632

Utilization Manager Jobs Near Philadelphia, PA

Director, Clinical Services
$150K — $200K

Directs staff who assure quality, inter-rater reliability and standards are met in daily operations. Responsible for resolution and communication of utilization management issues and concerns and corr...

Posted 3d ago

  •   5 - 7 years exp.  •  Healthcare

Director Devices and CMO
$200K — $250K
Merck & Co, IncWest Point, PA 19486 and 1 other location

Sourcing Management - Utilize/drive sourcing management as a structured process including obtaining sponsorship and creating/leading cross-functional teams. Upon receiving approval for sourcing strate...

Posted 2d ago

  •   11 - 15 years exp.  •  Pharmaceuticals & Biotech

Technology Operational Risk - Associate Director
$80K — $100K

Your sense of ownership will be utilized as you partner with our Macquarie Asset Management business to ensure that Operational Risk is managed effectively within Technology in line with Macquarie’s O...

Posted 4d ago

  •   years exp.  Finance & Insurance

EDI Business Solutions Analyst Lead- B2B
$100K — $150K

Assesses client needs utilizing a structured requirements process (gathering, analyzing, documenting, and managing changes) to assist in identifying business priorities and advices on options...

Posted 3d ago

  •   8 - 10 years exp.  •  Healthcare

Senior IT Business Process Integration Analyst

Senior IT Business Process Integration Analyst to work with users and department managers to identify areas of improvement in the utilization of the Enterprise Resource Planning (ERP) system (Epicor...

Posted 1w ago

  •   5 - 7 years exp.  •  Business Services

Patient Services Systems Director
$150K — $200K

Coordinates and implements system’s patient service programs based upon system’s medical direction, patient population, and contract. Monitors competency, productivity and documentation accuracy of pa...

Posted 2d ago

  •   5 - 7 years exp.  •  Telecommunications & Hardware

Marketing and Admissions Director

Manage the nursing center patient referral flow, admissions process including community sales, referral management, and admission sign-in, through post-admission utilizing the Genesis Core Operating S...

Posted 2w ago

  •   Less than 5 years exp.  •  Hospitals & Medical Centers

Finance Manager - Expense

Manager is responsible for the coordination and review of the Monthly Financial Statements. This includes the fiduciary accountability and review of accurate and timely reporting on Salaries, Supplies...

Posted 2w ago

  •   8 - 10 years exp.  •  Hospitals & Medical Centers

Associate DevOps Engineer

You will be responsible for utilizing these technologies to migrate applications from on-prem to cloud, improve development cycles, and ensure scalability and reliability. Experience with Windows and...

Posted Yesterday

  •   years exp.  Finance & Insurance

Manager of Appeals

Utilizes daily reports to manage inventory. Develops and establishes monitors for consistent and compliant processes. Analyzes reports to assess performance and compliance. Utilizes audit feedback...

Posted 4w ago

  •   5 - 7 years exp.  •  Finance & Insurance

Software Developer
$80K — $100K

Follows work instructions; codes, tests, debugs; implements and maintains software solutions, under direction of the manager. Develops tests, debugs and implements operating systems components, softwa...

Posted 1w ago

  •   years exp.  Finance & Insurance

Senior Software Engineer

Collaborate with designers, product managers, project managers, ops engineers, client engineers, QA engineers and various other teams and stakeholders to solve innovative problems utilizing out-of-the...

Posted 2w ago

  •   years exp.  Hospitality & Recreation

Director, TPX Integration
$200K — $250K

Through proactive management of organizational change, successful initiatives will result in higher employee and customer utilization and proficiency of targeted changes. This position will work throu...

Posted 2w ago

  •   11 - 15 years exp.  •  Telecommunications & Hardware

Technical Analyst IT- SCADA Specialist

Build and maintain knowledge of new technologies or technology opportunities and assist in analysis of their use for business and/or IT clients. Assist IT Architecture and Engineering community in pla...

Posted 1w ago

  •   8 - 10 years exp.  •  Energy & Utilities

Director of Nursing - RN
$100K — $150K

Provides and assures timely and appropriate communication with employees. Meets directly with staff and management as needed and utilizes appropriate communication techniques. Serves as a resource t...

Posted 3w ago

  •   5 - 7 years exp.  •  Healthcare

Senior Treasury Analyst
$80K — $100K

Annual projections, cash flow forecasting, and KPI tracking. Develop capabilities to utilize direct cash forecasting method (once Kyriba Treasury Management System implementation completed)...

Posted 3w ago

  •   5 - 7 years exp.  •  Food & Beverages

President/CEO

The person must exhibit the ability to manage complex strategies. This individual must be a proactive and strategic leader who understands how to utilize the appropriate management and organizational...

Posted 4w ago

  •   years exp.  Education, Government & Non-Profit

Senior UI Developer
$100K — $150K

We will utilize your senior-level expertise in Front-End applications by managing a team charged with developing solutions that integrate with existing IT systems...

Posted 4w ago

  •   5 - 7 years exp.  •  Finance & Insurance

Location Leader
$150K — $200K

Works with Area Manager and local team members to develop and maintain client relationships, identify new opportunities and develop effective pursuit strategies. Develops proposal strategies that util...

Posted 3w ago

  •   11 - 15 years exp.  •  Technical Services

Customer Sales Lead - Albertsons Meals & Beverages
$80K — $100K
Campbell Soup CompanyCamden, NJ 08101 and 1 other location

Conduct post event analysis to evaluate promotional volume, consumption, profit and spending results versus plan and leverage findings to maximize future promotional opportunities...

Posted 4d ago

  •   5 - 7 years exp.  •  Food & Beverages

Underwriting Manager (E&S)

Manages, coordinates, directs and monitors activities and results of an underwriting team to obtain and ensure accurate, quality work while at the same time maintaining high production standards...

Posted 1w ago

  •   8 - 10 years exp.  •  Finance & Insurance

Pricing Manager
$100K — $150K

Organizes and manages a centralized cost estimating database and a formal internal benchmarking process to support cost estimating to ensure historical data is utilized...

Posted 4w ago

  •   5 - 7 years exp.  •  Real Estate & Construction

Clinical Pharmacist

Ensure clinically appropriate, cost-effective and accurate formulary by providing appropriate drug review and formulary placement recommendations.

Posted 5d ago

  •   5 - 7 years exp.  •  Finance & Insurance

Pharmacy Specialist II

Participate in client member and employee training to ensure practical understanding of pharmacy services programs and operations.

Posted 1w ago

  •   Less than 5 years exp.  •  Finance & Insurance

Data Engineer/Reporting Analyst

You will also actively interact with clients & partners during pilot projects to gain user insight to utilize data to understand user experiences in the field, as they are controlling & managing devic...

Posted 3w ago

  •   years exp.  Business Services