Utilization Manager Jobs in Bronx, NY

Transform patient care by conducting utilization reviews to ensure compliance with medical necessity and regulatory standards, while collaborating with treatment teams to streamline processes and impr...

Lead the Utilization Management team, overseeing operations for inpatient, outpatient, and long-term services. Innovate programs for quality and cost-effectiveness while ensuring compliance with regul...

Unlock your potential in a vital operations role that enhances client care coordination, ensures timely execution, and fosters meaningful communication with clients and families, all while supporting...

Join a team focused on improving client network strategies and performance. Leverage your expertise to enhance access, provider sustainability, and utilization management while managing engagements an...

Inspire positive change by advising clients on network strategy and provider performance. Leverage your expertise to analyze complex data and deliver impactful solutions that enhance healthcare access...

Transform utilization management through strategic leadership, ensuring service access and cost optimization while enhancing clinical outcomes and member satisfaction across various care settings...

Lead the charge in managing complex medical cases to enhance patient outcomes while ensuring cost-effective care delivery across outpatient and inpatient services, all under the guidance of clinical l...

Engage with stakeholders to ensure appropriate medical treatment for injured workers. Review and analyze complex workers' compensation cases, advocating for effective care while adhering to establishe...

Drive your career with a leadership role overseeing utilization management, ensuring quality and compliance in healthcare services while collaborating with clinical teams to improve patient outcomes a...

Join a team that's dedicated to driving successful outcomes in health projects by managing cross-functional teams and overseeing project deliverables, ensuring innovation and efficiency while fosterin...

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...

Unlock your potential in a dynamic role where you will optimize local TV media buys, leveraging advanced analytics and strategic negotiation to drive impactful results for clients and enhance their ma...

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

Evaluate and ensure the medical necessity and efficiency of healthcare services, supporting compliance and optimal patient care. Collaborate on authorization processes to minimize denial risks in a fa...

Empower data management excellence by overseeing sensitive data governance, security, and analysis efforts. Collaborate with cross-functional teams while ensuring compliance and integrity in a secure...

Elevate your career by managing a skilled team to ensure efficient maintenance operations and enhance reliability at a leading gas-fired power plant, driving strategic initiatives and optimizing budge...

Help us drive customer success through Data 360 & Agentforce by combining technical acumen and commercial strategies. You'll engage with stakeholders to promote platform consumption, fostering growth...

Unlock potential by leading a high-performing Enterprise Account Management team, driving renewal and expansion revenue for key accounts while fostering a culture of strategic engagement and scalable...

Lead the charge in Utilization Management by reviewing inpatient, behavioral health, and post-acute services to ensure compliance with CMS and Medicare Advantage standards while evaluating medical nec...

Champion clinical excellence as a Medical Director overseeing utilization management. Lead strategic initiatives, integrate interdisciplinary care, and ensure compliance while enhancing member outcome...

Lead the charge in delivering exceptional clinical and administrative management for a subacute unit, ensuring quality care and compliance while guiding a dedicated nursing team and fostering a therap...

Transform vendor management for ancillary benefits, ensuring compliance, quality, and performance excellence while collaborating with teams to enhance member services and operational efficiencies...

Drive IT operations and strategy to ensure seamless technology integration and security across all platforms. Lead a team focused on enhancing technology experiences while aligning with business objec...

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...

Join a dynamic team as you own the renewal lifecycle for brokers, driving retention and delivering unparalleled customer experience. Collaborate across functions while managing relationships and renew...