Utilization Manager Jobs in Durham, 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...

Elevate patient care by ensuring accurate status assignments, validating medical necessity, and managing utilization effectively while collaborating with a cross-functional healthcare team to enhance...

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

Transform daily security operations by managing workflows, incidents, and vulnerability remediation. Collaborate with teams to enhance processes, drive efficient handoffs, and ensure compliance for pr...

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...

Oversee complex, multi-phase enterprise implementations in the public safety sector. Manage relationships, delivery quality, and timelines while leveraging AI tools to enhance program execution and st...

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...

Lead the charge in advancing digital workplace innovations by optimizing collaboration tools and identity management. Drive high-impact initiatives while cultivating a high-performing team to enhance...

Lead the optimization and innovation of enterprise collaboration tools and identity management systems while guiding a team to enhance security and productivity through AI and automation, driving impa...

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 effective client payment policy management by ensuring accuracy and compliance. Collaborate with internal teams and clients to execute requests and maintain up-to-date medical policies, providin...

Lead the charge in overseeing complex construction projects, ensuring successful development, implementation, and compliance within the healthcare system's facilities and infrastructure. Collaborate w...

Lead a dynamic NOC team, ensuring 24/7 operational excellence and problem resolution in a complex environment. Drive performance metrics and foster improvements while managing strategic initiatives fo...

Develop and lead comprehensive Revenue Cycle Management, overseeing the entire billing process, vendor contracts, and risk adjustment, while collaborating with Clinical, Finance, and Data teams for op...

Lead the charge in enterprise monitoring operations to ensure optimal performance and reliability of critical applications. Guide teams in enhancing instrumentation and observability across vast netwo...

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

Champion investigative and evaluation activities related to professional liability, focusing on risk mitigation and compliance. Engage in negotiations and provide critical risk management education an...

Empower enterprise-wide improvement initiatives by leading and implementing best practices in Continuous Improvement, collaborating across functions to enhance efficiency and drive sustainable change...

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 core business systems. As an Application Administrator, you'll support finance and HR technologies, resolve issues, and enhance configurations ensuring effic...

Empower your career by strategically managing C-suite relationships across large pharma accounts. Drive retention and expansion while leveraging deep industry knowledge and collaboration to achieve me...

Drive the analysis and development of data products, enhance client satisfaction, and lead a team to tackle technical challenges while improving processes and adopting emerging technologies to benefit...

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