Utilization Manager Jobs

Drive data management excellence by overseeing records, configuration, and database systems. Collaborate with teams to ensure compliance and optimize processes while supporting cybersecurity initiativ...

Join a dynamic team to lead the EAMS Technical Team, driving strategy, implementation, and optimization of the Octave EAMS platform. Collaborate with stakeholders to enhance asset management and opera...

Transform the management of workers' compensation claims through effective oversight of Third Party Administrators, ensuring compliance and collaboration for improved outcomes, while driving excellenc...

Join a team that's shaping the future of clinical utilization management. As a clinical expert, you'll engage with healthcare professionals to optimize specialty medication management and enhance pati...

Elevate your career by managing billing operations for diverse products. Drive invoicing, collections, and account reconciliation while collaborating with teams to enhance financial accuracy and custo...

Partner with us to manage and grow high-value client accounts, driving product adoption and identifying growth opportunities while balancing client engagement with structured processes and documentati...

Shape clinical quality and network management by leading a dedicated team to enhance provider relationships, ensure compliance, and drive performance improvement across the healthcare network. Engage...

Join us in managing Hospital Professional Liability claims, ensuring effective resolution strategies and compliance with policies. Collaborate with teams to enhance risk management and lead investigat...

Champion the management of Hospital Professional Liability claims, ensuring effective strategies for resolution and compliance. Lead investigations, evaluate claims, and collaborate with legal teams t...

Optimize provider reimbursement strategies by leading fee schedule development, conducting financial modeling, and supporting negotiations to enhance cost efficiency and service quality in a dynamic h...

Transform your career by managing provider reimbursement strategies, leading fee schedule development, and collaborating with cross-functional teams to optimize cost of care and enhance service delive...

Optimize provider reimbursement strategies by leading fee schedule development, conducting financial modeling, and supporting negotiations to enhance cost efficiency and service quality in a dynamic...

Shape the provider reimbursement strategy by leading fee schedule development, conducting financial modeling, and supporting negotiations to enhance cost efficiency and service quality in a dynamic, h...

Unlock the potential of provider reimbursement strategies by leading fee schedule development, conducting financial modeling, and collaborating with cross-functional teams to enhance cost efficiency a...

Lead the charge in transforming child care systems through strategic planning and execution. Drive modernization initiatives, manage vendor relationships, and ensure stakeholder alignment for successf...

Champion Advanced Practice Provider initiatives to enhance patient care through collaboration, leadership, and strategic development with clinical and administrative teams across the organization...

Join a team that's dedicated to providing compassionate care and support to residents. This role involves coordinating treatment plans, monitoring patient progress, and ensuring effective communicatio...

Join a team that's redefining Home Health solutions by leveraging technology to enhance billing and collections. Collaborate with cross-functional teams to drive product strategy and ensure customer n...

Drive operational excellence as a Systems Manager, overseeing installation, troubleshooting, and performance monitoring at a customer site. Collaborate with teams to enhance automation solutions and e...

Shape the future of projects by leading cross-functional teams, ensuring timely, on-budget delivery with robust planning and execution. Your expertise will drive communication and collaboration to ach...

Engage with us to lead a dynamic team in delivering high-quality assurance, tax, and consulting services. Drive client relationships, mentor professionals, and enhance your leadership skills while con...

Manage the execution of infrastructure roadmaps, developing and analyzing schedules to align with program objectives. Collaborate with stakeholders to ensure timely project delivery and effective comm...

Manage financial operations for defense programs, overseeing budgeting, forecasting, and compliance. Lead a team of finance professionals while advising on cost and profit strategies to ensure program...

Lead the charge in optimizing system performance and operational excellence for Medicaid services. Drive IT service management maturity, ensure compliance, and foster cross-functional collaboration to...

Join a team that's dedicated to optimizing patient care through effective utilization review. Collaborate with healthcare professionals to ensure compliance and appropriate care levels for patients ac...