Utilization Manager Jobs in Philadelphia, PA

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...

Join a team that's shaping the future of healthcare data integration. Lead the technical aspects of client Epic data acquisition, ensuring seamless extraction and delivery of critical information whil...

Join a dynamic team to lead project management efforts in high-value property claims, focusing on detailed assessments, inventory management, and client collaboration to ensure meticulous execution an...

Oversee daily facility operations, ensuring safety and efficiency while managing maintenance teams and systems in a mission-critical environment. Foster teamwork and compliance for optimal performance...

Lead and manage a dynamic Knowledge Management team to enhance client support. Drive collaboration, optimize knowledge assets, and ensure high service quality while fostering team development and cont...

Lead utilization management efforts by reviewing complex Home Health authorization requests, ensuring evidence-based decision-making, and collaborating with interdisciplinary teams to optimize patient...

Join a team that fosters growth and collaboration while managing diverse projects across the Mid-Atlantic region. Lead teams, ensure quality outcomes, and deliver exceptional client experiences throug...

Lead the charge in managing the proposal process for RFPs and RFIs, ensuring timely and compliant responses. Collaborate cross-functionally to optimize solution strategies that align with customer obj...

Shape healthcare innovation by leading diverse projects through structured management practices. Oversee project lifecycles from initiation to execution, ensuring timely, high-quality delivery while c...

Lead the charge in overseeing a high-performing Enrollment team, enhancing provider enrollment processes across Medicare, Medicaid, and commercial payers, and driving continuous improvement to achieve...

Lead the renewals function, ensuring timely renewals, risk management, and revenue protection while collaborating cross-functionally to enhance retention and operational efficiency. Play a key role in...

Bring your expertise to the design and architecture of enterprise VDI solutions, ensuring high availability and operational excellence across complex infrastructures supporting thousands of users...

Manage and lead IT audits focusing on cybersecurity and operational risks while collaborating with cross-functional teams. Ensure effective testing of controls and drive innovative solutions to enhanc...

Join a team that's dedicated to enhancing client relationships and driving growth. Utilize your sales expertise to support implementation, maximize product adoption, and lead upsell initiatives in the...

Join a team that's dedicated to excellence in financial reporting, compliance, and process optimization. As a leader, you'll oversee accounting operations, provide technical support, and enhance team...

Shape and lead strategies for leave and accommodation programs, ensuring compliance and an employee-centric experience while collaborating across functions and enhancing operational effectiveness...