- Unknown (Morgantown, WV)
- …About the Company Prestigious public research university Industry Education Management Type Educational Institution Founded 1867 Employees 5001-10,000 Categories ... astronomy gravitational waves stewardship of water resources energy shale gas utilization forensic and investigative science biometrics digital publishing role of… more
- Unknown (Morgantown, WV)
- …About the Company Prestigious public research university Industry Education Management Type Educational Institution Founded 1867 Employees 5001-10,000 Categories ... astronomy gravitational waves stewardship of water resources energy shale gas utilization forensic and investigative science biometrics digital publishing role of… more
- Unknown (Philadelphia, PA)
- …Role The Company is seeking a Campus President, who will serve as the General Manager of the campus, with a primary focus on driving the organization's financial and ... company must have a Baccalaureate degree in education, healthcare management , or business, with a Master's degree and campus...with a focus on marketing, service quality, and asset utilization , is essential. The role also requires the ability… more
- Unknown (Greensboro, NC)
- …it crucial for the individual to have a strong background in financial management and administration. Hiring Manager Title Chief Executive Officer (CEO) Travel ... contract negotiations, patient accounting, collections, insurance processes, and the utilization review cycle. The CFO will also manage the...a CPA and at least two years of senior management experience. The ideal candidate for the CFO position… more
- Unknown (Houston, TX)
- …The role demands demonstrated expertise in CMS Part C operations and compliance, utilization and care management programs, claims and encounter data integrity, ... Vice President, Operations About the Company Respected third-party administrator & management service organization Industry Insurance Type Privately Held About the… more
- Unknown (Los Angeles, CA)
- …and daily operations of the commercial services department, including the development and management of a range of commercial products. This role requires a leader ... standards, and collaborating with various teams to enhance the visibility and utilization of commercial services. Applicants for the Vice President of Commercial… more
- Unknown (Beaverton, OR)
- …enablement playbook, and overseeing customer success strategy to ensure meaningful utilization , retention, and expansion. The ideal candidate will be a proven ... a strong background in sales strategy, forecasting, process improvement, and performance management . The successful candidate for the CGO position at the company… more
- Unknown (Pensacola, FL)
- …enhancement of value-based performance, with a focus on quality improvement, utilization and cost management , coding and documentation improvement, regulatory ... Philanthropy Primary & Secondary Education Nonprofit Support Community Health Patient Management Academic Research Mental Health Health Care Services Health and… more
- Unknown (New York, NY)
- …will be responsible for ensuring the quality of patient care, the optimal utilization of resources, and compliance with all relevant regulations. This role involves ... overseeing day-to-day nursing operations, strategic nursing management plans, and the continuous monitoring and improvement of clinical and operational performance.… more
- Unknown (Morgantown, WV)
- …About the Company Prestigious public research university Industry Education Management Type Educational Institution Founded 1867 Employees 5001-10,000 Categories ... astronomy gravitational waves stewardship of water resources energy shale gas utilization forensic and investigative science biometrics digital publishing role of… more
- Elevance Health (Washington, DC)
- …4 days each week. The office is located at 609 H. Street NE.** The **RN** ** Manager - Utilization Management ** is responsible for managing a team of physical ... and acuity. + Provides direct oversight and is responsible for Utilization Management execution/decision making for managed member populations. Primary… more
- Baystate Health (Springfield, MA)
- …Minimum - Midpoint - Maximum $46.22 - $53.13 - $62.85 **Per Diem Hospital Case Manager / Utilization Management ** The **RN Hospital Case Manager ** ... of a designated population of patients. The Hospital Case Manager is responsible for overseeing an efficient plan that...for transitions + Leads the team to ensure appropriate utilization of patient resources and directs care to other… more
- Elevance Health (CA)
- **Behavioral Health Care Manager I, Utilization Management ** **Work Hours M-F 8am-5pm PST** **Work Location: Virtual, California** This role enables ... is granted as required by law. The **Behavioral Health Care Manager I, Utilization Management ** is responsible for managing psychiatric and substance… more
- CVS Health (Baton Rouge, LA)
- …And we do it all with heart, each and every day. **Position Summary** The Utilization Management Manager of Prior Authorization oversees a team of clinical ... professionals to ensure the efficient, compliant, and high-quality delivery of utilization management processes. This leader supports organizational goals by… more
- State of Indiana (Indianapolis, IN)
- Utilization Management Manager Date Posted: Jan 6, 2026 Requisition ID: 462259 Location: Indianapolis, IN, US, 46204 Work for Indiana Begin a fulfilling ... services, health care and their communities. Role Overview: The role of Utilization Management Manager oversees the integration of utilization review,… more
- UCLA Health (Los Angeles, CA)
- …the next level. You can do all this and more at UCLA Health. As a Manager for Medicare Advantage Utilization Management , you'll provide direct management ... (BSN) degree required + Five or more years of utilization management required + Four or more...off-site meetings and conferences + ACM - Accredited Case Manager preferred + CCM - Certified Case Manager… more
- Beth Israel Lahey Health (Plymouth, MA)
- …a job, you're making a difference in people's lives.** Full Time **Job Description:** ** Utilization Review & Denials management manager - Full Time** **Who ... of Experts and Serve Your Community!** **In your role as a Utilization Review & Denials Management Manager , you will:** + Directs staff performance regarding… more
- Centene Corporation (New York, NY)
- …Review Clinical Review team to ensure appropriate care to members. Manages utilization management issues related to member care, provider interactions, and ... facilitates operations within utilization management . + Manages prior authorization, concurrent review, and retrospective clinical review team and ensures… more
- Intermountain Health (Las Vegas, NV)
- …including social work and complex care planning, transitions of care, and utilization management . The position ensures compliance with state, national, and ... 5:30 pm Holiday and weekend coverage when needed. The Manager of Care Management I leads and...Demonstrated care management experience. + Authorization or Utilization Management experience. + Leadership experience. **Preferred… more
- Prime Healthcare (Sherman Oaks, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/239073/case- manager - utilization - management ... Healthcare Workers Responsibilities Responsible for the quality and resource management of all patients that are admitted to the...admission and across the continuum of the health care management . Works on behalf of the advocate, promoting cost… more
