Utilization Manager Jobs in Edison, NJ

Innovate processes in clinical assessments for a supportive care delivery team, ensuring efficient evaluations, compliance, and participant education to facilitate high-quality care for the elderly an...

Champion comprehensive inpatient coding audits and education initiatives, ensuring compliance and performance improvement within a dynamic healthcare environment, with leadership responsibility for a...

Optimize customer experience initiatives by leading a multidisciplinary team to drive insights and measurable outcomes, aligning strategy across key business areas, and influencing senior stakeholders...

Empower implementation excellence by leading a skilled team in overseeing complex client projects, ensuring seamless transitions and high-quality delivery in health plan administration. Drive impactfu...

Innovate within the healthcare industry by leading a team of Utilization Management Nurses. Ensure the timely review of inpatient requests and enhance quality outcomes through effective collaboration...

Join us to deliver critical cost and schedule analysis for programs up to $10M, ensuring optimal performance and effective decision-making within a collaborative global team dedicated to excellence...

Transform patient care delivery by leading nursing operations, ensuring compliance with standards while enhancing staff satisfaction and clinical results. Collaborate with professionals to optimize pa...

Join a team that's leading organizational change initiatives, implementing strategies for effective transition, and ensuring alignment with company goals while fostering collaboration across all level...

Join a transformative initiative by designing impactful Supply Chain processes that drive business value. Enhance operational efficiency through collaboration and innovative digital solutions in a dyn...

Transform healthcare delivery by leading Medicare Risk Adjustment operations. Oversee coding efforts to enhance documentation integrity, improve quality measures, and streamline processes that directl...

Lead and mentor the Client Solutions team to deliver exceptional service, manage strategies, and foster a culture of continuous improvement while analyzing client needs and enhancing processes to exce...

Unlock expertise in optimizing business applications and driving workflow automation. Collaborate across teams for effective technical solutions and platform changes while ensuring quality delivery an...

Optimize business operations by leveraging your expertise in Agency Management Systems. Lead cross-functional technical solutions, enhance process efficiencies, and support high-quality delivery to dr...

Elevate patient care by ensuring compliance and driving quality improvement through data analysis, regulatory adherence, and collaboration with clinical teams to enhance effectiveness in healthcare de...

Oversee and enhance financial planning and budget operations, ensuring compliance with government funding requirements while developing detailed forecasts and managing departmental budgets effectively...

Champion risk management by leading complex audits across governance and compliance areas. Drive improvements and engage with senior leadership to ensure effective controls in a rapidly evolving busin...

Champion quality assurance and documentation for complex technical programs, ensuring compliance and audit readiness while driving process improvements and stakeholder collaboration for operational ex...

Transform patient care by ensuring quality and compliance through regulatory oversight, performance analysis, and support for clinical staff, fostering excellence in health services and enhancing pati...

Join a team that drives strategic initiatives and delivers impactful projects, collaborating across functions and navigating complex environments while ensuring successful outcomes and alignment with...

Oversee project execution for Technical Support and User Engagement tasks, coordinating daily activities and developing training materials while monitoring schedules and service metrics to enhance use...

Champion resource efficiency by managing team capabilities for impactful projects across North America. Collaborate with engineers to enhance processes and drive successful outcomes in bridge, tunnel...

Optimize accounting quality and compliance by supporting adherence to GAAP standards, conducting internal reviews, and facilitating team training. Collaborate across functions to enhance financial rep...

Transform claims processes by ensuring compliance, providing oversight, and managing high-severity claims and service delivery with TPA adjusters, all while fostering strategic partnerships across the...

Drive compliance excellence and optimize claims management through expert oversight of multi-line claims, collaboration with TPAs, and regulatory adherence to minimize organizational risk and enhance...

Oversee claims management processes while ensuring compliance with regulations and optimizing service delivery. Collaborate with internal and external teams to identify trends, manage high-severity cl...