Utilization Manager Jobs in Menlo Park, CA

Lead and support a clinical team in optimizing patient care through effective utilization management, ensuring compliance with regulatory standards while fostering high-quality outcomes and team perfo...

Optimize clinical review processes by managing complex utilization assessments, ensuring compliance, guiding peers, and enhancing service efficiency—all while maintaining accountability and supporting...

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...

Shape client networks by advising on strategy, performance, and sustainability. Leverage expertise in healthcare economics and analytics to deliver insights, manage teams, and enhance network access w...

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...

Empower clients by providing strategic insights into network performance, utilization, and provider economics. Combine expertise with consulting skills to advise on complex healthcare engagement, ensu...

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...

Elevate your career by driving customer success through Data 360 & Agentforce. Leverage your technical expertise and business acumen to guide clients in maximizing platform consumption and achieving t...

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...

Grow partnerships by leveraging data analytics and strategic insights to drive digital payment solutions and enhance client success in a high-impact, revenue-focused role within the US market...

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...

Manage operational leadership for Epic Ambulatory applications. Oversee strategic planning, resource coordination, and issue resolution while collaborating with cross-functional teams to drive success...

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 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...

Unlock potential by managing and optimizing energy supply for data centers, ensuring cost-effective and sustainable solutions. Drive partnerships and influence regulations while strategizing complex e...

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...

Manage and innovate energy strategies for data centers, optimizing partnerships and policies to ensure sustainable and cost-effective energy supply in diverse markets while influencing regulatory proc...