Utilization Manager Jobs in New York, NY

Shape the future of operations by analyzing data, managing client onboarding, and driving strategic initiatives. Collaborate with cross-functional teams to enhance service delivery and optimize operat...

Grow your career with a critical role in assessing and connecting older adults to essential services, ensuring healthier and more independent lives through comprehensive clinical evaluations and suppo...

Tackle comprehensive clinical assessments and care management for older adults. Collaborate with multidisciplinary teams to enhance participant health outcomes and ensure their access to essential ser...

Champion the journey of older adults by conducting in-home clinical assessments, determining care needs, and supporting health independence through collaborative service planning and execution in Broo...

Transform the healthcare experience for older adults by conducting detailed assessments, identifying care needs, and connecting them with vital services to enhance their health and independence in the...

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...

Elevate processes and technology solutions as a Business Analyst/Project Manager. Lead strategic initiatives, collaborate with stakeholders, and drive impactful improvements across enterprise systems...

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...

Drive clinical excellence by conducting comprehensive assessments to determine healthcare eligibility, educate participants on services, and collaborate with various stakeholders to support quality ca...

Champion the clinical assessment process to enhance participant eligibility and care planning. Collaborate with various teams to ensure comprehensive evaluations are conducted, impacting the quality o...

Lead clinical assessments as a key participant touchpoint, ensuring eligibility for services. Collaborate with teams to address healthcare needs, manage documentation and ensure compliance with releva...

Elevate lives as a Clinical Assessment Manager, conducting comprehensive assessments to determine eligibility and connect individuals to essential services across The Bronx and Manhattan, enhancing th...

Optimize customer retention and expansion by leading and scaling an Account Management team. Foster a consultative approach through coaching, forecasting, and operational rigor to achieve predictable...

Elevate operational processes by refining Core Systems. Collaborate across teams to enhance performance, ensure compliance, and drive system initiatives that meet business needs while addressing ineff...

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...

Inspire patient care excellence by leading a team of clinical pharmacists. Enhance workflows, engage in hands-on clinical activities, and mentor staff in a fully remote, collaborative environment focu...

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

Advance your career by delivering hands-on administration and innovative solutions for Oracle EPM applications, ensuring system stability, security, and performance while driving improvements and supp...

Lead oversight of vendor operations in utilization and care management, ensuring compliance with medical necessity standards and optimizing service utilization to enhance patient outcomes across vario...

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...

Take ownership of key implementation projects to drive impactful state expansions and payor launches, optimizing processes across teams and ensuring successful execution in a dynamic startup environme...

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