Utilization Manager Jobs

Shape the future of patient care by overseeing concurrent utilization reviews, ensuring appropriate clinical documentation, and managing case referrals with medical staff and third-party payors for op...

Transform patient care by leading utilization reviews and case management for optimal placement. Collaborate with professionals to ensure quality documentation and liaise with payors for efficient car...

Champion the management of patient cases and utilization reviews, collaborating with medical staff to ensure optimal care and proper placement. Drive standards for quality and efficiency across a beha...

Drive financial excellence by managing corporate accounting operations and overseeing accurate financial reporting, ensuring compliance with U.S. GAAP and enhancing internal controls while leading and...

Drive comprehensive assessments and connect participants with essential healthcare services, ensuring compliance with regulatory standards while enhancing quality of life through tailored care plans a...

Drive clinical excellence by conducting comprehensive assessments to determine healthcare eligibility, educate participants on services, and collaborate with various stakeholders to support quality ca...

Champion the clinical assessment process to enhance participant eligibility and care planning. Collaborate with various teams to ensure comprehensive evaluations are conducted, impacting the quality o...

Lead clinical assessments as a key participant touchpoint, ensuring eligibility for services. Collaborate with teams to address healthcare needs, manage documentation and ensure compliance with releva...

Elevate lives as a Clinical Assessment Manager, conducting comprehensive assessments to determine eligibility and connect individuals to essential services across The Bronx and Manhattan, enhancing th...

Elevate healthcare quality by conducting critical assessments, determining eligibility for services, and collaborating with various teams to connect participants to essential care. Empower individuals...

Help us improve gross profit margins by leading a team that analyzes pricing strategies, implements solutions, and collaborates across management to enhance sales and profitability in diverse markets...

Champion continuous improvement initiatives by coaching teams, leading Lean strategies, and driving operational excellence across the region to enhance productivity and efficiency in our processes...

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...

Join a team that values collaboration and innovation while managing billing operations for Medicare and Managed Care in a supportive environment. Advance your career with mentoring and competitive com...

Drive quality and cost-effective patient outcomes through utilization and resource management, collaborating with healthcare teams to optimize care and efficiency while adhering to established clinica...

Elevate geospatial data management by upgrading and enhancing geodatabases while ensuring data integrity and quality through expert ETL processes. Collaborate with cross-functional teams to optimize g...

Lead the charge in overseeing facilities and data center projects with a focus on meticulous planning, execution, and resource management while ensuring efficient operations and problem resolution acr...

Shape the future of facility operations by leading diverse data center projects, enhancing efficiency, and driving successful outcomes. Collaborate with teams to manage resources, mitigate risks, and...

Drive project success by managing document control processes and ensuring efficient information sharing across teams for capital projects exceeding $1B. Leverage your expertise in digital systems to o...

Optimize customer retention and expansion by leading and scaling an Account Management team. Foster a consultative approach through coaching, forecasting, and operational rigor to achieve predictable...

Join a team that's dedicated to optimizing document processing efficiency while empowering leaders. Drive strategic initiatives, enhance team performance, and set operational standards to support scal...

Transform internal controls as you enhance compliance and audit readiness across Finance, IT, Operations, and Compliance. Act as a vital control advisor in the organization’s Model Audit Rule and SOC...

Lead the charge in managing diverse client implementations, delivering training sessions, and enhancing the client experience through expert problem-solving and proactive communication...

Join a team that's dedicated to delivering comprehensive case management for members facing complex health challenges, coordinating services, and implementing person-centered care plans to enhance hea...

Oversee anti-fraud initiatives, managing investigations to protect claims integrity. Shape strategic vision for detection and prevention while mentoring a team to achieve operational excellence and co...