Utilization Manager Jobs in Philadelphia, PA

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...

Drive patient access to care as a key leader in utilization management, overseeing prior authorizations and concurrent reviews, while collaborating with clinical teams to ensure compliance and operati...

Manage the authorization process, ensuring timely patient access to care by building relationships, navigating payer requirements, and collaborating across teams to enhance patient transitions and mai...

Transform healthcare networks by advising clients on strategy, performance, and sustainability. Leverage data insights and build strong relationships to enhance provider access and value-based outcome...

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...

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

Elevate business efficiency by optimizing technology systems and processes. Engage collaboratively with all departments to support the med spa locations in maximizing potential through effective use o...

Empower operational excellence by managing diverse processes and a large team, ensuring performance metrics are met, driving efficiency, and identifying growth opportunities that enhance client satisf...

Unlock your potential by implementing effective utilization management strategies to enhance healthcare services and provider performance while ensuring quality and member satisfaction...

Join a dynamic team to manage plant operations, budgets, and safety compliance, while driving continuous improvement and collaboration across functions for enhanced productivity and asset integrity in...

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

Champion AI-driven solutions for healthcare Revenue Cycle, translating complex challenges into actionable strategies. Collaborate across teams to enhance operational efficiency and drive value through...

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...

Lead the charge in managing configuration processes for MODES III systems, ensuring proper documentation and compliance. Utilize your expertise to support military family policies in this critical, re...

Shape the future of healthcare by strategically guiding health system clients through their journey, maximizing platform adoption, and ensuring their long-term satisfaction and success while driving r...

Accelerate project success by overseeing complex implementations and leading stakeholder engagement. Mentor less experienced Project Managers while ensuring quality, risk management, and budget adhere...

Take ownership of EPMO operations, leading project management teams to ensure successful delivery of enterprise projects. Foster efficiency through established operational standards and continuous imp...

Champion reimbursement strategies and enhance provider financial health across Medicaid and safety-net sectors. Lead consulting teams, manage client relationships, and deliver innovative payment solut...

Lead and enhance the operations of a high-volume remote call center, driving service excellence and operational efficiency while managing resources and ensuring compliance with performance standards a...

Take ownership of operational excellence as you lead your team to enhance customer satisfaction and drive business growth, while ensuring safety and compliance in the fuel management industry. Develop...

Lead the charge in optimizing field service operations across the region, ensuring compliance, system uptime, and operational excellence for automated camera enforcement programs, while managing a ded...

Contribute to a dynamic team by leading client engagements, mentoring accounting professionals, and driving exceptional service delivery within our outsourced accounting services practice. Enhance cli...

Join a team that's driving cloud transformation initiatives for enterprise and government clients, leading organizational change management and ensuring effective risk management while overseeing tail...