Utilization Manager Jobs in Greenville, NC

Champion the Utilization Management program by leading a team to ensure high-quality service and adherence to clinical guidelines. Collaborate across functions to drive performance, facilitate continu...

Transform healthcare coordination by leveraging your clinical expertise as you lead initiatives that enhance optimal care delivery, engage with cross-functional teams, and navigate complex decisions i...

Transform daily security operations by managing workflows, incidents, and vulnerability remediation. Collaborate with teams to enhance processes, drive efficient handoffs, and ensure compliance for pr...

Join a team that's committed to delivering accurate healthcare claims processing. In this leadership role, you will ensure timely reporting, resolve provider issues, and train staff to optimize perfor...

Oversee complex, multi-phase enterprise implementations in the public safety sector. Manage relationships, delivery quality, and timelines while leveraging AI tools to enhance program execution and st...

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...

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...

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 advancing digital workplace innovations by optimizing collaboration tools and identity management. Drive high-impact initiatives while cultivating a high-performing team to enhance...

Lead the optimization and innovation of enterprise collaboration tools and identity management systems while guiding a team to enhance security and productivity through AI and automation, driving impa...

Champion the modernization of the Deltek Vantagepoint ecosystem, driving automation, data integrity, and analytics across Finance, IT, and HR functions for enhanced business growth and streamlined wor...

Join a team that's dedicated to enhancing member care through effective collaboration with medical professionals. Utilize your clinical expertise to coordinate resources and optimize healthcare delive...

Drive quality outcomes by reviewing medical records for compliance and reimbursement. Collaborate with clinical teams and external agencies to evaluate care levels and ensure adherence to established...

Empower program success by leading quality assurance, compliance, and internal audits. Drive continuous improvement initiatives and ensure all deliverables meet the highest standards in a complex fede...

Develop and lead comprehensive Revenue Cycle Management, overseeing the entire billing process, vendor contracts, and risk adjustment, while collaborating with Clinical, Finance, and Data teams for op...

Drive impactful feasibility assessments across clinical studies by evaluating protocols and site capabilities. Collaborate with cross-functional teams to optimize recruitment strategies and ensure dat...

Lead the charge in enterprise monitoring operations to ensure optimal performance and reliability of critical applications. Guide teams in enhancing instrumentation and observability across vast netwo...

Elevate operational effectiveness as a Regional Manager of Utilization Management, overseeing performance improvement initiatives and compliance across multiple healthcare facilities while collaborati...

Elevate the customer experience by leading implementation projects with our cutting-edge SaaS solutions. Collaborate closely with clients and internal teams to ensure successful adoption and maximizat...

Transform client revenue management by driving performance and resolving issues across $1-$2 million accounts while mentoring staff and ensuring compliance within dynamic healthcare settings...

Join a team that's dedicated to optimizing core business systems. As an Application Administrator, you'll support finance and HR technologies, resolve issues, and enhance configurations ensuring effic...

Empower your career by strategically managing C-suite relationships across large pharma accounts. Drive retention and expansion while leveraging deep industry knowledge and collaboration to achieve me...

Join a mission-driven team to shape and enhance operations documentation through the creation and management of high-quality SOPs and governance materials ensuring accuracy, compliance, and accessibil...

Support members by leveraging your clinical expertise to review and manage patient care processes. Collaborate with providers to ensure timely access to high-quality care while adhering to regulatory...

Unlock potential by managing complex implementations for financial institutions. Guide clients from kickoff to launch, ensuring projects meet objectives while driving collaboration, accountability, an...