$80K - $95K *
Transform healthcare delivery by ensuring quality, compliant care for PACE participants. Collaborate with interdisciplinary teams to optimize service utilization and enhance outcomes, leveraging clini...
Reposted 2 weeks ago
$90K - $130K *
Apex is seeking a dynamic and organized Mission Manager to oversee the satellite bus development process and serve as the primary liaison between customers and internal teams. The role involves managi...
Reposted 1 week ago
Utilization Management Nurse, Senior
$90K - $120K *
Transform healthcare delivery by leading utilization management reviews and ensuring adherence to guidelines while collaborating with clinical teams to provide optimal care for members across various...
4 days ago
Utilization Management Nurse, Senior
$90K - $110K *
Accelerate progress at your career by expertly managing utilization reviews, ensuring compliance with medical policies, and supporting clinicians in decision-making processes for optimal patient care...
4 days ago
Manager, Utilization Management Claims Review
$117K - $188K *
Join a dynamic team to oversee clinical operations, ensuring claim accuracy and compliance. Drive payment integrity initiatives while fostering collaboration with internal departments, ultimately supp...
4 weeks ago
Utilization Review RN - Utility Management
$80K - $100K *
Drive quality and cost-effective care through utilization review and coordination across the healthcare continuum. Collaborate with a compassionate team to foster patient-centered approaches that empo...
Reposted 5 days ago
$99K - $131K *
Advance your career by leading our Utilization Management team to enhance care delivery processes while ensuring compliance and quality. Drive improvement initiatives and collaborate with clinical sta...
Yesterday
$100K - $130K *
Transform daily security operations by managing workflows, incidents, and vulnerability remediation. Collaborate with teams to enhance processes, drive efficient handoffs, and ensure compliance for pr...
Reposted 2 weeks ago
System Manager Productivity Performance Improvement
$100K - $130K *
Unlock potential by leading workforce benchmarking and productivity efforts across multiple healthcare facilities, enhancing operational efficiency and supporting financial improvements through strate...
Reposted 2 days ago
Clinical Pharmacist Utilization Management
$91K - $163K *
Unlock your potential as a Clinical Pharmacist, enhancing patient care and outcomes by evaluating medication utilization and prior authorization requests for specialty pharmaceuticals in a dynamic, re...
1 week ago
$134K - $175K *
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...
6 days ago
Mgr, Utilization Review and Audit Services
$126K - $213K *
Join a team that's dedicated to optimizing healthcare services through effective leadership in Utilization Review and Audit operations. Guide your department to ensure compliance and enhance collabora...
1 week ago
REMOTE Project Manager (Revenue Cycle Management)
$80K - $110K *
Drive the success of cross-functional projects focused on operational excellence and growth, enhancing client outcomes while managing complex, strategic initiatives in a rapidly evolving environment...
1 week ago
Product Manager - Utilization Management
$86K - $138K *
Manage the product lifecycle for behavioral health and wellness products, ensuring alignment with business strategies. Lead stakeholder engagement and drive product strategy through effective communic...
3 weeks ago
Budget Manager (Grants, Contracts, Billing & Reporting)
$105K - $120K *
Join a team that empowers effective financial oversight in grant management. Collaborate across departments to ensure compliance and accuracy in budgeting, invoicing, and reporting while supporting on...
Yesterday
$134K - $167K *
Lead the charge in enhancing healthcare services by overseeing utilization management programs, ensuring compliance, and driving performance improvements through data-driven initiatives and cross-func...
5 days ago
Clinical Utilization Management Pharmacist
$100K - $130K *
Join a dynamic pharmacy team to manage drug utilization reviews and appeals, collaborating with healthcare professionals. Ensure compliance with regulations while driving improvements in medication ma...
2 weeks ago
$94K - $266K *
Empower clients with innovative Oracle solutions that enhance decision-making while overseeing the design, build, and deployment of integrated financial frameworks. Elevate team performance through le...
Reposted 2 days ago
$100K - $150K *
Partner with us to drive mission success by leading customer integrations and enhancing product efficacy while ensuring robust operational processes in a dynamic, innovative environment that bridges e...
2 weeks ago
Configuration Manager - Medicaid Systems
$111K - $150K *
Drive impactful outcomes in Medicaid's complex ecosystem by managing configuration processes, ensuring system integrity, and leading project teams. Collaborate to enhance system documentation and comp...
3 weeks ago
$75K - $90K *
Lead cross-functional projects to redesign workflows and ensure operational clarity. Drive governance, manage incident responses, and implement change management strategies to enhance organizational p...
1 week ago
Energy Manager, Power Delivery
$120K - $150K *
Champion innovative energy solutions for data centers, driving strategy and partnerships. Play a pivotal role in site selection, project management, and optimizations to ensure cost-effective energy i...
3 weeks ago
$90K - $120K *
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...
1 week ago
Organizational Effectiveness Manager
$104K - $137K *
Innovate the organizational landscape by creating effective strategies to enhance culture, performance, and leadership within a dynamic environment, partnering with senior leaders and stakeholders to...
3 days ago
Utilization Management (UM) - Pre-Service (Remote | California RN / LVN | Pacific Time Schedule)
$77K - $116K *
Transform care delivery by reviewing prior authorization requests for medical necessity and ensuring quality outcomes in a dynamic, remote Utilization Management team focused on patient-centric soluti...
2 weeks ago