Utilization Manager Jobs near me

Lead the charge in claims operations by overseeing a team of examiners to ensure timely resolution of complex claims, drive process improvements, and maintain compliance, positively impacting client s...

Optimize healthcare strategies by developing data-driven models and conducting in-depth analyses. Collaborate cross-functionally to translate data insights into actionable operational improvements, dr...

Join a team that's shaping the future of integrated payments! Lead a dynamic sales group to enhance customer engagement and drive business growth through innovative solutions and data-driven strategie...

Manage operational excellence in delivering customer-facing technology, oversee incident resolution and production support, collaborate with internal and offshore teams, and ensure compliance with reg...

Join a team that's focused on leading Oracle Fusion implementations within healthcare. Drive strategy, foster collaboration, and manage complex projects to deliver exceptional results for client organ...

Empower client success by leading seamless onboarding experiences, managing timelines, and ensuring first payroll accuracy while building strong relationships and providing best-in-class service throu...

Shape the future of healthcare by leading value analysis initiatives, optimizing clinical product utilization, and collaborating across teams to enhance patient outcomes and operational efficiency whi...

Drive successful Warehouse Management System implementation projects globally, partnering with clients and Agile teams to ensure project timelines, functional specifications, and on-site training are...

Lead workforce planning and operations for a 24/7 multi-channel contact center, ensuring effective staffing and service levels while optimizing systems in a dynamic remote environment. Foster collabor...

Lead the Accounts Receivable and Cost Reporting functions, driving performance improvements and regulatory compliance while optimizing cash flow. Collaborate across departments to enhance financial op...

Empower client relationships, drive revenue growth, and enhance satisfaction while collaborating closely with teams to deliver exceptional service and execute strategic account plans effectively...

Tackle the challenges of utilization management by reviewing medical records and treatment plans to ensure compliance with CMS and Medicare Advantage standards. Contribute to patient-centered care in...

Unlock potential by driving enterprise-wide Problem Management, enhancing service reliability through data-driven Root Cause Analysis and proactive solutions, while collaborating with cross-functional...

Join a team that's dedicated to ensuring reliable operation of Waters Empower CDS in a regulated lab environment. Take ownership of system administration, upgrades, and instrument connectivity, while...

Lead the charge in executing complex below-grade substation projects, ensuring timely and budget-friendly completion while coordinating all aspects from planning to field operations and client communi...

Unlock potential by managing effective utilization of medical services through expert clinical reviews, collaboration with healthcare professionals, and ensuring compliance with regulatory guidelines...

Join our Revenue Operations team to lead strategic integration projects between Salesforce and enterprise applications, enhancing operational efficiency and driving revenue growth in a dynamic environ...

Elevate operational excellence by managing Utilization Management activities, ensuring compliance with policies and quality standards, and leading process improvements to enhance performance across cl...

Elevate enterprise application management by leading the administration of Workday, Salesforce, Freshworks, and more, driving platform initiatives, optimizing integration, and enhancing stakeholder re...

Transform legacy data management by leading archiving projects, aligning stakeholders, and ensuring compliance with regulatory standards while retiring outdated applications for enhanced organizationa...

Join a collaborative team and lead initiatives in Utilization Management, ensuring quality medical service delivery while mentoring staff and enhancing efficiency within a fast-growing health plan org...

Elevate client success by managing contract renewals and negotiations. Collaborate with internal teams to retain customers, grow revenue, and ensure alignment with client objectives while achieving in...

Pioneer strategic program management by mentoring teams, overseeing project execution, and driving excellence in client relations. Ensure operational efficiency while managing complex programs within...

Optimize customer growth by managing strategic accounts, driving sales through tailored solutions, and fostering strong business relationships in a dynamic market environment. Engage effectively with...

Manage supplier onboarding and procurement data integrity. Champion supplier registration and portal adoption within the Oracle Procure-to-Pay ecosystem, ensuring streamlined operations and data gover...