Utilization Manager Jobs in San Francisco, CA

Manage operational excellence in delivering customer-facing technology, oversee incident resolution and production support, collaborate with internal and offshore teams, and ensure compliance with reg...

Join a team that's focused on leading Oracle Fusion implementations within healthcare. Drive strategy, foster collaboration, and manage complex projects to deliver exceptional results for client organ...

Manage comprehensive care for high-risk patients by coordinating with a multidisciplinary team. Focus on chronic care management and transitions, ensuring optimal health outcomes through personalized...

Empower client success by leading seamless onboarding experiences, managing timelines, and ensuring first payroll accuracy while building strong relationships and providing best-in-class service throu...

Lead and optimize team performance in analyzing No Surprises Act claims, ensuring efficacy in reimbursement processes. Ensure adherence to quality, productivity, and regulatory standards while enhanci...

Shape the future of healthcare by leading value analysis initiatives, optimizing clinical product utilization, and collaborating across teams to enhance patient outcomes and operational efficiency whi...

Drive successful Warehouse Management System implementation projects globally, partnering with clients and Agile teams to ensure project timelines, functional specifications, and on-site training are...

Lead workforce planning and operations for a 24/7 multi-channel contact center, ensuring effective staffing and service levels while optimizing systems in a dynamic remote environment. Foster collabor...

Empower client relationships, drive revenue growth, and enhance satisfaction while collaborating closely with teams to deliver exceptional service and execute strategic account plans effectively...

Tackle the challenges of utilization management by reviewing medical records and treatment plans to ensure compliance with CMS and Medicare Advantage standards. Contribute to patient-centered care in...

Unlock potential by driving enterprise-wide Problem Management, enhancing service reliability through data-driven Root Cause Analysis and proactive solutions, while collaborating with cross-functional...

Champion financial operations in managed care by overseeing capitation reconciliations, IBNR analysis, and claims payment processes. Collaborate with leadership to enhance financial performance and en...

Empower your career by overseeing daily trading workflows, enabling advisors to align accounts with goals, and enhancing operational efficiency through data analysis and independent problem-solving in...

Elevate patient care as a compassionate LVN Case Manager, coordinating smooth transitions and managing utilization reviews to achieve optimal clinical outcomes through effective collaboration with pat...

Unlock potential by managing effective utilization of medical services through expert clinical reviews, collaboration with healthcare professionals, and ensuring compliance with regulatory guidelines...

Join our Revenue Operations team to lead strategic integration projects between Salesforce and enterprise applications, enhancing operational efficiency and driving revenue growth in a dynamic environ...

Elevate operational excellence by managing Utilization Management activities, ensuring compliance with policies and quality standards, and leading process improvements to enhance performance across cl...

Elevate enterprise application management by leading the administration of Workday, Salesforce, Freshworks, and more, driving platform initiatives, optimizing integration, and enhancing stakeholder re...

Optimize the revenue cycle operations by leading billing processes, ensuring compliance, and enhancing payment accuracy while collaborating with cross-functional teams to drive financial excellence wi...

Transform legacy data management by leading archiving projects, aligning stakeholders, and ensuring compliance with regulatory standards while retiring outdated applications for enhanced organizationa...

Join a collaborative team and lead initiatives in Utilization Management, ensuring quality medical service delivery while mentoring staff and enhancing efficiency within a fast-growing health plan org...

Elevate client success by managing contract renewals and negotiations. Collaborate with internal teams to retain customers, grow revenue, and ensure alignment with client objectives while achieving in...

Accelerate progress at utility operations by leading transformational initiatives, optimizing processes, and enhancing efficiency across GIS and asset data workflows while engaging stakeholders and dr...

Empower project success by coordinating quality assurance and management efforts for installations. Collaborate closely with project teams, oversee quality standards, and enhance customer satisfaction...

Pioneer strategic program management by mentoring teams, overseeing project execution, and driving excellence in client relations. Ensure operational efficiency while managing complex programs within...