Utilization Manager Jobs in Boston, MA

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

Join a dynamic team dedicated to optimizing patient care through efficient denial management and utilization review. Collaborate closely with healthcare professionals to ensure appropriate care levels...

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...

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...

Manage daily pharmacy prior authorization requests, ensuring compliance and timely disposition while collaborating with medical directors. Support medication management for members, addressing complex...

Transform elder care by leading a dedicated nursing team, optimizing resident services, and ensuring clinical excellence in a supportive longterm care environment. Drive improvements and manage unit o...

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...

Engage in leadership and excellence as you manage teams delivering top-notch 401(k) plan implementations and conversions, ensuring compliance and operational efficiency while fostering strong partners...

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...

Shape the future of digital transformation by leading Oracle EPCM projects, guiding clients through complex challenges, and fostering team success while delivering impactful financial insights and inn...

Accelerate the content automation strategy by implementing innovative solutions for slide and template generation, ensuring quality and brand alignment. Collaborate with cross-functional teams to enha...

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...

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...

Lead the charge in executing complex configurations for HealthRules systems, guiding a distributed team to meet project goals, ensuring successful implementations that resolve client business challeng...

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...

Unlock success by managing resource allocation across teams and offices. Collaborate with senior leaders to address staffing needs, ensuring client engagement, talent development, and operational effi...

Join a dynamic team to manage staffing allocations across multiple offices, ensuring optimal utilization of resources while supporting talent development within a fast-paced environment. Build relatio...

Join a team that's dedicated to optimizing resource allocation across our offices, ensuring client needs are met while fostering employee development. Collaborate with senior leaders and tackle operat...

Join our dynamic team to lead complex electric transmission and distribution projects. Drive project success through effective planning, execution, and team collaboration while navigating multifaceted...

Shape the future of healthcare by facilitating complex care coordination, ensuring members receive medically necessary services while collaborating with a dedicated team to enhance clinical outcomes a...

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...

Champion the validation program for cutting-edge radioligand therapy manufacturing, ensuring compliance with cGMP standards while collaborating cross-functionally to support safe, efficient production...

Transform internal controls as you enhance compliance and audit readiness across Finance, IT, Operations, and Compliance. Act as a vital control advisor in the organization’s Model Audit Rule and SOC...