Utilization Manager Jobs in San Diego, CA

Shape the future of healthcare by leading a vital team of clinicians in utilization management. Leverage your advanced clinical expertise and management skills to ensure safe, timely, and appropriate...

Innovate in clinical utilization management by evaluating treatment efficacy, guiding peers in compliance, and leading quality initiatives to enhance service delivery across multiple business lines wi...

Engage in the management of utilization processes, overseeing a team of Nurse Case Managers and Referral Coordinators. Ensure compliance, optimize workflows, and improve patient care through data-driv...

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...

Drive optimal member care by leveraging clinical expertise and collaboration. Analyze utilization trends while advising leadership to ensure compliance with Medicare and state regulations, leading eff...

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...

Join a team that's dedicated to enhancing behavioral health services through effective utilization management. Oversee operations, manage licensed clinicians, and ensure adherence to guidelines while...

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...

Drive excellence in project management and clinical engineering operations by collaborating with stakeholders and leading initiatives that enhance service delivery, improve efficiency, and foster team...

Unlock potential by managing project schedules for renewable energy initiatives. Lead a talented scheduling team while ensuring accuracy and coherence across late and early-stage projects. Collaborate...

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...

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...

Lead the charge in optimizing field service operations across the region, ensuring compliance, system uptime, and operational excellence for automated camera enforcement programs, while managing a ded...

Transform client revenue management by driving performance and resolving issues across $1-$2 million accounts while mentoring staff and ensuring compliance within dynamic healthcare settings...