Utilization Manager Remote Jobs

Shape the future of healthcare utilization management by leading the Concurrent Review team, enhancing care quality, and optimizing operational efficiency while ensuring compliance with industry stand...

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

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...

Empower patient care by driving efficient authorization processes, leveraging strong clinical knowledge and advocacy to navigate insurance complexities while supporting a collaborative team dedicated...

Reimagine healthcare delivery by collaborating with diverse professionals to ensure quality and cost-effective member outcomes through effective management and resource coordination. Drive member-focu...

Transform healthcare by coordinating services across various medical professionals, ensuring quality care and optimal resource utilization to achieve member wellness and outcomes...

Oversee Utilization Management operations, ensuring compliance with contractual metrics, standards, and staff performance. Support team coordination and act as a key leader in healthcare program effic...

Elevate your career by supervising Utilization Management operations and ensuring compliance with clinical standards. Lead a team, drive performance, and collaborate across departments to enhance serv...

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...

Elevate patient care by leading a dedicated team in Utilization Management, ensuring high-quality, cost-effective service delivery. Focus on compliance, care coordination, and the development of a hig...

Innovate in product strategy by defining value propositions, aligning stakeholders, and overseeing execution. Engage in sprint reviews to optimize performance and drive value across product portfolios...

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...

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 nursing potential in a fast-paced Utilization Management role where you will assess care needs, coordinate treatment, and drive quality outcomes for patients, all while collaborating with...

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...

Drive customer retention and expansion by transforming AI insights into effective optimization plans, managing a 150+ account portfolio, and leading critical negotiations to secure revenue during pivo...

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...

Manage care coordination and utilization for health plan members, ensuring quality, cost-effective healthcare delivery through collaboration with various healthcare professionals and resources while s...

Innovate collaborative healthcare delivery by coordinating resources across medical communities. Assess member needs to yield efficient outcomes and enhance quality care. Engage multidisciplinary team...

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 effective client payment policy management by ensuring accuracy and compliance. Collaborate with internal teams and clients to execute requests and maintain up-to-date medical policies, providin...

Redefine fleet maintenance operations as you drive performance, coach teams, and manage vendor relationships. Lead a remote team ensuring service quality and operational efficiency in a fast-paced env...

Drive the planning and execution of HRIS technology projects, ensuring client satisfaction and team collaboration while managing budgets and risks effectively. Lead multifaceted project teams to deliv...

Elevate your project management expertise by leading diverse initiatives, collaborating across teams, and driving innovative solutions to propel organizational success and streamline processes in a dy...