Utilization Manager Jobs in Melbourne, FL

Transform healthcare delivery by ensuring quality, compliant care for PACE participants. Collaborate with interdisciplinary teams to optimize service utilization and enhance outcomes, leveraging clini...

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...

Transform the future of risk management by analyzing claims trends, optimizing processes, and collaborating with diverse teams to enhance insurance functions as the organization scales in a dynamic en...

Drive the success of cross-functional projects focused on operational excellence and growth, enhancing client outcomes while managing complex, strategic initiatives in a rapidly evolving environment...

Lead maintenance and reliability efforts in a fast-paced automated pharmacy, driving equipment performance, operational excellence, and safety compliance while managing cross-functional teams to achie...

Manage the product lifecycle for behavioral health and wellness products, ensuring alignment with business strategies. Lead stakeholder engagement and drive product strategy through effective communic...

Explore new avenues in patient access as you manage the insurance process. Support clients and patients by coordinating claims, navigating barriers, and ensuring timely approvals with a focus on quali...

Lead the charge in enhancing healthcare services by overseeing utilization management programs, ensuring compliance, and driving performance improvements through data-driven initiatives and cross-func...

Join a dynamic pharmacy team to manage drug utilization reviews and appeals, collaborating with healthcare professionals. Ensure compliance with regulations while driving improvements in medication ma...

Drive impactful outcomes in Medicaid's complex ecosystem by managing configuration processes, ensuring system integrity, and leading project teams. Collaborate to enhance system documentation and comp...

Lead cross-functional projects to redesign workflows and ensure operational clarity. Drive governance, manage incident responses, and implement change management strategies to enhance organizational p...

Champion innovative energy solutions for data centers, driving strategy and partnerships. Play a pivotal role in site selection, project management, and optimizations to ensure cost-effective energy i...

Shape the future of IT capacity management by ensuring resources meet business demand in a regulated environment. Collaborate with teams to optimize performance, manage risks, and align strategies for...

Drive vendor accountability and performance management by defining SLAs, publishing scorecards, and conducting operational reviews. Lead governance across multiple partners to ensure compliance and qu...

Advance your career by leading global capacity management initiatives, optimizing resources and enhancing operational efficiency within a dynamic, collaborative environment focused on revenue growth a...

Oversee logistics operations for hardware management, focusing on team performance, inventory control, and fulfillment processes. Ensure quality and efficiency while fostering a collaborative and high...

Transform care delivery by reviewing prior authorization requests for medical necessity and ensuring quality outcomes in a dynamic, remote Utilization Management team focused on patient-centric soluti...

Take ownership of the support operations strategy to enhance complex workflows, implement AI-driven tools, and drive cross-functional collaboration, ensuring an effective support experience aligned wi...

Champion clinical excellence by managing specialty medication strategies, conducting peer consultations, and developing impactful clinical policies that enhance cost management across pharmacy and med...

Develop and manage comprehensive risk management strategies to improve safety, ensure compliance, and lead initiatives that foster a proactive culture of accountability within the organization...

Join our team as a Revenue Cycle Management expert to enhance denial management processes in healthcare. Drive system optimization and engage cross-functional leaders to improve cash flow, reduce deni...

Lead the charge in program operations management, coordinating across five value streams and ensuring efficient delivery and resource allocation while supporting senior leadership with actionable insi...

Drive patient care access by managing complex authorization journeys while collaborating with various stakeholders to ensure timely communication, accuracy, and support. Your expertise will streamline...

Accelerate progress at our implementation services by managing complex utility integrations, ensuring on-time delivery, and fostering strong client partnerships to enhance EnergyHub’s platform capabil...

Elevate global hardware reliability by managing the RMA operations, leading teams, and collaborating with vendors to improve processes, minimize customer impact, and drive efficiency across data cente...