Utilization Manager Jobs in Redding, CA

Pioneer innovative strategies in Utilization Management while leading a dynamic team of clinicians. Drive quality care outcomes and ensure compliance with Medicare and Medi-Cal regulations. Foster col...

Empower the healthcare landscape by managing complex utilization reviews across diverse lines of business, ensuring compliance, quality, and efficiency in clinical practices while providing expert gui...

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...

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...

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 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...

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...

Shape the future of healthcare by strategically guiding health system clients through their journey, maximizing platform adoption, and ensuring their long-term satisfaction and success while driving r...

Take ownership of EPMO operations, leading project management teams to ensure successful delivery of enterprise projects. Foster efficiency through established operational standards and continuous imp...

Drive excellence in project management and clinical engineering operations by collaborating with stakeholders and leading initiatives that enhance service delivery, improve efficiency, and foster team...

Lead and enhance the operations of a high-volume remote call center, driving service excellence and operational efficiency while managing resources and ensuring compliance with performance standards a...

Lead the charge in optimizing field service operations across the region, ensuring compliance, system uptime, and operational excellence for automated camera enforcement programs, while managing a ded...

Lead the charge in delivering exceptional client implementations by managing sophisticated project plans, overseeing technical deliverables, and fostering cross-functional collaboration for a seamless...

Contribute to a dynamic team by leading client engagements, mentoring accounting professionals, and driving exceptional service delivery within our outsourced accounting services practice. Enhance cli...

Join a team that's driving cloud transformation initiatives for enterprise and government clients, leading organizational change management and ensuring effective risk management while overseeing tail...

Join a team that's driving operational success by facilitating high-level executive support and coordinating strategic initiatives across multiple functions, enhancing leadership effectiveness and pro...

Join a team that’s redefining implementation in fintech. Lead enterprise software projects, collaborating with clients and teams to deliver successful solutions. Ensure client satisfaction and drive p...