Utilization Manager Remote Jobs

Transform healthcare relationships by engaging providers in Utilization Management, enhancing compliance and patient outcomes through education and strategic support. Drive program success and foster...

Lead the charge in driving cross-functional project initiatives, ensuring successful delivery from inception to completion while managing timelines, budgets, and stakeholder communications across mult...

Lead the charge in managing enterprise CMS operations, ensuring optimal performance, governance, and seamless content workflows. Collaborate with teams to maintain system integrity and support efficie...

Explore a rewarding opportunity to lead reimbursement operations, optimize claims management, and drive compliance. Partner with teams and stakeholders while enhancing revenue streams and continuous p...

Unlock potential by leading content development and research initiatives for a large-scale federal contact center. Collaborate with SMEs and program leaders to ensure content aligns with evolving cust...

Grow your career as you lead provider data management efforts, overseeing projects, staff, and operations. Collaborate closely with internal departments to ensure accurate provider contracts while enh...

Lead the successful implementation of UKG software for healthcare projects, ensuring alignment with client goals, managing budgets, and delivering high-quality solutions while navigating industry regu...

Take ownership of complex incident management, leading investigations and collaborating across teams to prevent issues and ensure smooth operations using ITIL best practices...

Elevate your career by leading a dynamic team of Advance Care Providers in delivering outstanding primary care. Drive innovation, improve patient outcomes, and shape the future of virtual primary care...

Lead the charge in client service excellence by managing relationships, coordinating projects, and implementing solutions for successful FWA program operations. Collaborate internally and externally t...

Optimize healthcare strategies by developing data-driven models and conducting in-depth analyses. Collaborate cross-functionally to translate data insights into actionable operational improvements, dr...

Join a team that's shaping the future of integrated payments! Lead a dynamic sales group to enhance customer engagement and drive business growth through innovative solutions and data-driven strategie...

Shape impactful change by leading organizational transformation projects. Collaborate with stakeholders to enhance engagement and drive sustainable adoption of strategies that align people, processes...

Join a team that's focused on leading Oracle Fusion implementations within healthcare. Drive strategy, foster collaboration, and manage complex projects to deliver exceptional results for client organ...

Drive operational excellence by managing remote teams and enhancing productivity, while implementing innovative processes to foster collaboration and growth within a dynamic remote work environment...

Lead the care coordination team to ensure optimal service delivery and continuity of care. This role requires managing caseloads, overseeing team operations, and driving quality standards while collab...

Lead the coding team's efforts in driving operational excellence and revenue integrity. Oversee daily workflows and collaborate with clinical staff to enhance chart accuracy and coding processes in a...

Join us in driving growth as you manage a diverse portfolio, enhance client relationships, and implement strategic services to boost hearing aid sales and customer retention across designated territor...

Advance transportation network growth by recruiting providers and enhancing strategic relationships. Collaborate with teams to implement efficient solutions and contribute to operational excellence ac...

Unlock potential by leading transformative initiatives across multiple functions, ensuring stakeholder alignment and disciplined execution while managing complex projects from inception to closure in...

Empower client relationships, drive revenue growth, and enhance satisfaction while collaborating closely with teams to deliver exceptional service and execute strategic account plans effectively...

Champion client relationships by driving account growth and retention. Leverage insights and data to enhance service delivery while collaborating with teams to ensure satisfaction and alignment with c...

Unlock potential by driving enterprise-wide Problem Management, enhancing service reliability through data-driven Root Cause Analysis and proactive solutions, while collaborating with cross-functional...

Unlock the potential of benefit configuration management, overseeing strategic operations in the QNXT platform. Leverage expertise in healthcare compliance, lead teams, and drive process improvements...

Champion financial operations in managed care by overseeing capitation reconciliations, IBNR analysis, and claims payment processes. Collaborate with leadership to enhance financial performance and en...