Utilization Manager Jobs in Raleigh, NC

Manage patient access solutions by navigating reimbursement barriers, collaborating with market stakeholders, and analyzing data to enhance therapy initiation coverage and speed. Serve as a vital link...

Support key insurance clients as a Technical Account Manager, enhancing relationships and optimizing their use of Majesco solutions. Provide guidance and manage escalations, ensuring maximum satisfact...

Join us to lead and motivate a billing team, ensuring accurate claim processing and compliance in a dynamic healthcare environment. You'll monitor operations, resolve issues, and collaborate cross-fun...

Champion user success by configuring and supporting complex business applications, partnering effectively with IT and end users, and driving continuous improvement while mentoring team members to enha...

Transform patient access by identifying and resolving reimbursement barriers, collaborating with healthcare providers and stakeholders to ensure timely therapy initiation and continuity. Leverage fiel...

Transform project execution by overseeing team performance, managing deliverables, and ensuring compliance with contractual obligations. Engage with stakeholders to enhance project success and foster...

Empower our Commercial teams as a Revenue Operations Manager, overseeing systems and processes that enhance CRM efficiency and reporting accuracy. Drive data quality and operational excellence to ensu...

Join a dynamic team to drive product strategy and development, focusing on AI-enhanced solutions. Lead cross-functional collaborations, manage a team, and execute innovative roadmaps that address mark...

Take ownership of product management for payment solutions, overseeing lifecycle, compliance, and market strategy. Collaborate with cross-functional teams to enhance product performance and drive cust...

Advance patient safety operations by managing a team, ensuring compliance, and enhancing pharmacovigilance processes while fostering a collaborative environment for continuous improvement and innovati...

Lead the charge in leveraging Epic's capabilities to optimize healthcare operations. Collaborate with stakeholders to develop strategic solutions that enhance product functionality and improve operati...

Drive operational excellence for client accounts by translating complex data into actionable insights. Partner with cross-functional teams to enhance client relationships, monitor performance, and imp...

Drive innovative automation solutions for renewable energy design. Collaborate with cross-functional teams to enhance efficiency in substations and battery storage systems, ensuring impactful outcomes...

Drive successful client integrations of our AP automation platform with existing ERP systems, leading implementation phases from design to deployment while ensuring a seamless and valuable experience...

Join a team that directs patient care by utilizing the nursing process. Oversee operations of nursing staff, ensuring quality care, effective scheduling, and adherence to regulations in a supportive m...

Contribute to organ donor assessment coordination, enhancing transplantation outcomes through critical evaluations, effective communication, and seamless collaboration across healthcare teams in a 24...

Lead the strategic oversight of GCP Quality Management Systems, ensuring compliance across global clinical operations, fostering continuous improvement, and managing a dynamic QA team. Drive quality i...

Accelerate seamless onboarding and integration for dermatology and plastic surgery clients through effective management of revenue cycle processes, ensuring operational readiness and optimized billing...

Oversee and enhance the compliance program within the healthcare sector, ensuring alignment with regulations and standards. Lead audits, develop training, and implement risk mitigation strategies, whi...

Champion project success by leading initiatives across teams to enhance customer experience. Drive complex workflows, oversee strategy execution, and ensure operational readiness while collaborating w...

Transform healthcare delivery by leading the RN UM Team, ensuring timely care decisions and maintaining documentation quality while fostering a culture of clinical excellence and accountability...

Develop and negotiate cost-effective clean energy solutions, managing projects from concept to execution. Collaborate with diverse teams and stakeholders to enhance Meta's global energy strategy for d...

Lead the proposal development lifecycle by collaborating with sales and technical teams to create compelling, compliant responses that showcase enterprise SaaS solutions, ensuring alignment, clarity...

Shape the future of account management by leading a dynamic team. Drive sales, retention, and revenue growth while creating value for franchise customers through innovative technology solutions and ef...

Join a team that provides strategic oversight for audit activities, optimizing operations within Medicare Advantage and Commercial sectors while ensuring compliance and driving continuous improvement...