Utilization Manager Jobs in Pittsburgh, PA

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...

Transform daily security operations by managing workflows, incidents, and vulnerability remediation. Collaborate with teams to enhance processes, drive efficient handoffs, and ensure compliance for pr...

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...

Oversee complex, multi-phase enterprise implementations in the public safety sector. Manage relationships, delivery quality, and timelines while leveraging AI tools to enhance program execution and st...

Drive maintenance excellence at a large power facility by leading a diverse team, managing budgets, and ensuring compliance with safety standards for optimal plant performance and reliability...

Lead the charge in enhancing quality care delivery as a Medical Director. You'll oversee utilization management, ensuring high standards while fostering provider collaboration in a fully remote role d...

Lead the Utilization Management team in ensuring high-quality healthcare delivery. Oversee provider engagement and compliance with standards, fostering collaboration with physicians and hospitals to e...

Lead the charge in advancing digital workplace innovations by optimizing collaboration tools and identity management. Drive high-impact initiatives while cultivating a high-performing team to enhance...

Lead the optimization and innovation of enterprise collaboration tools and identity management systems while guiding a team to enhance security and productivity through AI and automation, driving impa...

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...

Lead the charge in material handling and logistics operations within a dynamic aerospace manufacturing environment, ensuring accuracy and efficiency in inventory control and team development...

Drive effective client payment policy management by ensuring accuracy and compliance. Collaborate with internal teams and clients to execute requests and maintain up-to-date medical policies, providin...

Transform product management in Utilization Management by aligning business needs with tech delivery, optimizing workflows across Commercial, Medicare, and Medicaid, and leading cross-functional colla...

Develop and lead comprehensive Revenue Cycle Management, overseeing the entire billing process, vendor contracts, and risk adjustment, while collaborating with Clinical, Finance, and Data teams for op...

Drive impactful feasibility assessments across clinical studies by evaluating protocols and site capabilities. Collaborate with cross-functional teams to optimize recruitment strategies and ensure dat...

Transform the ECCM organization by leading strategic initiatives in palliative and complex care management, enhancing operational efficiency and service delivery while improving patient experiences an...

Manage and empower a dynamic imaging services team, expanding patient access and enhancing operations. Drive quality initiatives while ensuring high standards of care in a collaborative environment fo...

Lead the charge in enterprise monitoring operations to ensure optimal performance and reliability of critical applications. Guide teams in enhancing instrumentation and observability across vast netwo...

Transform the telecom landscape by leading a team to innovate and implement cutting-edge voice, data, and contact center technologies, ensuring seamless operations and high-quality service delivery ac...

Lead the charge in delivering exceptional client implementations by managing sophisticated project plans, overseeing technical deliverables, and fostering cross-functional collaboration for a seamless...

Shape the future of Finance Transformation by leading SAP projects that drive business value and innovative solutions for clients across industries. Engage with stakeholders to architect end-to-end so...

Transform client partnerships and operational efficiency by leading innovative multi-client utilization review initiatives. Drive strategic oversight, change management, and analytics to enhance perfo...