Utilization Manager Jobs in Philadelphia, PA

Help us optimize workplace benefits for executives by providing tailored financial planning and building strong client relationships. Leverage your expertise to enhance participant engagement and driv...

Shape the future of healthcare by driving risk adjustment solutions that enhance interoperability, improve documentation accuracy, and ensure compliance across Medicare, Medicaid, and ACA programs thr...

Manage implementation projects by leading a team ensuring successful customer launches. Cultivate relationships, optimize processes, and drive operational efficiency across multiple functions in a col...

Explore opportunities to enhance workforce analytics by developing robust data models and processes. Collaborate across teams to ensure accurate, secure, and accessible HR data while utilizing Microso...

Innovate workforce analytics by developing data models and tools that improve HR processes. Collaborate with cross-functional teams to ensure data integrity and streamline reporting solutions using Mi...

Join a team that's driving workforce analytics forward by developing efficient data models and tools that enhance HR's analytical capabilities, ensure data quality, and streamline reporting processes...

Drive your career with a pivotal role in workforce analytics, developing and enhancing data models and tools to optimize HR data management and analytics capabilities across the organization...

Lead the charge in developing impactful learning programs that elevate agent performance and certification success. Drive team coaching and ensure innovative, measurable, and strategic alignment in le...

Champion operational excellence by leading diverse teams, enhancing service delivery, and driving customer satisfaction. Elevate your career while ensuring operational objectives are met in a dynamic...

Engage clients by optimizing Maximo software solutions. Lead projects, coach teams, and drive innovation in operational efficiency through tailored strategies and effective integration for enhanced pe...

Drive effective claims management by overseeing third-party processes and directly handling a diverse range of claims. Collaborate closely with stakeholders to ensure timely evaluations and negotiatio...

Shape the future of claims management by leading oversight and handling of complex primary and excess claims, ensuring timely evaluations and effective negotiation processes to drive success in a fast...

Manage third-party vendor performance for clinical research studies, ensuring compliance with GCP and ICH guidelines. Coordinate cross-functional teams and oversee budgets while maintaining quality se...

Analyze and enhance the GXO Operating System by driving Lean methodologies. Collaborate with teams to implement process improvements, mentor staff, and track progress across supply chain sites, foster...

Champion the end-to-end implementation of Archibus modules, driving project success through collaboration, defined requirements, and strategic management within a dynamic team to meet critical milesto...

Drive quality excellence by overseeing QA for PET manufacturing sites, ensuring product integrity, compliance, and regulatory adherence while leading and mentoring a skilled QA team to meet high stand...

Lead and optimize prepayment claims auditing programs, ensuring accurate payments and compliance while overseeing a multidisciplinary team and collaborating with internal and external stakeholders...

Transform the product vision and roadmap by leading dynamic teams and driving impactful solutions within the Retirement or Wealth Management sectors. Collaborate with stakeholders to elevate customer...

Join a team that's dedicated to driving product innovation and enhancing client experiences. As a Senior Product Manager, you'll develop strategic roadmaps and collaborate cross-functionally to maximi...

Empower improvements in specialty care delivery by assessing workflows, identifying inefficiencies, and implementing sustainable solutions. Collaborate with team leaders to enhance operations for vete...

Engage with client health systems to extract and validate critical healthcare data for our analytics platform. Collaborate with technical teams while ensuring compliance with regulatory standards and...

Join a team that's focused on maintaining and enhancing hybrid infrastructure. You'll manage Windows Server and cloud environments, automate processes, and ensure systems are reliable and efficient, d...

Champion growth by leading a team that delivers analytics and reporting, enhancing Customer Success performance through data-driven insights and operational metrics to support strategic decision-makin...

Engage with clients to design and implement tailored Manhattan WMS solutions, ensuring optimal performance and support throughout the project lifecycle. Leverage your expertise to transform supply cha...

Drive maintenance excellence by leading strategic initiatives to enhance machinery reliability, implementing preventative and corrective maintenance, and fostering continuous improvement across the pl...