Utilization Manager Jobs in Covington, KY

Shape healthcare networks by advising on strategy, performance, and market challenges. Leverage your consulting expertise to improve access and sustainability while driving complex engagements and man...

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...

Lead the charge in implementing innovative TMS solutions at client sites, ensuring seamless transitions and effective training for users. Collaborate across teams to tailor strategies and provide real...

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...

Lead a dedicated team of clinicians to enhance member outcomes, optimize benefits, and drive effective resource utilization, ensuring high-quality and cost-effective healthcare delivery within a colla...

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...

Unlock potential by leading client analytics setups to create impactful reporting for health systems, enhancing revenue cycle efficiency through data processes, and driving implementation improvements...

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...

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

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...

Shape the future of healthcare reimbursement by advising clients on payment strategies, improving provider financial sustainability, and managing complex engagements. Join a team committed to advancin...

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...

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 driving operational success by facilitating high-level executive support and coordinating strategic initiatives across multiple functions, enhancing leadership effectiveness and pro...

Champion the management of credit and collections, optimizing cash flow and mitigating risks while fostering customer relationships and collaborating with finance teams for successful credit lifecycle...