Utilization Management Jobs

Lead strategic customer engagements for Wolters Kluwer Health's CDSP portfolio to drive adoption, measurable ROI, and long-term relationships across enterprise healthcare accounts.

Senior technical product leader needed to translate clinical and utilization management needs into scalable data, cloud, and AI-enabled solutions while leading cross-functional delivery.

Lead the development and scaling of Tennr’s prior authorization product, owning outcomes across submission, tracking, and appeals for medical and pharmacy benefits.

Senior leader responsible for defining and scaling an enterprise-wide Care Without Delay strategy and operational model across Risant Health member organizations.

Experienced Registered Nurse (Case Manager) wanted to lead clinical case management efforts at Luke AFB, coordinating care, developing treatment plans, and ensuring patient-centered transitions across settings.

Lead operational excellence and revenue analytics across consulting, GTM, and finance functions to improve forecasting, utilization, and go-to-market efficiency for a fast-growing robotics company.

Mission City Community Network is recruiting a Chief Medical Officer to lead clinical quality, utilization management and physician oversight across its FQHC network in the San Fernando Valley.

USC is hiring a Family Medicine physician at the CHC Tropicana clinic to provide direct outpatient care, manage chronic comorbidities, and collaborate with multidisciplinary teams in a clinical, on-site setting.

FWD People is hiring a data-minded Resource Manager to centralize staffing, optimize utilization, and manage contractor workflows across the agency.