Utilization Manager Jobs in Nottingham, MD

Champion coordinated care by leveraging clinical nursing expertise to facilitate medical service determinations, ensuring optimal post-acute support for members. Collaborate with providers for effecti...

Transform inpatient utilization management by leading a strategic team that enhances member engagement, optimizes quality care, and streamlines health resources in accordance with regulatory standards...

Drive impactful network strategy and utilization management initiatives, leveraging your expertise to advise clients, manage teams, and enhance provider performance in challenging healthcare environme...

Contribute to the success of multiple clinical research sites by leading operations, ensuring compliance with regulations, and fostering team development to enhance patient care and operational excell...

Lead the strategic direction of centralized utilization management to enhance service delivery, ensure compliance, and improve clinical outcomes. Collaborate across teams to optimize processes, drive...

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...

Lead the charge in driving clinical excellence and operational efficiency within Utilization Management. Oversee teams, enhance technology solutions, and ensure compliance, fostering a culture of inte...

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

Join a team that's dedicated to evaluating medical necessity in inpatient and post-acute services. You'll collaborate with clinical staff to ensure compliance with CMS guidelines, while making impactf...

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...

Manage configuration oversight of systems throughout their lifecycle, ensuring integrity and compliance. Collaborate with technical teams to implement best practices and drive quality while optimizing...

Shape the future of resource management by overseeing consultant allocation, enhancing operational efficiency, and fostering collaboration across teams to ensure successful project delivery and stakeh...

Transform configuration management practices in software environments, ensuring integrity, traceability, and compliance. Collaborate with teams to establish governance and optimize processes, driving...

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...

Drive optimal member care by leveraging clinical expertise and collaboration. Analyze utilization trends while advising leadership to ensure compliance with Medicare and state regulations, leading eff...

Join a team that leads the behavioral health utilization review process, ensuring high-quality care for members while managing a skilled team. Play a crucial role in compliance, performance monitoring...

Lead the development and enforcement of configuration management processes, ensuring integrity and traceability throughout the software and hardware system lifecycle while supporting audits and change...

Shape the future of configuration management by implementing processes, ensuring traceability, and maintaining integrity across hardware and software systems throughout their lifecycle. Drive audits...

Transform integrated care delivery for complex populations as a strategic senior leader. Oversee national Complex Care Management and Utilization Management programs to improve health outcomes, ensure...

Elevate integrated care delivery by strategically leading Complex Care Management and Utilization Management programs, ensuring alignment with value-based care principles and driving health outcomes f...

Advance your career by leading software development initiatives that support academic and operational objectives, ensuring application security and innovative enhancements that drive efficiency in a m...

Take ownership of drug utilization management by leading reviews, ensuring compliance, and collaborating with stakeholders. Enhance pharmacy operations through expertise and trend analysis, impacting...

Lead the charge in optimizing utilization management processes to ensure operational efficiency and high-quality patient care. Supervise a dedicated team, ensuring compliance and satisfaction across h...

Drive sales operations by engaging key accounts and managing strategic initiatives. Utilize your commercial expertise to navigate complex challenges and achieve business objectives while influencing t...

Champion sustainable energy solutions for a growing data center portfolio, managing commercial relationships and regulatory processes across diverse U.S. markets to ensure reliable, cost-effective ene...