for a Pharmacist role. Under the direction of your preceptor and District Leader, you will complete a comprehensive training roadmap within 120 days of graduation designed to further your knowledge of store, district, and regional operations. Through your hands-on experience, training roadmap, and time spent with leaders in your district you will deepen your understanding of patient safety and error prevention, quality assurance drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility and red flag detection. While in the pharmacy, you will assist the pharmacy team to ensure that pharmacy operations run smoothly, our patients’ prescriptions are filled promptly, safely, and accurately, and we are providing caring service that exceeds

You’ve invested a lot of time and energy in your education. Now you want the chance to make your mark. We offer challenging opportunities for you to learn and grow professionally. In our programs, you’ll be immersed in a culture of continuous improvement, with the goal of changing health care for the better. Position Summary: At CVS Health, we are focused on transforming health care for our customers and making our company a great place to work. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. Within our Retail locations, we bring this promise to life with heart every day and our Graduate Pharmacy Interns play a critical role in supporting our pharmacy teams to consistently deliver on our brand promise, while developing their own skills in preparation for increasing responsibility. As a Graduate Pharmacy Intern, you will apply your didactic learning from pharmacy school and pharmacy practice into real-world practice to become ready for a Pharmacist role. Under the direction of your preceptor and District Leader, you will complete a comprehensive training roadmap within 120 days of graduation designed to further your knowledge of store, district, and regional operations. Through your hands-on experience, training roadmap, and time spent with leaders in your district you will deepen your understanding of patient safety and error prevention, quality assurance drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility and red flag detection. While in the pharmacy, you will assist the pharmacy team to ensure that pharmacy operations run smoothly, our patients’ prescriptions are filled promptly, safely, and accurately, and we are providing caring service that exceeds

You’ve invested a lot of time and energy in your education. Now you want the chance to make your mark. We offer challenging opportunities for you to learn and grow professionally. In our programs, you’ll be immersed in a culture of continuous improvement, with the goal of changing health care for the better. Position Summary: At CVS Health, we are focused on transforming health care for our customers and making our company a great place to work. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. Within our Retail locations, we bring this promise to life with heart every day and our Graduate Pharmacy Interns play a critical role in supporting our pharmacy teams to consistently deliver on our brand promise, while developing their own skills in preparation for increasing responsibility. As a Graduate Pharmacy Intern, you will apply your didactic learning from pharmacy school and pharmacy practice into real-world practice to become ready for a Pharmacist role. Under the direction of your preceptor and District Leader, you will complete a comprehensive training roadmap within 120 days of graduation designed to further your knowledge of store, district, and regional operations. Through your hands-on experience, training roadmap, and time spent with leaders in your district you will deepen your understanding of patient safety and error prevention, quality assurance drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility and red flag detection. While in the pharmacy, you will assist the pharmacy team to ensure that pharmacy operations run smoothly, our patients’ prescriptions are filled promptly, safely, and accurately, and we are providing caring service that exceeds