Utilization Manager Jobs in Pittsburgh, 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...

Engage clients in network performance and utilization solutions, guiding strategies for provider sustainability in complex environments. Leverage your expertise to enhance network access and build end...

Join a team that's transforming healthcare strategies by advising clients on optimizing network performance and provider sustainability. Leverage your expertise to drive strategic insights, build rela...

Drive improvement in healthcare network strategy and utilization performance. Leverage expertise to advise clients, manage teams, and deliver solutions that enhance access and provider sustainability...

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...

Serve as the documentation authority for complex projects, coordinating, tracking, and ensuring compliance with SMS standards. Collaborate across teams to facilitate efficient document management and...

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

Transform cost reduction strategies across divisions by leading projects, fostering collaboration, and mentoring teams to drive efficiency and financial success while aligning with strategic goals...

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...

Lead the charge in enhancing quality care delivery as a Medical Director. You'll oversee utilization management, ensuring high standards while fostering provider collaboration in a fully remote role d...

Lead the Utilization Management team in ensuring high-quality healthcare delivery. Oversee provider engagement and compliance with standards, fostering collaboration with physicians and hospitals to e...

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

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

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...

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...

Advance your consulting expertise by advising clients on reimbursement strategies, managing teams, and delivering insightful solutions for financial sustainability in complex healthcare markets. Drive...

Unlock your potential as you guide clients in innovative reimbursement strategies, enhancing provider financial sustainability in diverse healthcare settings. Lead teams, deliver insightful solutions...

Join a dynamic team to advise health clients on reimbursement strategies and payment reforms. Leverage your expertise to enhance provider sustainability and drive impactful solutions across diverse he...

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...

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...