Utilization Manager Jobs in Hackensack, 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...

Lead the Utilization Management team, overseeing operations for inpatient, outpatient, and long-term services. Innovate programs for quality and cost-effectiveness while ensuring compliance with regul...

Drive strategic oversight of utilization management, ensuring clinical reviews are effective, timely, and compliant. Collaborate across departments and with payers to enhance operations and improve re...

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...

Shape the future of patient care by evaluating medical necessity and ensuring compliance in healthcare services. Leverage your nursing expertise to improve quality outcomes while efficiently managing...

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...

Drive your career with a leadership role overseeing utilization management, ensuring quality and compliance in healthcare services while collaborating with clinical teams to improve patient outcomes a...

Contribute to the success of multiple clinical research sites by leading operations, ensuring compliance with regulations, and fostering team development to enhance patient care and operational excell...

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...

Transform patient care by ensuring the appropriateness of healthcare services while maintaining compliance and resource efficiency in a supportive environment that promotes quality outcomes and optima...

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...

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...

Seeking a transformation expert to empower clients in navigating digitization challenges, using creativity and analysis to solve complex business problems while leading projects and teams for Oracle s...

Empower clients to thrive in the digital landscape by leading transformative Oracle EPM initiatives, managing delivery workstreams, and optimizing financial insights while inspiring team excellence an...

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...

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...

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

Lead a dynamic IT team to provide top-tier desktop support in Education, Research, and Clinical environments. Ensure efficient technical infrastructure management, direct staff operations, and foster...

Lead the charge in executing complex configurations for HealthRules systems, guiding a distributed team to meet project goals, ensuring successful implementations that resolve client business challeng...

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...

Lead the charge in enhancing client satisfaction by building a high-performing support team, optimizing operational processes, and ensuring timely resolution of client issues in a fast-paced, tech-dri...

Lead the charge in managing configuration processes for MODES III systems, ensuring proper documentation and compliance. Utilize your expertise to support military family policies in this critical, re...