Utilization Manager Jobs in Raleigh, NC

Unlock your potential by leading demand planning processes that drive operational excellence across diverse teams. Utilize your skills to enhance accuracy, streamline operations, and influence strateg...

Join a dynamic team to drive demand planning across regions, ensuring data-driven decision-making and strategic alignment. Collaborate with various departments to enhance forecasting accuracy and stre...

Join a team that’s focused on modernizing critical applications through innovative software development and AI integration, enhancing legacy systems while ensuring business continuity and interoperabi...

Lead the efficient execution of projects by overseeing installation, ensuring adherence to timelines and budgets, and coordinating all stakeholders for successful outcomes in the construction and ener...

Collaborate with us to oversee the lifecycle of on-site projects. Ensure smooth operations across civil, mechanical, and commissioning activities, while managing resources and maintaining safety stand...

Lead clinical operations in review of medical certifications for leave requests. Build and manage a dedicated team, standardize workflows, and ensure compliance while driving continuous improvements i...

Deliver strategic proposals and contracts by collaborating with cross-functional teams. Manage RFP processes and negotiations to ensure client satisfaction and alignment with internal standards in a f...

Advance healthcare integrity by developing training for Medicaid investigators, leveraging expertise in fraud detection. Collaborate with agencies to enhance skills and ensure impactful learning exper...

Transform federal HR operations by leading data migration initiatives using PeopleSoft HRMS and Oracle EBS HCM. Leverage your expertise to solve complex data challenges and contribute to enterprise-le...

Shape the future of our intelligent agent solutions by leading product strategy, ensuring compliance and quality, and collaborating across teams to transform customer interactions into accurate, trust...

Collaborate to drive key strategic initiatives within Enterprise Security, enhancing processes using AI tools. Partner with various teams to scope requirements, manage risks, and communicate progress...

Play a key role in advancing our global supply chain solutions by leading a dedicated Scrum Team, facilitating agile processes, and ensuring successful software integrations that align with organizati...

Elevate patient access to therapies by managing reimbursement processes, educating providers, and resolving issues. Collaborate with diverse stakeholders to optimize billing, coding, and insurance cov...

Lead the charge in enhancing patient access by resolving reimbursement issues, educating providers, and supporting stakeholders to ensure seamless experiences in medication access and coding complexit...

Lead the charge in defining resilient network architecture for enterprise and cloud environments, collaborating with cross-functional teams to enhance healthcare operations through secure, scalable de...

Transform your career by leading a dynamic development team focusing on Oracle Fusion Cloud HCM extensions. Utilize cutting-edge technologies to support federal agencies in a collaborative, Agile envi...

Champion the promotion and distribution of innovative Orthofix products while providing exceptional service to physicians and payers. Achieve sales quotas and develop strong business relationships in...

Drive the optimization of our Salesforce platform, ensuring user support and seamless configuration management. Collaborate to implement solutions and enhance security protocols while staying current...

Transform patient care as you coordinate clinical nursing support, streamline discharge planning, analyze care data, and educate staff while ensuring a seamless patient experience through collaboratio...

Elevate patient care through expert utilization management, ensuring compliance and forging strong relationships with medical staff and payors. Drive efficiency in reviews, denials, and appeals while...

Join a team that's dedicated to optimizing patient care through effective utilization management. This role involves compliance determinations, peer reviews, and collaboration with medical staff to im...

Elevate healthcare quality by leading resource management, optimizing patient care, and fostering collaboration among medical staff. Drive improvement in utilization processes through effective traini...

Shape the future of healthcare by leading resource management and optimizing patient care. Collaborate with medical staff to enhance care protocols, drive quality improvements, and ensure compliance f...

Drive excellence in program management as you lead a team in developing and analyzing cost and schedule baselines for major engineering programs valued up to $300M, ensuring successful execution and d...

Lead the charge in building innovative cloud-native applications for top-tier financial institutions. Collaborate with diverse teams to create tools that enhance complex financial systems and drive ef...