Utilization Manager Jobs in Philadelphia, PA

Elevate your career by managing complex insurance claims while providing exceptional service. As a strategic thinker, develop relationships with clients and colleagues, ensuring swift resolutions and...

Join a dynamic Data Modernization team to develop innovative technical solutions, ensuring data integrity and system optimization. Collaborate across departments to enhance data pipelines and visualiz...

Lead the charge in managing complex projects from initiation to completion, coordinating between stakeholders and external teams to ensure efficient and effective procurement for Pennsylvania DHS Heal...

Engineer operational efficiency through strategic project ownership and cross-functional collaboration, driving impactful workflow design and execution across multiple departments to align with corpor...

Lead strategic fintech partnerships to enhance product offerings and drive client value. Collaborate across teams to identify market opportunities, negotiate terms, and ensure successful execution of...

Accelerate your career by shaping transformative solutions that enhance customer success and boost cloud revenue. Partner with cross-functional teams to drive demand and deliver strategic SAP solution...

Unlock your potential by facilitating comprehensive patient care. Collaborate with multidisciplinary teams to assess needs, coordinate services, and implement care plans that promote health and well-b...

Engage with enterprise clients as a Technical Account Manager to drive technical strategy, ensure platform adoption, and optimize the Digital Employee Experience, supporting sustainable growth and mea...

Inspire operational excellence by managing commercial interiors projects from estimating to closeout, overseeing budgets, schedules, and teams while fostering strong communication and collaboration ac...

Deliver innovative Oracle cloud solutions as a Manager, guiding clients in AI capabilities, cloud integrations, and migration initiatives to enhance business processes and technology strategy effectiv...

Lead comprehensive project control initiatives, coordinating data analysis, reporting, and risk management to ensure projects are delivered on time and within budget. Collaborate closely with project...

Join the charge in optimizing inventory management and operational execution. Collaborate with teams to enhance processes, support issue resolution, and drive continuous improvements in the Innovative...

Create and lead a team of claims adjusters, managing complex litigation and coverage issues, while collaborating across departments to ensure optimal claims handling and outcomes, supporting innovativ...

Lead IT Service Management and IT PMO initiatives, ensuring reliable IT delivery and governance. Drive operational excellence, establish metrics, and collaborate across teams to support regulatory com...

Shape innovative product strategies and drive impactful decisions in the FES industry. Collaborate with cross-functional teams and leverage AI to enhance user experiences while ensuring alignment with...

Pioneer new business opportunities by executing a strategic sales approach, managing full sales cycles, and engaging decision-makers. Collaborate with internal teams to drive growth and provide custom...

Lead the charge in driving business growth through consultative sales strategies, targeting mid-sized organizations to deliver comprehensive human resource solutions, while managing the complete sales...

Drive end-to-end service delivery model design, ensuring scalability, efficiency, and operational readiness across product lifecycles in a dynamic and innovative environment...

Lead and manage client projects focused on digital asset risk and compliance, guiding teams through regulatory challenges and optimizing operational frameworks. Develop trusted client relationships wh...

Elevate your career by leading complex Medicaid pharmacy claims initiatives. Collaborate with diverse teams to drive requirements, enhance processes, and ensure compliance in impactful system solution...

Lead and optimize the clinical appeals function within Utilization Management, ensuring compliance and excellent outcomes through strategic oversight and collaboration with healthcare teams, while dri...

Join a team that drives impactful Salesforce solutions through effective stakeholder collaboration. You'll lead discovery sessions, craft user stories, and maintain documentation, ensuring seamless pr...

Drive impactful solutions by delivering technical expertise in Curam projects, collaborating with clients and partners to ensure successful implementations and support, while applying industry best pr...

Innovate your career with a dynamic role managing global application landscapes, bridging business needs and technical solutions to ensure performance, security, and continuous improvement across ente...

Accelerate enterprise-wide transformation initiatives by coordinating cross-functional projects, providing financial visibility, and ensuring disciplined execution across multiple workstreams for impr...