Utilization Manager Jobs in Mission Hills, CA

Drive operational excellence by leading a team of patient navigators in managing non-clinical services for high-risk populations, ensuring seamless care transitions and effective service delivery in a...

Oversee the daily operations of non-clinical patient navigation services, ensuring efficient workflows, timely access to care, and high-quality service delivery while leading a team to support high-ri...

Join a dedicated team as you lead clinicians to drive high-quality utilization management outcomes, ensuring regulatory compliance and optimal member care through your leadership and operational exper...

Elevate clinical excellence by leading complex utilization reviews, ensuring compliance and efficiency across multiple lines of business while fostering high-quality patient care and continual process...

Empower your career by managing complex utilization reviews and ensuring effective clinical oversight. Collaborate on process improvement initiatives while providing valuable support to peers in a dyn...

Join a team that's dedicated to improving healthcare networks by advising clients on strategy, utilization, and provider performance. Utilize your expertise to enhance network design and build relatio...

Transform the quality of care for frail, elderly populations by leading the Utilization Management program, ensuring compliance, optimizing resources, and fostering collaboration to achieve exceptiona...

Engage in transformative leadership in Utilization Management Operations, driving clinical excellence and scalable business processes. Oversee a dynamic team and vendor partnerships while leveraging t...

Lead a tax account management team focused on delivering exceptional customer service, driving operational excellence, and fostering strategic relationships in a dynamic service environment...

Empower data management excellence by overseeing sensitive data governance, security, and analysis efforts. Collaborate with cross-functional teams while ensuring compliance and integrity in a secure...

Take ownership of commercial performance and strategy for a crucial product portfolio. Lead cross-functional teams to drive growth, define market positioning, and influence product direction, ensuring...

Lead the charge in Utilization Management by reviewing inpatient, behavioral health, and post-acute services to ensure compliance with CMS and Medicare Advantage standards while evaluating medical nec...

Lead the charge in implementing innovative TMS solutions at client sites, ensuring seamless transitions and effective training for users. Collaborate across teams to tailor strategies and provide real...

Join a team that's pivotal in ensuring accurate client payment policies. You'll manage medical policy integrity while conducting research and analysis, collaborating with internal teams, and providing...

Lead the charge in managing authorization processes for community hematology-oncology, ensuring efficiency, compliance, and exceptional service. Oversee team performance, coordinate department service...

Manage daily operations of the Utilization Management department, enhance staff performance, and ensure compliance with quality standards, while supporting a diverse membership's needs through effecti...

Lead complex global projects in aerospace, ensuring operational readiness and effective execution through robust methodologies and strong stakeholder collaboration...

Champion aerospace manufacturing excellence by driving planning, execution, and supplier coordination across programs. Collaborate cross-functionally to resolve constraints and ensure quality producti...

Drive optimal member care by leveraging clinical expertise and collaboration. Analyze utilization trends while advising leadership to ensure compliance with Medicare and state regulations, leading eff...

Join a team that's dedicated to optimizing patient care through efficient utilization management and collaborative nursing expertise, ensuring timely referrals and exceptional service within a support...

Take ownership of patient quality and resource management to ensure effective care delivery. Collaborate with healthcare providers to promote cost containment and achieve clinical outcomes across the...

Take ownership of drug utilization management by leading reviews, ensuring compliance, and collaborating with stakeholders. Enhance pharmacy operations through expertise and trend analysis, impacting...

Lead the charge in optimizing utilization management processes to ensure operational efficiency and high-quality patient care. Supervise a dedicated team, ensuring compliance and satisfaction across h...

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...

Drive sales operations by engaging key accounts and managing strategic initiatives. Utilize your commercial expertise to navigate complex challenges and achieve business objectives while influencing t...