Utilization Manager Jobs

Unlock potential by leading utilization reviews and ensuring compliance with evidence-based guidelines for inpatient care, while collaborating with healthcare teams to optimize member outcomes and dis...

Shape the future of healthcare by conducting utilization reviews and ensuring compliance with evidence-based guidelines. Collaborate with clinical teams to assess medical necessity and enhance patient...

Shape the future of healthcare by conducting utilization reviews and ensuring compliance with clinical guidelines. Collaborate with teams to assess medical necessity and enhance patient care while mai...

Drive excellence in patient care by conducting utilization reviews and ensuring compliance with evidence-based guidelines. Collaborate with healthcare teams to assess medical necessity and optimize di...

Join a team that's dedicated to driving project success through effective management, collaboration, and strategic planning. This role requires strong communication and organizational skills to overse...

Transform operational efficiency by leading IT systems management and enhancing patient care through innovative solutions. Collaborate with leadership to optimize resources and ensure compliance while...

Lead a high-performing claims team, driving operational excellence across multiple lines of business. Utilize technology and analytics to enhance efficiency, maintain compliance, and foster strong cli...

Lead the charge in optimizing claims management by leveraging technology and analytics. Oversee a high-performing team, ensuring operational effectiveness and compliance across multiple lines of busin...

Elevate the impact of energy efficiency programs by leading cross-functional teams, managing budgets, and fostering client relationships to achieve ambitious goals and drive sustainable solutions...

Join a team that's shaping the future of healthcare by leading our Utilization Management program. Drive excellence in clinical care and operational outcomes while ensuring compliance and stakeholder...

Elevate operational excellence across multi-site healthcare environments by leading performance, compliance, and strategic initiatives. Collaborate with C-suite and operational teams to drive efficien...

Shape the future of healthcare operations by providing strategic leadership across multiple facilities, enhancing performance, compliance, and financial sustainability while fostering collaboration an...

Champion client success by overseeing claims management, enhancing service delivery, and collaborating with stakeholders to meet business objectives. Drive continuous improvement and ensure compliance...

Elevate your career by leading the strategy and engineering of an internal developer platform, enhancing infrastructure services for engineering and IT teams. Drive automation, improve developer exper...

Manage data management operations to ensure high-quality clinical trial services, driving process improvements and team development while maintaining data integrity and adherence to timelines and regu...

Drive excellence in technology operations by leading a dedicated team, enhancing service delivery, and fostering talent development to meet and exceed business objectives in a dynamic healthcare envir...

Champion privacy compliance in the Neurology therapeutic area, providing expert guidance on data protection, contract negotiation, and training. Collaborate with cross-functional teams to ensure adher...

Champion the optimization of employee benefits programs, ensuring compliance and enhancing the overall employee experience. Collaborate with teams to manage benefits administration, audits, and commun...

Shape the future of patient care by leading initiatives in discharge planning and transitions. Collaborate with healthcare teams to enhance efficiency and quality for older adults, ensuring optimal re...

Transform large-scale technology projects by leading cross-functional teams. Ensure timely delivery and alignment with strategic goals through expert project management methodologies while fostering s...

Drive service excellence by leading a team of Supervisors and Technicians, enhancing technical support, and implementing continuous improvement initiatives to optimize performance and customer satisfa...

Shape the future of healthcare by leading a team in optimizing Epic reporting solutions. Oversee project management, ensure compliance with regulations, and enhance clinical and business analytics to...

Pioneer operational excellence in Design leadership, managing workflows, prioritizing projects, and developing talent. Collaborate cross-functionally to enhance Design integration in AI-driven product...

Lead the charge in managing maintenance operations for a state-of-the-art industrial facility. Oversee preventative maintenance, troubleshoot equipment, and ensure optimal performance while collaborat...

Unlock potential by providing clinical expertise and leadership across various functions, enhancing quality of care, and driving efficiency in medical policy interpretation and program development for...