Utilization Manager Jobs in Los Angeles, CA

Transform healthcare delivery by ensuring quality, compliant care for PACE participants. Collaborate with interdisciplinary teams to optimize service utilization and enhance outcomes, leveraging clini...

Apex is seeking a dynamic and organized Mission Manager to oversee the satellite bus development process and serve as the primary liaison between customers and internal teams. The role involves managi...

Drive quality and cost-effective care through utilization review and coordination across the healthcare continuum. Collaborate with a compassionate team to foster patient-centered approaches that empo...

Advance your career by leading our Utilization Management team to enhance care delivery processes while ensuring compliance and quality. Drive improvement initiatives and collaborate with clinical sta...

Contribute to a high-performing clinical review team by supervising utilization management operations, resolving complex care issues, ensuring compliance with standards, and driving quality improvemen...

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...

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...

Unlock your potential as a Clinical Pharmacist, enhancing patient care and outcomes by evaluating medication utilization and prior authorization requests for specialty pharmaceuticals in a dynamic, re...

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...

Join a team that's dedicated to optimizing healthcare services through effective leadership in Utilization Review and Audit operations. Guide your department to ensure compliance and enhance collabora...

Manage the product lifecycle for behavioral health and wellness products, ensuring alignment with business strategies. Lead stakeholder engagement and drive product strategy through effective communic...

Join a team that empowers effective financial oversight in grant management. Collaborate across departments to ensure compliance and accuracy in budgeting, invoicing, and reporting while supporting on...

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...

Empower clients with innovative Oracle solutions that enhance decision-making while overseeing the design, build, and deployment of integrated financial frameworks. Elevate team performance through le...

Play a key role in ensuring quality patient care by performing utilization reviews and identifying appropriate levels of care. Contribute to organizational goals while enhancing your nursing expertise...

Partner with us to drive mission success by leading customer integrations and enhancing product efficacy while ensuring robust operational processes in a dynamic, innovative environment that bridges e...

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...

Innovate the organizational landscape by creating effective strategies to enhance culture, performance, and leadership within a dynamic environment, partnering with senior leaders and stakeholders to...

Oversee daily operations of the Utilization Management department, ensuring optimal efficiency and effective staffing while mentoring the team and enhancing care processes to meet organizational goals...

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

Shape the future of healthcare by strategically guiding health system clients through their journey, maximizing platform adoption, and ensuring their long-term satisfaction and success while driving r...