Utilization Management Jobs in USA

This role is field-based and candidates should live within a reasonable distance from the primary city.Candidates may live in the following cities:Louisville KentuckyThe Psychiatry Field Reimbursement Manager (FRM) acts as the key contact to address HCP questions about patient access and reimburseme...

Only applicants who apply with a State of Texas application via the CAPPS online application system will be considered for this position. First time applicants will need to create an account in the CAPPS online application system at Please visit our job opportunities page at for more information...

What You Get to Do:The Program Coordinator (PC) is the lead direct support professional foran assigned Supported Living PrograminOlympia WA and will be responsible providing direct support hands-on instruction assistance and positive direction to individuals with intellectual/developmental disabilit...

DescriptionThe Field Operations Manager is responsible for overseeing daily field activities to ensure operational efficiency quality service delivery and effective team performance. This role manages field personnel coordinates logistics ensures compliance with safety standards and drives continuou...

ROLE SUMMARYReporting to the US Specialty Care Medical Affairs (US SCMA) Lead for Gastroenterology and Rheumatology within headquarters the Senior Director Gastroenterology & Rheumatology will be an individual contributor and integral member of the US Medical team supporting current in-line assets a...

University of Colorado Anschutz Medical CampusDepartment:Pediatrics Section of Hospital MedicineJob Title:Open Rank Assistant Associate or Professor Clinical Practice TrackAdministrative Title: Colorado Springs Medical Director Pediatric Hospital MedicinePosition # Requisition #38875Job Summary:...

DATE: January 26 2026POSITION: PharmacistDEPARTMENT: PharmacyBASE RATE: $52.19 per hour with potential for additional compensation based on qualificationsPOSITION SUMMARY:Responsible for assigned pharmacy functions in accordance with Upper Peninsula Health Plan (UPHP) plans and policies and all stat...

Overview:Our client is seeking a highly experienced and dynamic leader to join their team in Syracuse NY. As a key leadership position within the organization the Director of Care Coordination is responsible for leading and directing the Care Management systems. Reporting to the Chief Medical Office...

Welcome to a medical center where youre the center of attention.Pay range:-Hourly$51.79 - $77.69Overlake has an outstanding opportunity for a Complex Nurse Case Manager to join our team. The position is full-time onsite Monday-Friday.Schedule: Monday - Friday Day ShiftThis position is responsible fo...

Thank you for considering a career at Ensemble Health Partners!Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a co...

Job Title: ProgramCoordinator - Planning Research & EvaluationRetirees of the Texas Teachers Retirement System (TRS) may apply.Consistent with district policy SD-7.17 Employment of Retirees selected applicants are responsible for reimbursing the district through payroll deduction for the current rat...

Medical Program Coordinator - Front RangeReports to: Medical DirectorJob Category: Hourly Non-Exempt Full-TimeSalary Range: $22-$26.50/hour DOEJob Site: Foundry Front Range - BroomfieldJob Summary:The Medical Program Coordinator partners with a multidisciplinary team to help manage and support var...

AgencyDept of TransportationDivisionState Hwy Administrator - Div of HwysJob 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 accounta...

Job Requisition ID:53191Closing Date: 02/17/2026Agency:Department of Public HealthClass Title:PUBLIC HEALTH PROGRAM SPEC II (36612)Office: Disease ControlDivision: HHSTPosting ID:/ 53191Posted: 01/30/2026 - 02/17/2026Skill Option: None Bilingual Option: NoneSalary: Anticipated Starting Salary $5384...

We are seeking a highly organized and proactive Program Coordinator to support the planning execution and administration of organizational programs in a fully remote environment. The successful candidate will coordinate program activities manage schedules and ensure projects are delivered on time an...

OverviewBonus Potential! Monthly and Quarterly Bonus Incentives!Are you looking for a physician practice with a family environment but with the benefits and support a large organization can provide Where daily patient care is backed by evidenced based medicine and career options are limitless then l...

City/StateWoodbridge VAWork ShiftFirst (Days)Provider SpecialtyCommunity CareOverview:OverviewResponsible for treating complex diseases for patients of Sentara Healthcare. The Physician leads an interdisciplinary team of primary caregivers and administrative support staff to perform assigned duties...

Department:11211 Advocate Lutheran General Hospital - Social Services: ACHStatus: Full timeBenefits Eligible:YesHours Per Week:40Schedule Details/Additional Information:M-F day shift with rotation to holidays and weekends as neededPay Range$38.20 - $57.30MAJOR RESPONSIBILITIESConducts complete asses...

OverviewSSM Health Rehabilitation HospitalA Joint Venture Between Select Medical and SSM HealthPosition: Case ManagerLocation: Bridgeton MOSchedule: Full-Time Monday through Friday 8 hour daysCompensation: $77000-$105000 Based on years of experienceOur Inpatient Rehabilitation Hospital is committed...

Department:13340 Enterprise Revenue Cycle - Patient Access: Rehabilitation ServicesStatus: Part timeBenefits Eligible:NoHours Per Week:0Schedule Details/Additional Information:PRN position - Monday - Saturday - 6:45 - 18:00 flexibility.Pay Range$20.40 - $30.60Major Responsibilities:Responsible for p...