Utilization Manager Remote Jobs

Champion operational excellence by leading Utilization Management programs, focusing on prior authorizations, inpatient reviews, and post-care management while collaborating with multidisciplinary tea...

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...

Drive client implementations by managing cross-functional teams, ensuring timely and budget-compliant project execution, while identifying process improvement opportunities and fostering strong intern...

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...

Drive impactful change as you manage operations in care management. Oversee team performance, optimize workflow, and enhance staff capabilities in a dynamic environment while ensuring adherence to reg...

Lead a tax account management team focused on delivering exceptional customer service, driving operational excellence, and fostering strategic relationships in a dynamic service environment...

Advance your career by managing operations for a technology department, driving process improvements, managing global teams, and ensuring compliance with organizational objectives to enhance performan...

Unlock your potential by implementing effective utilization management strategies to enhance healthcare services and provider performance while ensuring quality and member satisfaction...

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...

Unlock potential by leveraging clinical expertise to assess and coordinate healthcare services, ensuring effective communication and care while identifying opportunities for quality improvement and ut...

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...

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...

Transform project dynamics by overseeing complex Cyber Infrastructure initiatives, managing teams and finances, and innovating solutions to ensure seamless operations within NIAID and NIH environments...

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...

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 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...

Drive demand flexibility strategies for a global data center portfolio, leading commercial negotiations and regulatory engagement. Collaborate across teams to establish proactive energy solutions that...