Utilization Manager Jobs in Houston, TX

Transform healthcare analytics by leading the development of APR-DRG audit criteria. Collaborate with cross-functional teams to enhance payment integrity through data-driven insights and innovative so...

Join a dynamic team to manage comprehensive leave programs, ensuring compliance and supporting benefits administration. Leverage your expertise in FMLA and state-specific leaves while enhancing employ...

Advance your career by leading complex enterprise implementations, driving customer adoption, and ensuring measurable value realization. Collaborate with cross-functional teams to operationalize solut...

Shape impactful healthcare solutions by leveraging your Epic Professional Billing expertise. Collaborate with diverse teams to optimize systems, enhance workflows, and drive meaningful results for cli...

Lead the charge in driving revenue performance across assigned regions by optimizing reimbursement processes, reducing denials, and enhancing cash flow, while fostering team development and ensuring c...

Join a team that's dedicated to enhancing member care through personalized management and coordination. This role involves developing care plans, collaborating with providers, and ensuring quality hea...

Lead the successful execution of projects by managing teams, fostering collaboration, and ensuring adherence to methodologies. Drive talent development and build strong relationships across functions...

Oversee project management operations, ensuring adherence to methodologies while fostering team development and collaboration. Drive successful project outcomes through strong leadership and relations...

Join a team that's redefining insurance technology delivery by leading SaaS implementation programs. This hands-on role combines project management with team leadership to ensure successful client out...

Shape the future of program management by coordinating diverse project initiatives, ensuring alignment with enterprise goals and delivering exceptional results on time and within budget while fosterin...

Champion client success by leading project teams to deliver high-quality card processing solutions. Drive enhancements, manage complex implementations, and ensure client satisfaction through effective...

Drive strategic oversight of enterprise-wide RAC audit activities, ensuring compliance and operational excellence. Collaborate with leadership to enhance audit processes, minimize financial risk, and...

Lead the charge in product innovation by managing the full lifecycle from ideation to launch. Collaborate with cross-functional teams to align technical and business goals, ensuring successful product...

Drive clinical operations excellence by managing protocol compliance, delivering budget oversight, and ensuring successful study start-up in alignment with regulatory standards and internal policies w...

Drive strategic ERP release management for upstream operations, ensuring seamless deployment and integration across business functions while achieving operational excellence and value realization...

Join a team that's driving innovation in ServiceNow implementations. You'll lead projects, engage stakeholders, and translate complex requirements into effective solutions, collaborating closely with...

Unlock potential by managing key relationships with insurance partners, overseeing operations, and ensuring compliance in a dynamic, team-focused environment. Thrive in a collaborative setting that dr...

Lead the charge in driving AI initiatives for claims operations, collaborating with stakeholders to enhance efficiency and client service. Own the product backlog and ensure alignment with measurable...

Lead the charge in optimizing resource allocation to enhance client outcomes, employee growth, and business metrics. Collaborate with leadership to anticipate needs, resolve conflicts, and maintain a...

Lead the charge in defining and executing a comprehensive value stream vision, driving cross-industry adoption through innovative workflows and AI-enabled experiences, while collaborating with industr...

Drive successful public-sector construction projects by managing scope, schedule, and budget while fostering strong client relationships and ensuring quality delivery from inception to closeout...

Drive team performance and enhance customer experience by overseeing policy administration and contact center operations. Collaborate on goals, manage staffing, and ensure compliance with regulations...

Drive operational excellence by providing Tier 2 and Tier 3 support for identity, credential, and access management issues, ensuring seamless user experiences and effective resolution of complex chall...

Lead revenue cycle operations for a multi-site Center of Excellence, driving performance improvements, managing budgets, and mentoring teams to enhance billing accuracy and cash collections while ensu...

Oversee financial reporting, budgeting, and procurement activities to ensure efficient operations and cost control at our energy facility. Collaborate with management and corporate teams to deliver ac...