Utilization Manager Jobs in Sacramento, CA

Transform healthcare delivery by ensuring quality, compliant care for PACE participants. Collaborate with interdisciplinary teams to optimize service utilization and enhance outcomes, leveraging clini...

Drive efficiency in utilization management through effective case reviews and approvals. Contribute to the accurate assessment of medical necessity while supporting clinicians with a focus on complian...

Empower your career by driving utilization management excellence through effective reviews, communication, and collaboration, ensuring quality care and compliance in a dynamic, supportive team environ...

Drive optimal outcomes by evaluating medical necessity and compliance in utilization reviews. Collaborate with healthcare teams to ensure accurate authorizations and quality care, supporting members t...

Transform daily security operations by managing workflows, incidents, and vulnerability remediation. Collaborate with teams to enhance processes, drive efficient handoffs, and ensure compliance for pr...

Transform the future of risk management by analyzing claims trends, optimizing processes, and collaborating with diverse teams to enhance insurance functions as the organization scales in a dynamic en...

Drive the success of cross-functional projects focused on operational excellence and growth, enhancing client outcomes while managing complex, strategic initiatives in a rapidly evolving environment...

Manage complex reporting strategies for large-scale infrastructure projects, ensuring timely and accurate decision-making through robust program management and executive reporting functions, while col...

Manage the product lifecycle for behavioral health and wellness products, ensuring alignment with business strategies. Lead stakeholder engagement and drive product strategy through effective communic...

Lead the charge in optimizing center performance through strategic initiatives and data-driven decision-making. Collaborate with multidisciplinary teams to enhance operational effectiveness and elevat...

Manage strategic payer relations, overseeing contract negotiations and monitoring financial performance to enhance partnerships and ensure optimal reimbursement rates across healthcare operations...

Lead a dedicated team managing treatment activities in a behavioral health setting, ensuring comprehensive patient care and collaborative planning. Drive improvements in service delivery and support r...

Lead the charge in enhancing healthcare services by overseeing utilization management programs, ensuring compliance, and driving performance improvements through data-driven initiatives and cross-func...

Empower a dedicated team to deliver exceptional client services while guiding execution and resolving issues to ensure revenue and retention success. Collaborate with various internal teams to enhance...

Join a dynamic pharmacy team to manage drug utilization reviews and appeals, collaborating with healthcare professionals. Ensure compliance with regulations while driving improvements in medication ma...

Pioneer transformative solutions and empower clients' digital journeys. Utilize your Oracle expertise to lead projects, inspire teams, and architect innovative financial management processes for enhan...

Drive impactful outcomes in Medicaid's complex ecosystem by managing configuration processes, ensuring system integrity, and leading project teams. Collaborate to enhance system documentation and comp...

Lead cross-functional projects to redesign workflows and ensure operational clarity. Drive governance, manage incident responses, and implement change management strategies to enhance organizational p...

Champion innovative energy solutions for data centers, driving strategy and partnerships. Play a pivotal role in site selection, project management, and optimizations to ensure cost-effective energy i...

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...

Transform access and security systems in a dynamic environment, leading compliance initiatives and managing technical strategies for ongoing improvement and integration with campus infrastructure...

Transform care delivery by reviewing prior authorization requests for medical necessity and ensuring quality outcomes in a dynamic, remote Utilization Management team focused on patient-centric soluti...

Take ownership of the support operations strategy to enhance complex workflows, implement AI-driven tools, and drive cross-functional collaboration, ensuring an effective support experience aligned wi...

Champion clinical excellence by managing specialty medication strategies, conducting peer consultations, and developing impactful clinical policies that enhance cost management across pharmacy and med...

Join us to oversee architectural projects from design to construction, ensuring high-quality deliverables while managing schedules and budgets. Lead teams, maintain client relationships, and drive pro...