Utilization Manager Jobs in Melville, NY

Lead the Utilization Management team, overseeing operations for inpatient, outpatient, and long-term services. Innovate programs for quality and cost-effectiveness while ensuring compliance with regul...

Unlock your potential in a vital operations role that enhances client care coordination, ensures timely execution, and fosters meaningful communication with clients and families, all while supporting...

Join a team focused on improving client network strategies and performance. Leverage your expertise to enhance access, provider sustainability, and utilization management while managing engagements an...

Transform utilization management through strategic leadership, ensuring service access and cost optimization while enhancing clinical outcomes and member satisfaction across various care settings...

Shape the future of patient care by evaluating medical necessity and ensuring compliance in healthcare services. Leverage your nursing expertise to improve quality outcomes while efficiently managing...

Lead the charge in managing complex medical cases to enhance patient outcomes while ensuring cost-effective care delivery across outpatient and inpatient services, all under the guidance of clinical l...

Engage with stakeholders to ensure appropriate medical treatment for injured workers. Review and analyze complex workers' compensation cases, advocating for effective care while adhering to establishe...

Drive your career with a leadership role overseeing utilization management, ensuring quality and compliance in healthcare services while collaborating with clinical teams to improve patient outcomes a...

Contribute to the success of multiple clinical research sites by leading operations, ensuring compliance with regulations, and fostering team development to enhance patient care and operational excell...

Join a team that's dedicated to driving successful outcomes in health projects by managing cross-functional teams and overseeing project deliverables, ensuring innovation and efficiency while fosterin...

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...

Evaluate the medical necessity and appropriateness of healthcare services, ensuring quality outcomes and compliance through effective resource utilization while supporting optimal patient care deliver...

Help us drive customer success through Data 360 & Agentforce by combining technical acumen and commercial strategies. You'll engage with stakeholders to promote platform consumption, fostering growth...

Unlock potential by leading a high-performing Enterprise Account Management team, driving renewal and expansion revenue for key accounts while fostering a culture of strategic engagement and scalable...

Champion clinical excellence as a Medical Director overseeing utilization management. Lead strategic initiatives, integrate interdisciplinary care, and ensure compliance while enhancing member outcome...

Transform vendor management for ancillary benefits, ensuring compliance, quality, and performance excellence while collaborating with teams to enhance member services and operational efficiencies...

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...

Join a dynamic team as you manage renewals, develop strategies, and foster relationships with brokers to ensure timely, accurate, and customer-focused renewal experiences while driving retention and o...

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...

Partner with us to drive complex enterprise deployments by managing multi-stakeholder programs, aligning teams, and ensuring client satisfaction and swift execution in highly regulated environments...

Execute comprehensive assessments and develop individualized care plans for older adults, ensuring their access to essential services while enhancing health and independence through proactive clinical...

Lead a dynamic IT team to provide top-tier desktop support in Education, Research, and Clinical environments. Ensure efficient technical infrastructure management, direct staff operations, and foster...

The Implementation Manager at Courier Health will lead end-to-end platform implementations for Life Sciences clients, ensuring timely delivery and seamless onboarding. This role involves building stra...

Take ownership of drug utilization management by leading reviews, ensuring compliance, and collaborating with stakeholders. Enhance pharmacy operations through expertise and trend analysis, impacting...