Utilization Manager Jobs in Burlington, MA

Transform cell therapy operations through effective scheduling, continuous improvement, and team leadership. Drive efficiency by developing operational systems and collaborating cross-functionally to...

Unlock client success by leveraging your expertise in network strategy, performance analytics, and provider sustainability. Engage in high-level consulting, delivering insights that improve healthcare...

Join a team that's dedicated to enhancing patient care through effective unit management, overseeing daily operations, ensuring regulatory compliance, and fostering staff development in a supportive l...

Drive efficiency in evaluating quality of care for injured employees. Leverage clinical expertise to assess treatment appropriateness, ensuring adherence to guidelines while advocating for patient nee...

Champion quality care for injured employees by assessing and ensuring appropriate medical treatments align with established clinical guidelines while fostering collaboration across teams and advocatin...

Empower injured employees by reviewing medical treatment requests to ensure quality care. Collaborate with providers and claims staff, advocating for appropriate treatments based on clinical findings...

Champion the quality of care for injured employees by reviewing medical treatment requests, advocating for appropriate diagnoses, and maintaining compliance with established guidelines while fostering...

Elevate the standard of care for injured employees by ensuring appropriate, evidence-based medical treatment requests are met. Collaborate across teams and advocate for injured workers while maintaini...

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...

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...

Optimize daily care management operations, driving team performance and budget adherence while ensuring high-quality care standards. Lead initiatives that enhance patient and employee satisfaction acr...

Manage daily pharmacy prior authorization requests, ensuring compliance and timely disposition while collaborating with medical directors. Support medication management for members, addressing complex...

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...

Accelerate the content automation strategy by implementing innovative solutions for slide and template generation, ensuring quality and brand alignment. Collaborate with cross-functional teams to enha...

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...

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...

Join our dynamic team to lead complex electric transmission and distribution projects. Drive project success through effective planning, execution, and team collaboration while navigating multifaceted...

Transform mental health and substance use services as a key decision-maker. Evaluate care requests, ensure compliance, and drive quality. Collaborate across teams for operational efficiency and crisis...

Take ownership of the paid performance portfolio for B2B Travel, driving efficient customer acquisition and conversion through innovative channel strategies and measurement. Collaborate across teams t...