Utilization Manager Jobs in San Diego, 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...

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...

Contribute to the success of multiple clinical research sites by leading operations, ensuring compliance with regulations, and fostering team development to enhance patient care and operational excell...

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

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...

Play a key role in ensuring quality patient care by performing utilization reviews and identifying appropriate levels of care. Contribute to organizational goals while enhancing your nursing expertise...

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...

Lead the charge in executing complex configurations for HealthRules systems, guiding a distributed team to meet project goals, ensuring successful implementations that resolve client business challeng...

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...

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...

Lead the charge in managing configuration processes for MODES III systems, ensuring proper documentation and compliance. Utilize your expertise to support military family policies in this critical, re...

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 our team to lead technical management in combat systems, ensuring optimal operation and maintenance. Collaborate on scenario development and training while leveraging advanced simulation technolo...

Accelerate progress at our implementation services by managing complex utility integrations, ensuring on-time delivery, and fostering strong client partnerships to enhance EnergyHub’s platform capabil...

Elevate global hardware reliability by managing the RMA operations, leading teams, and collaborating with vendors to improve processes, minimize customer impact, and drive efficiency across data cente...

Join a team that's at the forefront of clinical research, overseeing product development and compliance with GCP, while managing studies and collaborating with diverse stakeholders to ensure successfu...

Lead the charge in enhancing archival services by managing project teams, developing methodologies, and fostering client relationships, ensuring exceptional delivery and professional growth in a dynam...

Transform client partnerships and operational efficiency by leading innovative multi-client utilization review initiatives. Drive strategic oversight, change management, and analytics to enhance perfo...