Utilization Manager Jobs in Philadelphia, PA

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...

Discover innovative care solutions by leading inpatient utilization management reviews, ensuring quality, and facilitating effective transitions for optimal patient outcomes in a collaborative healthc...

Innovate in product strategy by defining value propositions, aligning stakeholders, and overseeing execution. Engage in sprint reviews to optimize performance and drive value across product portfolios...

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 the future of electric distribution by managing diverse projects from initiation to closeout, ensuring effective coordination with stakeholders and contractors while driving project success thro...

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...

Advance patient access initiatives as a Program Manager, enhancing revenue cycle efficiency, streamlining workflows, and leading analytics to boost cash flow while mentoring teams to achieve optimal o...

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...

Transform application and infrastructure performance monitoring through collaboration across teams, driving innovation in event management and solution orchestration. Leverage your expertise to enhanc...

Unlock potential by driving business growth through strategic market initiatives, relationship building, and collaboration, while leveraging industry knowledge to enhance client engagement in the powe...

Unlock new opportunities by driving strategic business growth in dynamic markets. Collaborate closely with teams to enhance client relationships and implement effective marketing plans that elevate re...

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...

Drive quality and cost-effective patient outcomes through utilization and resource management, collaborating with healthcare teams to optimize care and efficiency while adhering to established clinica...

Drive project success by managing document control processes and ensuring efficient information sharing across teams for capital projects exceeding $1B. Leverage your expertise in digital systems to o...

Take ownership of operational excellence as you lead your team to enhance customer satisfaction and drive business growth, while ensuring safety and compliance in the fuel management industry. Develop...

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...