Inova Care USA

Overview The Utilization Management (UM) & Claims Manager is responsible for overseeing the day to day operations of both the utilization management and medical claims review processes. This role ensures that all inpatient, outpatient, emergency, elective, and dental procedures are…

Job Summary: Oversees and manages daily operations for its clients, affiliate dental and medical facility partners, and vendors in connection with appointment booking, eligibility, benefit coverage and limitation, and claims adjudications associated with a wide range of medical and dental…