Utilization Manager Jobs in New York, NY

Transform patient care by conducting utilization reviews to ensure compliance with medical necessity and regulatory standards, while collaborating with treatment teams to streamline processes and impr...

Unlock your potential in a vital operations role that enhances client care coordination, ensures timely execution, and fosters meaningful communication with clients and families, all while supporting...

Develop and lead Utilization Management strategies to optimize operations, ensuring access to services while managing costs. Collaborate across departments to integrate functions, enhance outcomes, an...

Lead the charge in managing complex medical cases to enhance patient outcomes while ensuring cost-effective care delivery across outpatient and inpatient services, all under the guidance of clinical l...

Optimize healthcare operations by leading Facets Claims and Utilization Management configuration. Collaborate with stakeholders to design scalable solutions that drive efficiency and enhance the TriZe...

Transform healthcare delivery by managing integrated case management and ensuring compliance with medical policies. Utilize clinical knowledge and critical thinking to optimize patient outcomes throug...

Engage in transformative leadership in Utilization Management Operations, driving clinical excellence and scalable business processes. Oversee a dynamic team and vendor partnerships while leveraging t...

Unlock your potential in a dynamic role where you will optimize local TV media buys, leveraging advanced analytics and strategic negotiation to drive impactful results for clients and enhance their ma...

Lead a tax account management team focused on delivering exceptional customer service, driving operational excellence, and fostering strategic relationships in a dynamic service environment...

Evaluate and ensure the medical necessity and efficiency of healthcare services, supporting compliance and optimal patient care. Collaborate on authorization processes to minimize denial risks in a fa...

Empower data management excellence by overseeing sensitive data governance, security, and analysis efforts. Collaborate with cross-functional teams while ensuring compliance and integrity in a secure...

Elevate patient care by overseeing clinical services in home health. Lead an interdisciplinary team, ensure quality care, manage patient assignments, and coordinate with healthcare providers for effec...

Elevate your career by managing a skilled team to ensure efficient maintenance operations and enhance reliability at a leading gas-fired power plant, driving strategic initiatives and optimizing budge...

Take ownership of commercial performance and strategy for a crucial product portfolio. Lead cross-functional teams to drive growth, define market positioning, and influence product direction, ensuring...

Help us drive customer success through Data 360 & Agentforce by combining technical acumen and commercial strategies. You'll engage with stakeholders to promote platform consumption, fostering growth...

Lead the charge in Utilization Management by reviewing inpatient, behavioral health, and post-acute services to ensure compliance with CMS and Medicare Advantage standards while evaluating medical nec...

Lead the charge in implementing innovative TMS solutions at client sites, ensuring seamless transitions and effective training for users. Collaborate across teams to tailor strategies and provide real...

Champion clinical excellence as a Medical Director overseeing utilization management. Lead strategic initiatives, integrate interdisciplinary care, and ensure compliance while enhancing member outcome...

Lead the charge in delivering exceptional clinical and administrative management for a subacute unit, ensuring quality care and compliance while guiding a dedicated nursing team and fostering a therap...

Transform vendor management for ancillary benefits, ensuring compliance, quality, and performance excellence while collaborating with teams to enhance member services and operational efficiencies...

Unlock potential by managing end-to-end general ledger close processes while ensuring accurate financial reporting, fostering team collaboration, and driving process improvements in a dynamic accounti...

Join a team that's pivotal in ensuring accurate client payment policies. You'll manage medical policy integrity while conducting research and analysis, collaborating with internal teams, and providing...

Join a dynamic team as you own the renewal lifecycle for brokers, driving retention and delivering unparalleled customer experience. Collaborate across functions while managing relationships and renew...

Join a dynamic team as you manage renewals, develop strategies, and foster relationships with brokers to ensure timely, accurate, and customer-focused renewal experiences while driving retention and o...

Partner with us to drive complex enterprise deployments by managing multi-stakeholder programs, aligning teams, and ensuring client satisfaction and swift execution in highly regulated environments...