Utilization Manager Jobs near me

Champion the Utilization Management program by leading a team to ensure high-quality service and adherence to clinical guidelines. Collaborate across functions to drive performance, facilitate continu...

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

Champion coordinated care by leveraging clinical nursing expertise to facilitate medical service determinations, ensuring optimal post-acute support for members. Collaborate with providers for effecti...

Empower patient care by driving efficient authorization processes, leveraging strong clinical knowledge and advocacy to navigate insurance complexities while supporting a collaborative team dedicated...

Champion impactful partnerships by driving engagement and success with health system/provider networks. Utilize clinical research knowledge to foster collaboration among cross-functional teams and enh...

Shape client payment policies by ensuring accuracy, delivering specialized requests, and collaborating effectively with internal and external teams to enhance service and compliance within healthcare...

Drive customer retention and expansion by transforming AI insights into effective optimization plans, managing a 150+ account portfolio, and leading critical negotiations to secure revenue during pivo...

Champion the modernization of the Deltek Vantagepoint ecosystem, driving automation, data integrity, and analytics across Finance, IT, and HR functions for enhanced business growth and streamlined wor...

Drive exceptional service delivery by leading a skilled team of Implementation Consultants, ensuring successful deployment and adoption of connected operations solutions for enterprise clients while p...

Unlock potential by leading the governance and scaling of maintenance systems across automated warehouse operations, ensuring planning standards and execution discipline enhance uptime and cost contro...

Transform your career by leading a dynamic team to drive technical operations and enhance demo environments for global sales and marketing initiatives. Balance hands-on engineering with strategic proj...

Lead the charge in project management to implement complex initiatives efficiently. Collaborate with stakeholders, manage resources, and ensure project success within scope, timeline, and budget. Driv...

Champion operational excellence by leading a large remote workforce, focusing on productivity, compliance, and team accountability while advocating for high-quality services for veterans...

Pioneer clinical excellence as you conduct outpatient authorization reviews, ensuring members receive appropriate care by utilizing evidence-based criteria and navigating complex guidelines. Your insi...

Make your mark at a dynamic organization by leading financial strategies, managing accurate reporting and budgets, and partnering with leadership to enhance decision-making through insightful analysis...

Join a team that's dedicated to leading clinical review audits, managing operations, and ensuring quality outcomes. Utilize your nursing expertise to support remote staff and drive strategic initiativ...

Lead the charge in delivering exceptional client implementations by managing sophisticated project plans, overseeing technical deliverables, and fostering cross-functional collaboration for a seamless...

Transform client partnerships and operational efficiency by leading innovative multi-client utilization review initiatives. Drive strategic oversight, change management, and analytics to enhance perfo...

Drive strategic leadership for Medicaid utilization and care management. Lead development and execution of initiatives aimed at enhancing quality, access, and cost management while collaborating with...

Lead complex healthcare technology implementations to enhance access, care coordination, and outcomes for movement-restricted populations, driving success through strong project management and collabo...

Lead the charge in optimizing business processes by leveraging stakeholder insights and innovative solutions. As a key manager, you will guide your team to deliver substantial value across various org...

Inspire product innovation by managing the roadmap and driving solutions that enhance financial workflows, automate processes, and support diverse stakeholders from concept to launch, while ensuring h...

Lead daily outreach and enrollment performance, ensuring team accountability while enhancing patient interaction quality and meeting ambitious metrics for growth in assigned markets. Manage, train, an...

Join a team that's driving a robust data privacy program across the US. You'll ensure compliance, champion privacy awareness, and manage risks in a dynamic regulatory landscape, collaborating with var...

Lead the successful implementation of UKG software for healthcare projects, ensuring alignment with client goals, managing budgets, and delivering high-quality solutions while navigating industry regu...