Utilization Manager Jobs in Mission Hills, CA

Engage client relationships as a primary contact, ensuring high-quality pharmacy benefits delivery and satisfaction through operational excellence and effective communication in a dynamic team environ...

Shape the future of project management by leading analytical support for operational planning, ensuring alignment with business objectives while collaborating with cross-functional teams to deliver da...

Drive organizational performance by leading quality programs, collaborating across departments to enhance patient care, and managing complex projects that support population health initiatives. Ensure...

Elevate healthcare quality by collaborating with providers to ensure prior authorizations align with regulatory standards, guiding patients to optimal care while balancing efficiency and compassion in...

Champion quality healthcare delivery by integrating resources and managing patient admissions to ensure cost-effective outcomes across the healthcare continuum and promote seamless care coordination...

Support the Energy organization's portfolio health by integrating teams' data and insights, enhancing visibility with AI-driven reporting, and driving procurement strategies through effective cross-fu...

Lead and innovate as you drive automation and efficiency in technology solutions. Oversee a talented Engineering team to enhance operational standards and streamline processes, collaborating with stak...

Tackle Medicare/Medicaid Program Integrity challenges by developing educational materials, ensuring compliance, and guiding stakeholders on fraud, waste, and abuse strategies to enhance the integrity...

Join a team that's dedicated to enhancing coding services, ensuring operational excellence, and fostering positive client relationships. Manage resources effectively while mentoring staff to meet prod...

Elevate healthcare access by managing complex prior authorization processes. Contribute to improving outcomes for vulnerable populations by streamlining workflows, training teams, and resolving issues...

Shape strategic partnerships and manage complex provider relationships to optimize revenue growth, negotiate high-impact contracts, and drive performance alignment, all while collaborating cross-funct...

Join a team that's dedicated to enhancing customer success by driving value and growth for our CPQ solution users. As an Account Manager, you'll cultivate relationships, identify expansion opportuniti...

Drive operational excellence in employee transitions, leading preboarding, offboarding, and internal transfers to deliver a seamless, compliant experience. Collaborate across teams while enhancing sta...

Transform sales opportunities by driving enterprise growth, negotiating key agreements, and building strategic relationships with top-level executives. Play a vital role in expanding market share with...

Drive revenue growth by identifying new sales opportunities and cultivating relationships with Enterprise clients. Leverage expertise in AI solutions to negotiate high-stakes agreements and enhance ma...

Deliver compassionate, member-focused care through effective case management. Leverage clinical expertise to coordinate services and support members with high healthcare needs, ensuring safe transitio...

Reimagine the future of workforce security by leading our strategy, product direction, and market engagement. Drive growth, influence cross-functional execution, and develop a high-impact portfolio th...

Shape the future of revenue accounting by leading a team and managing SaaS billing and revenue recognition under ASC 606, ensuring compliance, automating processes, and collaborating with auditors to...

Lead the charge in finance operations management, ensuring accuracy in reporting, compliance with standards, and effective program support for strategic decision-making and risk mitigation across team...

Lead the development of a robust service delivery framework that ensures consistent implementation across multiple customer segments, enhancing scalability and operational effectiveness within a rapid...

Empower our coding operations by leading a team to ensure accurate coding and compliance. Drive quality assurance, mentoring, and education while collaborating with healthcare professionals to optimiz...

Join a team that's dedicated to delivering successful projects by managing resources, budgets, and stakeholder communication. Lead cross-functional efforts in IT and business to align with strategic g...

Oversee terminal operations to enhance efficiency, maximize profitability, and ensure compliance while leading teams and optimizing budget allocations effectively...

Lead initiatives to optimize revenue cycle operations, ensuring high claims performance and operational efficiency. Collaborate across departments, mentor teams, and drive enhancements in coding, bill...

Shape the future of healthcare operations by optimizing compliance and reimbursement strategies through expert guidance and collaborative leadership. Drive success in clinical documentation integrity...