Utilization Manager Jobs in Philadelphia, PA

Lead transformative SAP FICO initiatives to optimize financial operations across Service plants while collaborating with cross-functional teams. Drive innovative solutions to enhance efficiency, accur...

Drive excellence in Training, Safety, and Quality initiatives across diverse projects. Lead compliance efforts, enhance performance metrics, and mentor teams to achieve operational excellence in a dyn...

Empower financial institutions by leading successful, scalable software implementations across multiple account types, ensuring on-time delivery and high-quality client experiences while nurturing a d...

Unlock potential by leading complex customer implementations, collaborating with cross-functional teams, and enhancing the client experience on our innovative platform. Be the strategic partner that d...

Optimize outpatient specialty policy alignment by analyzing data, managing projects, and fostering collaboration. Drive process improvements to enhance efficiency and monitor key performance indicator...

Tackle daily operational management of a healthcare office, ensuring efficient workforce coordination, compliance adherence, and exemplary customer service while fostering a positive team environment...

Drive excellence in assessment delivery by leading quality improvement and strategic execution. Collaborate cross-functionally to achieve client-ready outcomes and maintain high standards throughout t...

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...

Lead quality improvement initiatives by ensuring data accuracy and integrity. Collaborate with clinical and administrative teams to enhance public reported data and implement projects that elevate cli...

Manage supplier onboarding processes while leading a team to enhance compliance and optimize performance metrics across multiple workforce programs, ensuring seamless integration and data integrity fo...

Champion our security compliance initiatives, leading ISO 27001 and SOC 2 efforts while ensuring audit readiness and enhancing risk management practices across teams for regulated environments...

Lead the operational coding functions in healthcare settings, ensuring compliance and training staff. Drive strategic goals while supporting a culture of innovation and excellence in revenue cycle man...

Optimize governance processes by leading a skilled team to develop industry-best standards and enhance project delivery through effective knowledge management, while ensuring compliance and driving op...

Empower implementation excellence by leading a skilled team in overseeing complex client projects, ensuring seamless transitions and high-quality delivery in health plan administration. Drive impactfu...

Partner with us to enhance vendor governance through risk analysis, AI oversight, and strategic technology optimization. You'll collaborate across functions to ensure compliance and strengthen third-p...

Transform interconnected projects into successful outcomes by driving alignment and collaboration across global teams. Ensure effective program execution while managing risks and delivering measurable...

Join us to deliver critical cost and schedule analysis for programs up to $10M, ensuring optimal performance and effective decision-making within a collaborative global team dedicated to excellence...

Advance healthcare analytics by leading a high-performing team to harness complex medical data. Collaborate with cross-functional partners, drive strategic insights, and improve operational performanc...

Grow your career as a Unit Manager - RN, driving quality healthcare delivery, mentoring staff, and collaborating to improve patient outcomes in a dynamic nursing environment while ensuring compliance...

Lead the charge in delivering exceptional resident care by mentoring staff, ensuring compliance, and maintaining high clinical standards. Drive quality outcomes while fostering a supportive environmen...

Shape the future of clinical operations by managing and enhancing cardiology services. Oversee implementation, quality management, and staff performance while supporting sales through site assessments...

Join a transformative initiative by designing impactful Supply Chain processes that drive business value. Enhance operational efficiency through collaboration and innovative digital solutions in a dyn...

Drive cross-functional project management to enhance systemization and achieve revenue goals, fostering collaboration and innovation for successful multisite integrations while ensuring customer satis...

Lead compliance and oversight for high-stakes claims, ensuring seamless service and strategic risk management across multi-line insurance operations. Collaborate with TPA's and internal units to enhan...

Oversee after-hours hospice operations, enhancing care continuity and quality. Lead staff, monitor performance metrics, and implement quality improvements to ensure exceptional service to patients and...