Utilization Manager Jobs in Portland, OR

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

Empower healthcare quality by leading a dedicated Utilization Management team to excel in delivering efficient, effective, and compliant care while fostering a collaborative environment that enhances...

Optimize team performance and healthcare quality by leading Utilization Management efforts. Drive compliance with clinical guidelines and improve patient outcomes while mentoring a dedicated team to e...

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...

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...

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 transformation by leading client workshops, managing EPCM projects, and providing strategic insights for Oracle solutions, ensuring project scope, quality, and timelines are met while mentoring...

Play a key role in ensuring quality patient care by performing utilization reviews and identifying appropriate levels of care. Contribute to organizational goals while enhancing your nursing expertise...

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...

Lead the charge in managing assembly operations with a focus on safety, quality, and continuous improvement, overseeing up to 40 team members to achieve operational excellence and financial targets in...

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...

Support a dynamic team ensuring efficient processing of prior authorization requests. Oversee operations, enhance compliance, and foster staff development to drive member-focused care and streamline w...

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 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...

Make your mark at the forefront of customer success by leveraging your technical expertise to nurture client relationships, enhance software adoption, and achieve strategic outcomes throughout the sof...

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...

Transform client partnerships and operational efficiency by leading innovative multi-client utilization review initiatives. Drive strategic oversight, change management, and analytics to enhance perfo...