Utilization Manager Jobs in El Dorado Hills, CA

Lead a clinical team in Utilization Management to ensure high-quality, compliant care. Collaborate across departments, drive operational excellence, and support professional development while managing...

Transform care management by leading a team of clinicians to ensure optimal patient outcomes, applying advanced clinical knowledge to maintain high standards of utilization management across Medi-Cal...

Lead a team in ensuring safe and appropriate care for members by applying advanced clinical expertise. Manage utilization processes and collaborate cross-functionally to achieve high-quality outcomes...

Transform the clinical review landscape by managing complex utilization reviews across diverse lines of business, ensuring compliance, quality, and efficiency, while being a key resource for peers and...

Champion clinical excellence by independently managing complex utilization reviews, ensuring compliance, and uplifting quality across various healthcare services while collaborating with teams to driv...

Reimagine care delivery by independently managing complex utilization reviews, evaluating compliance, and enhancing clinical efficiency to ensure quality and cost-effective services across multiple li...

Deliver strategic insights and recommendations to improve network performance, utilization, and provider sustainability. Manage client engagements and build relationships while tackling complex challe...

Contribute to a high-performing clinical review team by supervising utilization management operations, resolving complex care issues, ensuring compliance with standards, and driving quality improvemen...

Join a team that's leading automation innovations in a cutting-edge battery manufacturing facility. You'll build and manage automation systems, ensure operational efficiency, and develop a skilled con...

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...

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...

Join a dynamic team where you'll leverage your IT project management expertise to streamline complex implementations, collaborating across business sectors to ensure timely and budget-friendly project...

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...

Oversee configuration and data management activities for technical baselines, ensuring document accuracy and integrity throughout the product lifecycle while collaborating across engineering and progr...

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...

Elevate your career by leading configuration management processes across product lifecycles. Ensure hardware and software integrity while coordinating diverse teams and enhancing compliance in a fast...

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...

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...