345

Utilization Manager Jobs Near Princeton, NJ

Director, Clinical Services
$150K — $200K

Directs staff who assure quality, inter-rater reliability and standards are met in daily operations. Responsible for resolution and communication of utilization management issues and concerns and corr...

Posted 5d ago

  •   5 - 7 years exp.  •  Healthcare

Director, Business Development
$200K — $250K

Utilize Salesforce.com to maintain an accurate sales funnel, call logs, and to document updates. Maintain relationship manager status for larger accounts...

Posted 1w ago

  •   11 - 15 years exp.  •  Legal & Accounting

Regulatory Data Reporting, VP

Utilizing regulatory bulletins and working with profit center CUO’s and application managers, monitor, maintain & control compliance with promulgated state Taxes and surcharges...

Posted 1w ago

  •   11 - 15 years exp.  •  Finance & Insurance

Systems Engineering Manager
$100K — $150K

Manages a design engineering team responsible for the design integration of multiple process equipment units and utilities. implementation, continuous improvement, and troubleshooting of processes for...

Posted 6d ago

  •   8 - 10 years exp.  •  Energy & Utilities

Manager, Global Project Management & Leadership

Translates complex resource data and analytics into consumable information for stakeholders by creating storylines in the context of the business. Conducts data analysis and resource management to gen...

Posted 4w ago

  •   5 - 7 years exp.  •  Pharmaceuticals & Biotech

Chief Medical Director

Provide clinical leadership in the development, organization and leadership of a clinically integrated network (CIN) of physicians. Manage CIN Regional and Associate Medical Directors...

Posted 1w ago

  •   5 - 7 years exp.  •  Hospitals & Medical Centers

Director of Managed Care and Clinical
$200K — $250K

Execute medical management strategy; analyze medical management results and create annual operational goals and objectives for claim handling operation...

Posted 2w ago

  •   8 - 10 years exp.  •  Finance & Insurance

Chief Medical Director Hmhp

Participate in business development meetings with physicians to present the value proposition of participating in the CIN. Collaborate on clinical program development, implementation and operations...

Posted 2w ago

  •   Less than 5 years exp.  •  Hospitals & Medical Centers

Mgr, Quality Management

Interfaces with other teams and plan areas to assure consistent application of policies and procedures and to facilitate inter-unit/department projects...

Posted 2d ago

  •   5 - 7 years exp.  •  Finance & Insurance

Regional IT Director

The Regional IT Director oversees operation, monitoring, and improvement of all service management practices in the delivery of IT services to customers, physicians, and practice directors. The Region...

Posted 3w ago

  •   5 - 7 years exp.  •  Healthcare

Medical Case Manager

Responsible for accurate comprehensive documentation of case management activities in case management system.

Posted 2w ago

  •   5 - 7 years exp.  •  Finance & Insurance

Senior Claims Specialist, Multi-Line - Programs
$80K — $100K

Utilizes critical thinking and solid judgment to solve problems, makes decisions and resolves complex issues inherent in handling losses, as well as plans and organizes activities throughout the claim...

Posted 4w ago

  •   5 - 7 years exp.  •  Finance & Insurance

Sales And Marketing

seeking successful and experienced salespeople to focus on selling our building energy management solutions in specific vertical markets, including: education (K-12, universities), government (federal...

Posted 4w ago

  •   11 - 15 years exp.  •  Energy & Utilities

Chief Medical Director

Provide support to CIN on matters relating to accountable care, physician engagement/alignment, payer and clinical transformation; direct and monitor medical management activities and quality manageme...

Posted 4w ago

  •   5 - 7 years exp.  •  Hospitals & Medical Centers

Director, Care Delivery (Case Management)
$150K — $200K
LumerisEdison, NJ 08817 and 5 other locations

Responsible for day-to-day clinical operations and supervision of case management departmental activities in accordance with administrative and departmental policies and procedures and applicable fede...

Posted 1w ago

  •   5 - 7 years exp.  •  Healthcare

Director- Clinical Operations – Hospital/Post-Acute Care/Care Transitions/Geriatrics
$200K — $250K

Empowering staff to share in decisions that affect their practice; recognizes the value of their contributions. Keeping projects on track; working with team to eliminate or minimize barriers. Address...

Posted 2w ago

  •   11 - 15 years exp.  •  Healthcare

Exec Dir Bus Development - Clinical
$200K — $250K
CovancePrinceton, NJ 08540 and 5 other locations

Works closely with Senior/Executive Directors of Sales and/or Vice President of Sales and Client Services on client selection strategy, AE assignment, and account development plans...

Posted 1w ago

  •   11 - 15 years exp.  •  Pharmaceuticals & Biotech

Exec Dir Bus Development - Clinical
$200K — $250K
CovancePrinceton, NJ 08540 and 5 other locations

Works closely with sales leaders in other Covance business units to develop joint opportunities and relationships with clients.

Posted 1w ago

  •   11 - 15 years exp.  •  Consumer Technology

Exec Dir Bus Development - Clinical
$200K — $250K
CovancePrinceton, NJ 08540 and 5 other locations

Works closely with Senior/Executive Directors of Sales and/or Vice President of Sales and Client Services on client selection strategy, AE assignment, and account development plans...

Posted 1w ago

  •   11 - 15 years exp.  •  Consumer Technology

Exec Dir Bus Development - Clinical
$200K — $250K
CovancePrinceton, NJ 08540 and 4 other locations

Facilitates negotiation of margin and pricing discussions both internally and externally. Manages team performance and feedback providing guidance on development opportunities and action plans...

Posted 1w ago

  •   11 - 15 years exp.  •  Consumer Technology

SR. Network Operations Lead

Provide senior technical support for a 24x7x365 Network Operation Center (GTCC) network operations team. Be a technical point of escalation for production issues for the GTCC NOC team...

Posted 1w ago

  •   8 - 10 years exp.  •  Technical Services

Assistant Vice President, Operations Services Specialist
$150K — $200K

Establish, and personality swap; configuring disaster recovery nodes and implementing site failover/power-down tasks.

Posted 2w ago

  •   5 - 7 years exp.  •  Finance & Insurance

Exec Dir Bus Development - Clinical Development
$200K — $250K
CovancePrinceton, NJ 08540 and 3 other locations

Assists sales team in developing internal and external relationships and identifying new market opportunities; manages, trains and provides leadership (coaching, mentoring, guiding, challenging, probl...

Posted 2w ago

  •   11 - 15 years exp.  •  Pharmaceuticals & Biotech

Vice President, Social Determinants

Identifies populations, needs, trends and patterns that may impact outcomes, experience and cost of care through in-depth analyses and prioritization of strategies that drive social transformation thr...

Posted 3w ago

  •   11 - 15 years exp.  •  Healthcare

Pharmacy Infusion Specialist

. Responsibilities include patient assessment, monitoring and drug distribution, financial management of products used at Outpatient Infusion Center and related educational, research and patient care...

Posted 4w ago

  •   years exp.  Hospitals & Medical Centers