Utilization Manager Remote Jobs

Join us to lead our clinical review team in ensuring optimal care for NICU members through effective utilization management. Drive process improvements and support day-to-day operations while fosterin...

Champion coordinated care by leveraging clinical nursing expertise to facilitate medical service determinations, ensuring optimal post-acute support for members. Collaborate with providers for effecti...

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...

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...

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...

Unlock the potential of healthcare management by leading efforts to enhance quality and utilization standards, fostering collaboration between providers and ensuring optimal health outcomes for member...

Lead the Utilization Management team in ensuring high-quality healthcare delivery. Oversee provider engagement and compliance with standards, fostering collaboration with physicians and hospitals to e...

Join a team that leverages clinical expertise to optimize patient care. Make impactful coverage determinations, coordinate treatment plans, and enhance service delivery within a dynamic, technology-dr...

Lead the charge in delivering efficient utilization management services by leveraging clinical expertise to assess and coordinate appropriate healthcare options for members, while ensuring compliance...

Transform healthcare delivery by utilizing clinical expertise in a collaborative environment to assess and facilitate optimal member services and care options while monitoring quality and compliance i...

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...

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...

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...

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...

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...

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

Lead the charge in optimizing utilization management processes to ensure operational efficiency and high-quality patient care. Supervise a dedicated team, ensuring compliance and satisfaction across h...

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...

Champion sustainable energy solutions for a growing data center portfolio, managing commercial relationships and regulatory processes across diverse U.S. markets to ensure reliable, cost-effective ene...

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...