Utilization Manager Remote Jobs

Join a team that's dedicated to ensuring seamless member scheduling and access. As a Production Support Analyst, you'll monitor platform health, resolve data issues, and collaborate with cross-functio...

Optimize enterprise-wide business continuity management by leading the development and implementation of a robust BCM framework, ensuring critical services are maintained and recovery capabilities are...

Transform technology operations by leading strategic initiatives, enhancing cybersecurity, and fostering cross-functional collaboration to support mission-driven projects and a remote-first workforce...

Develop and lead actuarial processes for Medicare Value-Based Care, managing monthly results, payer settlements, and special projects. Collaborate with cross-functional teams to enhance analytics and...

Optimize mainframe systems as a key analyst, ensuring stability and performance of IBM z/OS environments. Collaborate with teams to troubleshoot issues and maintain critical applications, while enhanc...

Help us drive the adoption of AI solutions, transforming customer workflows and enhancing business outcomes. Collaborate with teams to ensure seamless integration and maximize value delivery for our c...

Elevate your career by leading technology integration for M&A, ensuring seamless execution from due diligence to stabilization. Drive cross-functional collaboration and deliver predictable outcomes wh...

Engage in quality assurance leadership for Prior Authorization reviews, ensuring compliance, accuracy, and efficiency. Oversee a team of auditors, drive improvement initiatives, and enhance provider a...

Contribute to the efficiency of IT operations by supporting infrastructure, troubleshooting issues, and mentoring staff. Collaborate in a fast-paced environment to enhance technical capabilities and e...

Lead the charge in managing a skilled data engineering team, ensuring quality workflows and establishing data standards. Drive innovative solutions for efficient data ingestion and delivery across ent...

Pioneer innovative solutions in P&C insurance by owning the product roadmap for policy administration and commercial underwriting, integrating AI capabilities to enhance decision-making and streamline...

Optimize clinical documentation processes across facilities while ensuring regulatory compliance and enhancing reimbursement efficiency. Leverage your expertise in behavioral health and audit readines...

Join a team that's dedicated to patient safety in the operating room. As an IOM Technologist, you'll monitor critical neurological functions during surgery, collaborating closely with surgeons to ensu...

Empower Fraud Operations by leading AI-driven automation initiatives, enhancing investigative workflows, and delivering actionable insights to optimize fraud detection and prevention efforts across th...

Oversee and enhance care management for behavioral health, guiding teams of professionals in assessing and addressing members' needs. Drive strategies for effective coordination and resource utilizati...

Manage financial close processes and reporting for external audits, ensuring compliance with US GAAP and IFRS. Collaborate across teams to provide insights and support for Joint Venture accounting and...

Champion the resolution of complex workers' compensation claims, driving investigations and strategies from start to finish. Build relationships, ensure compliance, and mentor team members while makin...

Champion a comprehensive training strategy for warehouse teams, ensuring consistent, effective learning across locations. Collaborate with operations to enhance training materials and drive performanc...

Drive patient access and elevate healthcare experiences by employing reimbursement expertise to address challenges, educate HCPs, and foster collaborative solutions in a dynamic, field-based role acro...

Shape data-driven strategies by developing and automating analytics solutions. Collaborate with cross-functional teams to enhance reporting capabilities and optimize operational performance in a dynam...

Elevate project management excellence by leading complex site design initiatives, ensuring timely deliverables, and fostering collaboration across teams to achieve high-quality engineering solutions t...

Reimagine rebate reconciliation by managing complex accounts, mentoring analysts, and leading process improvements. Collaborate with internal and external partners to enhance operational efficiency an...

Champion data-driven decision-making by establishing a unified product metrics framework. Collaborate across teams to enhance product health insights, streamline reporting, and drive strategic initiat...

Manage and lead complex infrastructure projects for financial services clients, ensuring strategic objectives are met through effective planning, execution, and collaboration. Elevate your career in a...

Lead the execution of complex infrastructure projects, ensuring alignment with strategic objectives while managing client relationships and project teams. Drive innovation in project delivery and enha...