Utilization Manager Jobs in Irving, TX

Drive impactful network strategy solutions by advising clients on performance, access, and sustainability. Collaborate with teams to enhance provider relationships and optimize healthcare delivery in...

Champion innovative strategies for network performance, advising clients on access and utilization challenges. Leverage expertise to elevate provider sustainability and deliver impactful results in Me...

Join a dynamic team to enhance client network strategies and performance in complex healthcare environments. Leverage expertise in utilization and provider management while advising senior clients and...

Champion strategic sourcing initiatives and manage supplier contracts to deliver superior cost, quality, and service. Collaborate with stakeholders to execute RFPs, negotiate agreements, and maintain...

Empower a high-performing team by overseeing itemization review processes, managing client appeals, and ensuring compliance with HIPAA standards. Engage in strategic decision-making while fostering a...

Engage in transformative leadership in Utilization Management Operations, driving clinical excellence and scalable business processes. Oversee a dynamic team and vendor partnerships while leveraging t...

Elevate your career by implementing effective processes and strategies. Influence organizational success by enhancing customer service quality, overseeing budgets, and mentoring your team while ensuri...

Join a dynamic team to design and optimize workforce strategies ensuring data center operations are fully equipped with technical talent, meeting uptime and service level goals across multiple locatio...

Lead a tax account management team focused on delivering exceptional customer service, driving operational excellence, and fostering strategic relationships in a dynamic service environment...

Collaborate with cross-functional teams to drive operational excellence and enhance customer relationships in tax account management. Lead and develop a high-performing team while ensuring compliance...

Empower data management excellence by overseeing sensitive data governance, security, and analysis efforts. Collaborate with cross-functional teams while ensuring compliance and integrity in a secure...

Unlock potential by leading complex civil construction projects in the booming Dallas data center market. Manage full project lifecycle from preconstruction to closeout, ensuring timely and budget-fri...

Unlock potential by spearheading system efficiency initiatives, collaborating across departments, and managing vendor relationships to support and enhance technology solutions in a thriving med spa en...

Take ownership of commercial performance and strategy for a crucial product portfolio. Lead cross-functional teams to drive growth, define market positioning, and influence product direction, ensuring...

Unlock growth with a strategic approach to customer success in Data 360 & Agentforce. Partner with stakeholders to enhance consumption, drive value, and foster robust executive relationships within di...

Lead the charge in Utilization Management by reviewing inpatient, behavioral health, and post-acute services to ensure compliance with CMS and Medicare Advantage standards while evaluating medical nec...

Lead the charge in implementing innovative TMS solutions at client sites, ensuring seamless transitions and effective training for users. Collaborate across teams to tailor strategies and provide real...

Join a team that's pivotal in ensuring accurate client payment policies. You'll manage medical policy integrity while conducting research and analysis, collaborating with internal teams, and providing...

Lead the charge in developing engaging multimedia strategies that elevate brand presence and support business growth through compelling visuals, video production, and content creation across various d...

Drive optimal member care by leveraging clinical expertise and collaboration. Analyze utilization trends while advising leadership to ensure compliance with Medicare and state regulations, leading eff...

Take ownership of drug utilization management by leading reviews, ensuring compliance, and collaborating with stakeholders. Enhance pharmacy operations through expertise and trend analysis, impacting...

Lead the charge in optimizing utilization management processes to ensure operational efficiency and high-quality patient care. Supervise a dedicated team, ensuring compliance and satisfaction across h...

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...

Drive quality outcomes by reviewing medical records for compliance and reimbursement. Collaborate with clinical teams and external agencies to evaluate care levels and ensure adherence to established...

Drive sales operations by engaging key accounts and managing strategic initiatives. Utilize your commercial expertise to navigate complex challenges and achieve business objectives while influencing t...