Utilization Manager Jobs in Charlotte, NC

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...

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

Shape healthcare delivery by leading a team of prior authorization technicians to enhance workflows and ensure compliance while promoting extraordinary customer care in a fast-paced environment...

Manage claims operations and team performance to ensure compliance and efficiency. Oversee claims processing, data integrity, and reporting, while driving improvements through analysis and cross-funct...

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 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...

Explore the opportunity to develop impactful training programs for pharmacists, enhancing their operational skills and customer service. Collaborate with teams to assess needs and deliver effective ed...

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 behavioral health utilization management by leading a dedicated team, ensuring quality care for members, and enhancing operational effectiveness in a collaborative remote environment. Take y...

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...

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...

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...

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...

Elevate patient care by leading a team of clinical pharmacists while optimizing workflows. Engage in hands-on clinical work, mentoring, and collaborating across teams to ensure quality service in a fu...

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

Join a team that's dedicated to optimizing clinical operations and outcomes. You'll oversee vendor-managed care and utilization management processes, ensuring adherence to standards while enhancing se...

Drive strategic leadership for Medicaid utilization and care management. Lead development and execution of initiatives aimed at enhancing quality, access, and cost management while collaborating with...

Lead complex healthcare technology implementations to enhance access, care coordination, and outcomes for movement-restricted populations, driving success through strong project management and collabo...

Lead the charge in optimizing business processes by leveraging stakeholder insights and innovative solutions. As a key manager, you will guide your team to deliver substantial value across various org...