Utilization Manager Jobs in Cleveland, OH

Transform healthcare delivery by ensuring quality, compliant care for PACE participants. Collaborate with interdisciplinary teams to optimize service utilization and enhance outcomes, leveraging clini...

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...

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...

Transform healthcare by leading utilization management strategies and enhancing quality. Collaborate with a dedicated team to ensure effective physician compliance and drive continuous improvement in...

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...

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...

Explore new avenues in patient access as you manage the insurance process. Support clients and patients by coordinating claims, navigating barriers, and ensuring timely approvals with a focus on quali...

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...

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...

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...

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...

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...

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...

Partner with us to lead outsourced accounting services, driving client engagement, quality assurance, and team development. Oversee multiple projects while ensuring GAAP-compliance and continual busin...

Advance your career by leading global capacity management initiatives, optimizing resources and enhancing operational efficiency within a dynamic, collaborative environment focused on revenue growth a...

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...

Take ownership of the support operations strategy to enhance complex workflows, implement AI-driven tools, and drive cross-functional collaboration, ensuring an effective support experience aligned wi...

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

Transform customer engagement and drive sales growth by collaborating with cross-functional teams, managing CRM opportunities, and leading sales presentations, while exceeding targets and enhancing pr...

Unlock potential by leading pricing strategies for electrical components, managing a regional pricing team, and collaborating across functions to improve profitability while ensuring pricing integrity...

Manage stakeholder relationships and asset performance to optimize investments across market rate properties. Ensure strategic execution of business plans while monitoring market conditions throughout...

Drive patient care access by managing complex authorization journeys while collaborating with various stakeholders to ensure timely communication, accuracy, and support. Your expertise will streamline...

Accelerate progress at our implementation services by managing complex utility integrations, ensuring on-time delivery, and fostering strong client partnerships to enhance EnergyHub’s platform capabil...

Elevate global hardware reliability by managing the RMA operations, leading teams, and collaborating with vendors to improve processes, minimize customer impact, and drive efficiency across data cente...

Develop project plans and manage healthcare implementation initiatives, ensuring timely delivery and quality outcomes. Collaborate across teams to optimize processes and meet client needs in a remote...