Utilization Manager Jobs in Orange, CA

Transform healthcare delivery by coordinating utilization management processes, negotiating provider agreements, and establishing clinical policies to enhance patient care and operational efficiency...

Lead the charge in optimizing utilization management operations, enhancing efficiency, and driving performance improvements. Collaborate with clinical and operational teams to ensure timely reviews an...

Join our team to lead the Virtual Utilization Management Program, ensuring clinical excellence and operational efficiency. Collaborate with diverse healthcare professionals to enhance patient care and...

Lead the charge in enhancing patient care through effective utilization review, ensuring quality and compliance while collaborating with healthcare teams to optimize clinical outcomes and financial pe...

Lead the charge in providing strategic direction and support across multiple locations, ensuring effective problem resolution and resource allocation while enhancing client and team collaboration...

Shape the future of clinical research data integrity by leading a dedicated team. Drive operational excellence, ensure compliance, and foster cross-functional partnerships to enhance data quality and...

Contribute to the success of multiple clinical research sites by leading operations, ensuring compliance with regulations, and fostering team development to enhance patient care and operational excell...

Oversee preoperative utilization review processes to ensure proper patient status designation while collaborating with clinical teams to enhance compliance and financial stewardship, ultimately minimi...

Lead and innovate within a clinical engineering operation, overseeing multi-site performance, driving results, and building a high-performing team to enhance patient care and operational excellence...

Shape the future of customer success by leading implementation strategies, fostering cross-functional partnerships, and driving scalable processes for new customer rollouts in a dynamic B2B SaaS envir...

Shape the future of healthcare by conducting utilization reviews and ensuring compliance with clinical guidelines. Collaborate with teams to assess medical necessity and enhance patient care while mai...

Manage data management operations to ensure high-quality clinical trial services, driving process improvements and team development while maintaining data integrity and adherence to timelines and regu...

Champion privacy compliance in the Neurology therapeutic area, providing expert guidance on data protection, contract negotiation, and training. Collaborate with cross-functional teams to ensure adher...

Lead client provisioning operations in Revenue Cycle Management, ensuring secure and efficient access throughout the user lifecycle. Collaborate with cross-functional teams to enhance service delivery...

Pioneer operational excellence in Design leadership, managing workflows, prioritizing projects, and developing talent. Collaborate cross-functionally to enhance Design integration in AI-driven product...

Shape your career by managing client relationships and driving AI solutions in the automotive sector. Leverage your expertise in conversational AI and marketing automation to enhance performance metri...

Transform client payment policies by ensuring accuracy and compliance. Engage with internal and external teams to manage medical policy updates, conduct analyses, and enhance client relationships whil...

Join our team to utilize your nursing expertise in improving patient outcomes through effective utilization management. You'll apply clinical judgment for care coordination and enhance healthcare qual...

Join a team that's dedicated to optimizing healthcare services through effective utilization management. Leverage your clinical expertise to assess and coordinate care, ensuring members receive approp...

Unlock patient access by managing the insurance verification process, addressing barriers to care, and ensuring seamless coordination among stakeholders to facilitate timely therapy access and support...

Unlock your potential by leading quality initiatives and training programs to enhance team performance and compliance. Collaborate with management to drive operational excellence and support colleague...

Unlock potential by leading quality initiatives and training programs to enhance team performance and compliance. Drive operational excellence through audits, coaching, and strategic planning while fo...

Create impactful care management strategies to advocate for patient reimbursement, ensuring compliance and effective communication between healthcare providers and payers in a dynamic, patient-focused...

Join a dynamic team as you manage clinically based appeals, ensuring patient-focused advocacy and compliance in a remote setting. Leverage your nursing expertise to enhance care management and support...

Elevate project outcomes by managing the full lifecycle, ensuring alignment with business objectives, and driving successful execution through effective planning, budgeting, and risk management...