Utilization Manager Jobs in Lodi, CA

Lead a clinical team in Utilization Management to ensure high-quality, compliant care. Collaborate across departments, drive operational excellence, and support professional development while managing...

Transform care management by leading a team of clinicians to ensure optimal patient outcomes, applying advanced clinical knowledge to maintain high standards of utilization management across Medi-Cal...

Lead a team in ensuring safe and appropriate care for members by applying advanced clinical expertise. Manage utilization processes and collaborate cross-functionally to achieve high-quality outcomes...

Transform the clinical review landscape by managing complex utilization reviews across diverse lines of business, ensuring compliance, quality, and efficiency, while being a key resource for peers and...

Champion clinical excellence by independently managing complex utilization reviews, ensuring compliance, and uplifting quality across various healthcare services while collaborating with teams to driv...

Reimagine care delivery by independently managing complex utilization reviews, evaluating compliance, and enhancing clinical efficiency to ensure quality and cost-effective services across multiple li...

Execute essential analyses and optimize workflows in Epic systems to enhance operational efficiency. Collaborate across teams, streamline processes, and ensure compliance while supporting the Utilizat...

Unlock potential by advising clients on network strategy and utilization trends. Manage teams to deliver insights and solutions for provider performance and sustainability in challenging healthcare en...

Deliver strategic insights and recommendations to improve network performance, utilization, and provider sustainability. Manage client engagements and build relationships while tackling complex challe...

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 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...

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 dynamic team where you'll leverage your IT project management expertise to streamline complex implementations, collaborating across business sectors to ensure timely and budget-friendly project...

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...

Oversee configuration and data management activities for technical baselines, ensuring document accuracy and integrity throughout the product lifecycle while collaborating across engineering and progr...

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...

Elevate your career by leading configuration management processes across product lifecycles. Ensure hardware and software integrity while coordinating diverse teams and enhancing compliance in a fast...

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...

Champion sustainable energy solutions for a growing data center portfolio, managing commercial relationships and regulatory processes across diverse U.S. markets to ensure reliable, cost-effective ene...