Utilization Manager Jobs in Chicago, IL

Transform the future of healthcare by advising clients on network strategy, performance, and market challenges. Leverage expertise to manage teams, deliver insights, and drive improvements in network...

Join a team that's shaping the future of customer relationships by leading and developing a high-impact Account Management team dedicated to driving retention and expanding our client base in a fast-p...

Unlock potential by coordinating care and optimizing health services. This hybrid role involves managing utilization review processes, collaborating with medical staff, and ensuring comprehensive disc...

Unlock potential by joining a dynamic team where you’ll drive account growth, enhance customer relationships, and shape product usage across diverse industries. Your role is essential in maintaining p...

Manage and optimize omnichannel communications, ensuring compliance and engagement across platforms. Leverage your deep experience in print and digital channels to drive impactful member and provider...

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...

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

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...

Unlock your potential by managing and optimizing technology systems to enhance operational efficiency across departments within a dynamic med spa environment, supporting vendor relationships and drivi...

Take ownership of commercial performance and strategy for a crucial product portfolio. Lead cross-functional teams to drive growth, define market positioning, and influence product direction, ensuring...

Elevate customer success by leveraging your expertise in Data 360 & Agentforce. Partner with diverse clients, manage relationships, and strategically implement solutions to enhance consumption and ach...

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...

Lead the charge in implementing innovative TMS solutions at client sites, ensuring seamless transitions and effective training for users. Collaborate across teams to tailor strategies and provide real...

Empower hospital leadership by coordinating performance improvement and risk management activities. This role involves developing strategies, overseeing committee functions, and ensuring compliance wi...

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...

Lead the charge in optimizing manufacturing operations by driving continuous improvement and ensuring quality standards are met, while fostering a high-performance culture within the team to achieve c...

Lead and manage multidisciplinary projects of moderate scope while directing activities, enhancing client relationships, and contributing to business development. Enjoy a collaborative environment and...

Collaborate to enhance end-user computing by implementing reliable technology solutions, troubleshooting issues, and safeguarding systems to support operational efficiency across a growing North Ameri...

Drive optimal member care by leveraging clinical expertise and collaboration. Analyze utilization trends while advising leadership to ensure compliance with Medicare and state regulations, leading eff...

Take ownership of drug utilization management by leading reviews, ensuring compliance, and collaborating with stakeholders. Enhance pharmacy operations through expertise and trend analysis, impacting...

Lead the charge in optimizing utilization management processes to ensure operational efficiency and high-quality patient care. Supervise a dedicated team, ensuring compliance and satisfaction across h...

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...

Drive quality outcomes by reviewing medical records for compliance and reimbursement. Collaborate with clinical teams and external agencies to evaluate care levels and ensure adherence to established...

Join a team that's dedicated to optimizing patient care through comprehensive medical record reviews and quality assurance, ensuring compliance with external regulations while enhancing clinical outco...

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...