Utilization Manager Jobs in Edison, NJ

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

Optimize patient care by managing complex medical cases to enhance outcomes and reduce costs through effective coordination of healthcare services, ensuring adherence to established protocols and regu...

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...

Elevate project management excellence by leading cross-functional teams to deliver outstanding results through strategic oversight, agile methodologies, and strong financial acumen across diverse tech...

Transform the future of risk management by analyzing claims trends, optimizing processes, and collaborating with diverse teams to enhance insurance functions as the organization scales in a dynamic en...

Drive the success of cross-functional projects focused on operational excellence and growth, enhancing client outcomes while managing complex, strategic initiatives in a rapidly evolving environment...

Elevate healthcare product strategies by leading the development and execution of behavioral health solutions, ensuring alignment with team objectives while driving maximum value through a robust prod...

Manage the product lifecycle for behavioral health and wellness products, ensuring alignment with business strategies. Lead stakeholder engagement and drive product strategy through effective communic...

Lead the charge in incident management, ensuring swift recovery from critical outages while driving service reliability and operational excellence across engineering and operations teams...

Join a team that's dedicated to improving patient care through effective coordination, resource utilization, and evidence-based practices while overseeing a designated caseload in a dynamic healthcare...

Explore new avenues in patient access as you manage the insurance process. Support clients and patients by coordinating claims, navigating barriers, and ensuring timely approvals with a focus on quali...

Lead the charge in enhancing healthcare services by overseeing utilization management programs, ensuring compliance, and driving performance improvements through data-driven initiatives and cross-func...

Optimize claims audit processes by leading a team to ensure vendor compliance, achieve key performance metrics, and enhance accuracy in claims handling while fostering interdepartmental collaboration...

Join a dynamic pharmacy team to manage drug utilization reviews and appeals, collaborating with healthcare professionals. Ensure compliance with regulations while driving improvements in medication ma...

Champion effective clinical assessments and care delivery for vulnerable populations. Ensure timely, accurate documentation and support intake and enrollment teams for optimal participant enrollment a...

Drive impactful outcomes in Medicaid's complex ecosystem by managing configuration processes, ensuring system integrity, and leading project teams. Collaborate to enhance system documentation and comp...

Take ownership of operational excellence, optimizing logistics and processes to enhance customer experience, support revenue growth, and drive efficiency in a dynamic and evolving market environment...

Lead cross-functional projects to redesign workflows and ensure operational clarity. Drive governance, manage incident responses, and implement change management strategies to enhance organizational p...

Champion innovative energy solutions for data centers, driving strategy and partnerships. Play a pivotal role in site selection, project management, and optimizations to ensure cost-effective energy i...

Manage the energy infrastructure strategy for data centers, driving development phases and negotiating agreements to optimize energy supply while fostering key internal and external partnerships to su...

Shape the future of IT capacity management by ensuring resources meet business demand in a regulated environment. Collaborate with teams to optimize performance, manage risks, and align strategies for...

Transform the future of patient access by leading a team dedicated to enhancing scheduling applications. Drive strategic improvements, optimize workflows, and ensure impactful solutions align with org...

Elevate employee benefits management by overseeing comprehensive programs in a complex healthcare setting, fostering compliance, enhancing communication, and driving strategic initiatives to support w...

Advance healthcare by managing behavioral health reviews to enhance patient experiences. Collaborate with treatment teams for optimal care and transition, ensuring effective utilization management acr...

Advance your career by leading global capacity management initiatives, optimizing resources and enhancing operational efficiency within a dynamic, collaborative environment focused on revenue growth a...