Utilization Manager Remote Jobs

Champion operational excellence by leading Utilization Management programs, focusing on prior authorizations, inpatient reviews, and post-care management while collaborating with multidisciplinary tea...

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...

Drive client implementations by managing cross-functional teams, ensuring timely and budget-compliant project execution, while identifying process improvement opportunities and fostering strong intern...

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...

Transform the future of risk management by analyzing claims trends, optimizing processes, and collaborating with diverse teams to enhance insurance functions as the organization scales in a dynamic en...

Lead a tax account management team focused on delivering exceptional customer service, driving operational excellence, and fostering strategic relationships in a dynamic service environment...

Oversee comprehensive testing strategies and quality compliance for U.S. healthcare payer systems, ensuring successful implementations and regulatory readiness across various platforms while managing...

Unlock your potential by implementing effective utilization management strategies to enhance healthcare services and provider performance while ensuring quality and member satisfaction...

Optimize enterprise-wide Prior Authorization governance, driving alignment and measurable outcomes. Lead cross-functional initiatives, ensuring disciplined planning and effective execution across clin...

Transform project delivery by leading and mentoring a team of Project Managers, ensuring high-quality execution of complex software implementations while maintaining customer satisfaction and driving...

Shape the future of IT capacity management by ensuring resources meet business demand in a regulated environment. Collaborate with teams to optimize performance, manage risks, and align strategies for...

Drive end-to-end contingent workforce operations, enhancing client satisfaction and managing relationships with stakeholders. Leverage your staffing experience to elevate program success and explore n...

Unlock potential by driving business development efforts in strategic markets, collaborating with leadership and teams to enhance client relationships and marketing initiatives. Utilize expertise in t...

Grow your career with a focus on business development, driving revenue and profit growth through strategic client partnerships and innovative marketing initiatives in the power/energy sector...

Transform project dynamics by overseeing complex Cyber Infrastructure initiatives, managing teams and finances, and innovating solutions to ensure seamless operations within NIAID and NIH environments...

Lead efforts to ensure optimal utilization management by analyzing data, guiding teams, and shaping quality outcomes, while collaborating with stakeholders to drive improvements in care and compliance...

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...

Transform project delivery by leading complex initiatives, ensuring collaboration across teams, monitoring timelines and budgets, and maintaining clear communication with stakeholders for successful o...

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...

Elevate your career by leading a team of distribution representatives, driving sales strategies, fostering partnerships, and ensuring growth in a dynamic environment focused on achieving targets and d...

Lead the charge in managing configuration processes for MODES III systems, ensuring proper documentation and compliance. Utilize your expertise to support military family policies in this critical, re...

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...

Join a team that champions proactive incident management, ensuring swift resolution for critical escalated incidents while leading communication and collaboration across technical and support teams to...

Champion clinical excellence by managing specialty medication strategies, conducting peer consultations, and developing impactful clinical policies that enhance cost management across pharmacy and med...

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...