Utilization Manager Jobs in Maitland, FL

Empower the delivery of transformative technology initiatives by collaborating with leaders to enhance project execution, manage dependencies, and drive value across teams, ensuring successful outcome...

Shape the future of program planning by driving execution and fostering collaboration. Utilize your analytical skills to develop schedules, conduct risk analyses, and integrate data, ensuring successf...

Lead the enhancement of finance systems in a dynamic environment, focusing on optimizing NetSuite and integrating additional solutions. This role involves strategy, system configuration, and process i...

Lead strategic management of real estate transactions, ensuring optimal outcomes for clients through collaboration and innovative solutions across a diverse portfolio of commercial properties...

Engage in security compliance audits and program management, ensuring clients are audit-ready. Collaborate with internal teams and clients to enhance security practices, translating complex concepts i...

Champion a robust DevOps culture, leading a dynamic team while enhancing cloud infrastructure and processes for reliability, security, and cost efficiency. Drive innovation and accountability through...

Join a team that's dedicated to ensuring seamless member scheduling and access. As a Production Support Analyst, you'll monitor platform health, resolve data issues, and collaborate with cross-functio...

Optimize enterprise-wide business continuity management by leading the development and implementation of a robust BCM framework, ensuring critical services are maintained and recovery capabilities are...

Transform technology operations by leading strategic initiatives, enhancing cybersecurity, and fostering cross-functional collaboration to support mission-driven projects and a remote-first workforce...

Develop and lead actuarial processes for Medicare Value-Based Care, managing monthly results, payer settlements, and special projects. Collaborate with cross-functional teams to enhance analytics and...

Optimize mainframe systems as a key analyst, ensuring stability and performance of IBM z/OS environments. Collaborate with teams to troubleshoot issues and maintain critical applications, while enhanc...

Engage in quality assurance leadership for Prior Authorization reviews, ensuring compliance, accuracy, and efficiency. Oversee a team of auditors, drive improvement initiatives, and enhance provider a...

Lead complex commercial claims resolution by managing high-stakes investigations and negotiations. Collaborate effectively with stakeholders, delivering excellent customer service and optimizing outco...

Pioneer innovative solutions in P&C insurance by owning the product roadmap for policy administration and commercial underwriting, integrating AI capabilities to enhance decision-making and streamline...

Optimize clinical documentation processes across facilities while ensuring regulatory compliance and enhancing reimbursement efficiency. Leverage your expertise in behavioral health and audit readines...

Empower Fraud Operations by leading AI-driven automation initiatives, enhancing investigative workflows, and delivering actionable insights to optimize fraud detection and prevention efforts across th...

Champion the resolution of complex workers' compensation claims, driving investigations and strategies from start to finish. Build relationships, ensure compliance, and mentor team members while makin...

Shape data-driven strategies by developing and automating analytics solutions. Collaborate with cross-functional teams to enhance reporting capabilities and optimize operational performance in a dynam...

Transform the quality of care in a vibrant Continuing Care Retirement Community by leading the Nursing Services Department, ensuring compliance with regulations, and fostering a supportive environment...

Transform supplier relationships by managing contracts, ensuring compliance, and collaborating with cross-functional teams to enhance performance and resolve issues, all while maintaining stakeholder...

Champion data-driven decision-making by establishing a unified product metrics framework. Collaborate across teams to enhance product health insights, streamline reporting, and drive strategic initiat...

Engage with customers to quantify and communicate the value of software solutions. Collaborate with sales teams to develop business cases and conduct ROI analyses, driving customer retention and expan...

Drive revenue cycle optimization by enhancing Epic Professional Billing workflows, collaborating with stakeholders, and resolving claims challenges to improve overall operational efficiency and ensure...

Shape the future of service contracts by managing customer relationships and ensuring compliance across North and South America. Collaborate with teams to enhance processes and maintain high standards...

Elevate logistics operations by configuring SAP Transportation Protective Services, optimizing processes, and collaborating with cross-functional teams to enhance efficiency and visibility in critical...