Utilization Manager Jobs in Atlanta, GA

Champion the Utilization Management program by leading a team to ensure high-quality service and adherence to clinical guidelines. Collaborate across functions to drive performance, facilitate continu...

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

Shape compliance strategies by leading oversight of regulatory adherence and risk management across multiple business functions, ensuring effective reporting, investigations, and resource allocation f...

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...

Empower patient care by driving efficient authorization processes, leveraging strong clinical knowledge and advocacy to navigate insurance complexities while supporting a collaborative team dedicated...

Champion impactful partnerships by driving engagement and success with health system/provider networks. Utilize clinical research knowledge to foster collaboration among cross-functional teams and enh...

Shape client payment policies by ensuring accuracy, delivering specialized requests, and collaborating effectively with internal and external teams to enhance service and compliance within healthcare...

Drive quality healthcare solutions by leveraging clinical expertise in a dynamic 24/7 utilization management environment. Collaborate with providers, assess care needs, and ensure effective resource u...

Transform centralized operations by creating efficient processes, enhancing performance metrics, and leading change initiatives for improved decision-making and operational effectiveness across divers...

Drive customer retention and expansion by transforming AI insights into effective optimization plans, managing a 150+ account portfolio, and leading critical negotiations to secure revenue during pivo...

Champion the modernization of the Deltek Vantagepoint ecosystem, driving automation, data integrity, and analytics across Finance, IT, and HR functions for enhanced business growth and streamlined wor...

Drive exceptional service delivery by leading a skilled team of Implementation Consultants, ensuring successful deployment and adoption of connected operations solutions for enterprise clients while p...

Unlock potential by leading the governance and scaling of maintenance systems across automated warehouse operations, ensuring planning standards and execution discipline enhance uptime and cost contro...

Transform your career by leading a dynamic team to drive technical operations and enhance demo environments for global sales and marketing initiatives. Balance hands-on engineering with strategic proj...

Join a team that's enhancing behavioral health oversight and management across multiple programs. Provide system-level leadership in Utilization Review and Management to ensure compliant, efficient, a...

Lead the charge in project management to implement complex initiatives efficiently. Collaborate with stakeholders, manage resources, and ensure project success within scope, timeline, and budget. Driv...

Empower your career by leading document control for large-scale design-build projects. Oversee compliance, manage documentation, and coordinate between various stakeholders to ensure seamless project...

Champion operational excellence by leading a large remote workforce, focusing on productivity, compliance, and team accountability while advocating for high-quality services for veterans...

Pioneer clinical excellence as you conduct outpatient authorization reviews, ensuring members receive appropriate care by utilizing evidence-based criteria and navigating complex guidelines. Your insi...

Lead the growth of our internal claims program by managing a team of claims adjusters and collaborating with key stakeholders on complex commercial trucking claims to ensure a high-quality customer ex...

Elevate geospatial data management by upgrading and enhancing geodatabases while ensuring data integrity and quality through expert ETL processes. Collaborate with cross-functional teams to optimize g...

Champion operational excellence by leading a dynamic team in a call center environment, ensuring quality control and performance metrics are met, while fostering staff development and maintaining data...

Join a team that's dedicated to leading clinical review audits, managing operations, and ensuring quality outcomes. Utilize your nursing expertise to support remote staff and drive strategic initiativ...

Lead the charge in delivering exceptional client implementations by managing sophisticated project plans, overseeing technical deliverables, and fostering cross-functional collaboration for a seamless...

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