Utilization Manager Remote Jobs

Unlock patient access by managing the insurance verification process, addressing barriers to care, and ensuring seamless coordination among stakeholders to facilitate timely therapy access and support...

Unlock your potential by leading quality initiatives and training programs to enhance team performance and compliance. Collaborate with management to drive operational excellence and support colleague...

Join a dynamic team as you manage clinically based appeals, ensuring patient-focused advocacy and compliance in a remote setting. Leverage your nursing expertise to enhance care management and support...

Elevate project outcomes by managing the full lifecycle, ensuring alignment with business objectives, and driving successful execution through effective planning, budgeting, and risk management...

Drive exceptional member care by coordinating healthcare services with a multidisciplinary team. Utilize your nursing or behavioral health expertise to promote effective utilization and achieve qualit...

Transform the Funding Department by leading a dedicated team, ensuring compliance with policies, optimizing processes, and fostering professional development to achieve high-quality funding approvals...

Engage with us to drive successful SaaS implementations in healthcare. Oversee projects, collaborate with clients, and ensure seamless software adoption while enhancing operational efficiency across d...

Join a team that's dedicated to optimizing employee benefits programs. You'll manage US benefits operations, enhance vendor performance, and shape global strategies, ensuring a seamless, employee-cent...

Shape the future of naval R&D by managing documentation and configuration processes, ensuring quality control, and supporting critical operations for submarine and surface ship weapon systems testing...

Lead the charge in implementing and supporting enterprise technology services, ensuring optimal performance of systems and applications while fostering collaboration across departments and managing ve...

Shape the future of IT capacity management by ensuring resources meet business demand in a regulated environment. Collaborate with teams to optimize performance, manage risks, and align strategies for...

Drive exceptional service delivery by leading a skilled team of Implementation Consultants, ensuring successful deployment and adoption of connected operations solutions for enterprise clients while p...

Deliver comprehensive oversight of utilization management activities, ensuring consistency in service delivery, regulatory compliance, and optimal member outcomes through effective team leadership and...

Lead the charge in vulnerability management, driving remediation efforts and enhancing security across cloud environments. Collaborate with cross-functional teams to reduce risks and improve operation...

Join a dynamic team to develop and support SQL-based ETL processes, ensuring data quality and integration performance across business applications. Collaborate with technical teams to enhance data exc...

Drive revenue operations excellence by leading clean-claim workflows, overseeing claim accuracy, and enhancing cross-functional collaboration. Partner with various departments to ensure timely billing...

Lead the charge in implementing comprehensive security measures for a large-scale defense project, ensuring the protection of personnel, facilities, and sensitive information while collaborating with...

Lead the charge in optimizing and securing Microsoft 365 & Unified Communications platforms. Collaborate with cross-functional teams to deliver innovative solutions that enhance organizational communi...

Transform billing operations by leading a team to optimize healthcare revenue cycle processes, ensuring timely and accurate claims submission while driving performance improvements and fostering stron...

Lead strategic project management for complex electric substation projects. Oversee project scope, schedule, and cost while navigating challenges. Foster collaboration within teams and ensure effectiv...

Champion project success by leading data center construction initiatives. Oversee scope, schedule, and budget while managing a collaborative team to ensure quality and client satisfaction on complex p...

Support our mission by providing clinical expertise in mental health and substance use treatment. Collaborate with multidisciplinary teams to ensure appropriate services and improve health outcomes fo...

Contribute to improving health outcomes by providing clinical expertise in mental health and substance use treatment. Engage in service authorization reviews, collaborate with multidisciplinary teams...

Optimize document control processes by leading the Information Branch, ensuring accurate and accessible records management for a major industrial program while coordinating with various stakeholders a...

Join a team that's dedicated to optimizing revenue cycle management in healthcare. Lead billing and collections efforts, drive performance, and enhance processes while supporting a high-performing tea...