Utilization Manager Jobs in Saint Louis, MO

Partner with us to enhance healthcare network performance through strategic insights and analytics. Drive value-based outcomes while advising clients on access and utilization challenges in financiall...

Join a team that's dedicated to enhancing healthcare outcomes through strategic leadership in hospice and palliative care management, ensuring compliance and operational excellence across Medicaid and...

Engage in transformative leadership in Utilization Management Operations, driving clinical excellence and scalable business processes. Oversee a dynamic team and vendor partnerships while leveraging t...

Lead a tax account management team focused on delivering exceptional customer service, driving operational excellence, and fostering strategic relationships in a dynamic service environment...

Empower data management excellence by overseeing sensitive data governance, security, and analysis efforts. Collaborate with cross-functional teams while ensuring compliance and integrity in a secure...

Take ownership of commercial performance and strategy for a crucial product portfolio. Lead cross-functional teams to drive growth, define market positioning, and influence product direction, ensuring...

Lead the charge in Utilization Management by reviewing inpatient, behavioral health, and post-acute services to ensure compliance with CMS and Medicare Advantage standards while evaluating medical nec...

Lead the charge in implementing innovative TMS solutions at client sites, ensuring seamless transitions and effective training for users. Collaborate across teams to tailor strategies and provide real...

Join a team that's pivotal in ensuring accurate client payment policies. You'll manage medical policy integrity while conducting research and analysis, collaborating with internal teams, and providing...

Inspire quality healthcare outcomes by leading a team of clinicians to optimize member benefits, applying clinical knowledge for effective care coordination, and managing service authorizations with a...

Advance quality member outcomes by leading a team of clinicians to optimize resources and ensure adherence to medical policies while fostering a dynamic and adaptable workplace. Utilize clinical exper...

Take ownership of drug utilization management by leading reviews, ensuring compliance, and collaborating with stakeholders. Enhance pharmacy operations through expertise and trend analysis, impacting...

Lead the charge in optimizing utilization management processes to ensure operational efficiency and high-quality patient care. Supervise a dedicated team, ensuring compliance and satisfaction across h...

Unlock potential by leading client analytics setups to create impactful reporting for health systems, enhancing revenue cycle efficiency through data processes, and driving implementation improvements...

Drive quality outcomes by reviewing medical records for compliance and reimbursement. Collaborate with clinical teams and external agencies to evaluate care levels and ensure adherence to established...

Drive sales operations by engaging key accounts and managing strategic initiatives. Utilize your commercial expertise to navigate complex challenges and achieve business objectives while influencing t...

Champion sustainable energy solutions for a growing data center portfolio, managing commercial relationships and regulatory processes across diverse U.S. markets to ensure reliable, cost-effective ene...

Champion client success by managing relationships and driving revenue growth while ensuring compliance and satisfaction across a diverse book of healthcare business. Collaborate internally to align st...

Take ownership of the paid performance portfolio for B2B Travel, driving efficient customer acquisition and conversion through innovative channel strategies and measurement. Collaborate across teams t...

Shape the future of continuous improvement by leading transformative lean initiatives, mentoring teams, and driving operational excellence across multiple projects to enhance productivity and quality...

Take ownership of EPMO operations, leading project management teams to ensure successful delivery of enterprise projects. Foster efficiency through established operational standards and continuous imp...

Elevate operational effectiveness as a Regional Manager of Utilization Management, overseeing performance improvement initiatives and compliance across multiple healthcare facilities while collaborati...

Elevate the customer experience by leading implementation projects with our cutting-edge SaaS solutions. Collaborate closely with clients and internal teams to ensure successful adoption and maximizat...

Transform reimbursement strategies across healthcare markets. Partner with clients to improve financial sustainability and provider incentives while leading engagements and building trust with senior...

Lead and enhance the operations of a high-volume remote call center, driving service excellence and operational efficiency while managing resources and ensuring compliance with performance standards a...