Utilization Management Jobs in USA

The Client Operations Analyst is responsible for supporting client-facing operational processes analyzing performance data and ensuring seamless service delivery across accounts. This role serves as a bridge between clients internal operations teams and leadership by monitoring workflows identifying...

PACE Medical Director / Primary Care ProviderSupports the mission vision and values of Golden Valley Health Centers by providing direction to Central Valley PACE program. This program supports medical delivery of care by providers and ensures the delivery of quality health care services for particip...

ViiV Healthcare is a global specialty HIV company the only one that is 100% focused on researching and delivering new medicines for people living with and at risk of HIV. ViiV is highly mission-driven in our unrelenting commitment to being a trusted partner for all people living with and affected by...

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Find your calling at Mercy!The Care Manager as part of the interdisciplinary team assess plans advocates and coordinates care from admission to discharge ensuring a safe transition post hospitalization. Performs duties and responsibilities in a manner consistent with the Mercy mission values and se...

Job DetailsDo you want to work at one of the top 100 hospitals in the nationLife is full of choicesand where you choose to work is one of the most important. ChristianaCare is consistently ranked among the top 100 hospitals in the U.S. and is nationally recognized for clinical excellence. Choose a t...

AgencyDept of TransportationDivisionDivision of Motor VehiclesJob Classification TitleProgram Coordinator III (S)Position NumberGradeNC12About UsIts the mission of the NC Department of Transportation to connect people products and places safely and efficiently with customer focus accountability and...

Job DescriptionThe Program Services Coordinator provides comprehensive administrative fiscal and evaluation support for the federally funded Student Support Services ( SSS ) TRIO program. This position supports program operations by assisting with service coordination data collection and reporting b...

Job DescriptionThis position encompasses two interrelated functions. First it reports to the Director of Off-Campus Centers and Academic Programs handling administrative duties for the South Charleston campus. Second it serves as a liaison between individual high schools and Marshall University with...

About MegaportWere not your typical tech company and we dont want to be. Megaport is the global leader in Network as a Service (NaaS) and has transformed the way businesses connect to the cloud data centers and each other. Were publicly listed on the Australian Stock Exchange and partnered with the...

Posting Date01/29/2026757 E Washington BlvdLos AngelesCalifornia90021United States of AmericaAs a Healthcare Operations Manager (Facility Administrator) at DaVita youll be a part of a Team that values work-life balance and where your personal and professional growth is a top priority.DaVita has an o...

Posting Date01/23/20263401 South 19th StTacomaWashington98405United States of AmericaThis posting is part of our proactive hiring strategy. Timelines may be extended but well connect with you within 14 days to discuss your application.As a Healthcare Operations Manager (Facility Administrator) at Da...

OverviewIncumbents in the Facilities Service Representative series clean and maintain building areas to maximize a healthy safe pleasant and functional environment. Incumbents work as a member of a team to complete tasks. The Facilities Service Representative II is distinguished from the Facilities...

Posting Date01/05/2026680 BroadwayUnits 1C and 1FPatersonNew Jersey07514United States of AmericaAs a Healthcare Operations Manager (Facility Administrator) at DaVita youll be a part of a Team that values work-life balance and where your personal and professional growth is a top priority.DaVita has a...

Posting Date01/23/20261501 O Street SwAuburnWashington98001-6568United States of AmericaThis posting is part of our proactive hiring strategy. Timelines may be extended but well connect with you within 14 days to discuss your application.As a Healthcare Operations Manager (Facility Administrator) at...

DescriptionSalary Range: $106856 - $172039 Salary Grade: 28 FLSA: ExemptPurpose of Classification:The purpose of this classification is to serve as the primary contact for DWM divisions and regulatory agencies regarding the Consent Decree.Essential Functions:The following duties are normal for t...

Posting Date01/27/20261407 Se Goldtree DrSte APort St LucieFlorida34952-7562United States of AmericaAs a Hospital Services Administrator at DaVita youll be a part of a Team that values work-life balance and where your personal and professional growth is a top priority.DaVita has an open position for...

DescriptionHealthPartners is hiring a UM Regulator and Compliance Analyst. This position provides support and coordination for the Utilization Management Department in maintaining a constant state of readiness for and compliance with regulatory and accreditation requirements. This includes organizin...

DescriptionHealthPartners is hiring an RN Supervisor Utilization Management Prior Authorization Program. This position exists to provide supervision to and performance management of clinical review staff in alignment with HealthPartners leadership characteristics.POSITION PURPOSE:Provide supervision...

At Johnson & Johnsonwe believe health is everything. Our strength in healthcare innovation empowers us to build aworld where complex diseases are prevented treated and curedwhere treatments are smarter and less invasive andsolutions are our expertise in Innovative Medicine and MedTech we are unique...