Utilization Manager Jobs in Lanham, MD

Transform inpatient utilization management by leading a strategic team that enhances member engagement, optimizes quality care, and streamlines health resources in accordance with regulatory standards...

Drive impactful network strategy and utilization management initiatives, leveraging your expertise to advise clients, manage teams, and enhance provider performance in challenging healthcare environme...

Join a team that empowers members through effective utilization review. Monitor care appropriateness, evaluate benefits, and facilitate communication to ensure timely access to services while supporti...

Make your mark at the intersection of clinical excellence and financial efficiency. Engage in comprehensive chart reviews, coordinate care to minimize delays, and implement process improvements to enh...

Lead the strategic direction of centralized utilization management to enhance service delivery, ensure compliance, and improve clinical outcomes. Collaborate across teams to optimize processes, drive...

Take ownership of configuration management for developmental and operational systems. Collaborate with teams to create, maintain, and implement configuration baselines and policies, ensuring adherence...

Champion configuration management for developmental and operational systems. Collaborate with teams to establish and maintain baselines, implement policies, and ensure effective change control through...

Manage and coordinate multiple technology initiatives within a secure, cloud-based IT environment. Oversee project planning, execution, and delivery, ensuring alignment with operational requirements 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...

Lead the charge in driving clinical excellence and operational efficiency within Utilization Management. Oversee teams, enhance technology solutions, and ensure compliance, fostering a culture of inte...

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

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...

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...

Join a team that's dedicated to evaluating medical necessity in inpatient and post-acute services. You'll collaborate with clinical staff to ensure compliance with CMS guidelines, while making impactf...

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 success of Lighter-Than-Air (LTA) programs by managing all phases from proposal to execution, ensuring delivery meets contract standards, budgets and timelines while interfacing with customer...

Manage configuration oversight of systems throughout their lifecycle, ensuring integrity and compliance. Collaborate with technical teams to implement best practices and drive quality while optimizing...

Optimize the efficiency and effectiveness of building operations through expert supervision, maintenance, and management of mechanical systems, ensuring compliance with safety and quality standards wh...

Shape the future of resource management by overseeing consultant allocation, enhancing operational efficiency, and fostering collaboration across teams to ensure successful project delivery and stakeh...

Transform configuration management practices in software environments, ensuring integrity, traceability, and compliance. Collaborate with teams to establish governance and optimize processes, driving...

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...

Drive operational excellence in Customer Support Services, ensuring high customer satisfaction. Lead and mentor teams through Vocational Rehabilitation payment processes, overseeing claims quality and...

Lead the charge in SEC reporting and technical accounting, ensuring compliance with GAAP while driving process improvements. Collaborate with leadership and auditors to enhance financial reporting acc...

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...

Join a team that leads the behavioral health utilization review process, ensuring high-quality care for members while managing a skilled team. Play a crucial role in compliance, performance monitoring...