Utilization Management Jobs in USA

Where Youll WorkVirginia Mason Franciscan Health has a rich history of providing exceptional healthcare dating back to 1891. Building upon a legacy of compassionate care and innovation our organization has evolved over the years through strategic partnerships and integrations to expand our reach and...

Where Youll WorkAt CommonSpirit Mountain Region we believe in the healing power of humanity and serving the common good through our dedicated work and shared mission to celebrate humankindness.Located in Lakewood Colorado St. Anthony Hospital is a Level I Trauma Center where we provide a full range...

Where Youll WorkFounded in 1887 Dignity Health - California Hospital Medical Center is a 318-bed acute care nonprofit hospital located in downtown Los Angeles California. Serving over 100000 patients annually the hospital offers a full complement of services including a Level II Trauma Center Level...

Where Youll WorkFounded in 1887 Dignity Health - California Hospital Medical Center is a 318-bed acute care nonprofit hospital located in downtown Los Angeles California. Serving over 100000 patients annually the hospital offers a full complement of services including a Level II Trauma Center Level...

Lets do great things together!About ModaFounded in Oregon in 1955 Moda is proud to be a company of real people committed to quality. Today like then were focused on building a better future for healthcare. That starts by offering outstanding coverage to our members compassionate support to our commu...

OverviewThe University of Massachusetts Chan Medical School (UMass Chan) seeks a board-certified psychiatrist to serve as the Facility Medical Director (FMD) for The Cape Cod and the Islands Community Mental Health Center in Pocasset MA. Successful candidates will receive a faculty appointment that...

The Manager of Case Management is responsible and accountable to assist the Director of Case Management in the implementation of the case management program at the local level. The components/roles of the inpatient case management program consist of the following: Care Facilitation Utilization Manag...

The Operations Manager is responsible for the overall performance of Pedone Pinsas production operation including safety quality service productivity labor utilization inventory management and continuous improvement. This newly created role provides leadership to Supervisors Leads and production tea...

RN Director of Case Management Confidential Acute Care Leadership Opportunity Western Montana $112000$150000 Base Salary $20000 Sign-On Bonus Relocation Assistance If youre an experienced Case Management leader looking to make a meaningful impact while enjoying an exceptional quality of life this...

RN Director of Case Management Confidential Acute Care Leadership Opportunity Western Montana $112000$150000 Base Salary $20000 Sign-On Bonus Relocation Assistance If youre an experienced Case Management leader looking to make a meaningful impact while enjoying an exceptional quality of life this...

Inspire health. Serve with compassion. Be the difference.Job SummaryThe Prisma Health Physician is responsible for the provision of quality medical services to patients of Prisma Health-University Medical GroupAccountabilitiesEngages in the diagnosis prevention or treatment of disease defects or inj...

Inspire health. Serve with compassion. Be the difference.Job SummaryThe Prisma Health Physician is responsible for the provision of quality medical services to patients of Prisma Health-University Medical GroupAccountabilitiesEngages in the diagnosis prevention or treatment of disease defects or inj...

Inspire health. Serve with compassion. Be the difference.Job SummaryThe Prisma Health Physician is responsible for the provision of quality medical services to patients of Prisma Health-University Medical GroupAccountabilitiesEngages in the diagnosis prevention or treatment of disease defects or inj...

Inspire health. Serve with compassion. Be the difference.Job SummaryThe Prisma Health Physician is responsible for the provision of quality medical services to patients of Prisma Health-University Medical GroupAccountabilitiesEngages in the diagnosis prevention or treatment of disease defects or inj...

Inspire health. Serve with compassion. Be the difference.Job SummaryThe Prisma Health Physician is responsible for the provision of quality medical services to patients of Prisma Health-University Medical GroupAccountabilitiesEngages in the diagnosis prevention or treatment of disease defects or inj...

Inspire health. Serve with compassion. Be the difference.Job SummaryThe Prisma Health Physician is responsible for the provision of quality medical services to patients of Prisma Health-University Medical GroupAccountabilitiesEngages in the diagnosis prevention or treatment of disease defects or inj...

Job Title: Availity QE Lead (Claims & Provider E2E Testing)Work Location: HartfordCT6156Vendor Rate: 51.80Contract duration: 12Target Start Date: 01 Jul 2026Does this position require Visa independent candidates only YES**hybrid work set-up**Job Details:Must Have SkillsPayer provider integration w...

Job Title: Availity QE Lead (Claims & Provider E2E Testing)Work Location: HartfordCT6156Vendor Rate: 51.80Contract duration: 12Target Start Date: 01 Jul 2026Does this position require Visa independent candidates only YES**hybrid work set-up**Job Details:Must Have SkillsPayer provider integration w...

Job Title: QE Lead (Enterprise Transformation Testing Broadcom Exit Program)Work Location: HartfordCT6156Vendor Rate: 58.00Contract duration: 12Target Start Date: 01 Jul 2026Does this position require Visa independent candidates only YES**hybrid work set-up**Job Details:Must Have SkillsQA Strate...

Job Title: QE Lead (Enterprise Transformation Testing Broadcom Exit Program)Work Location: HartfordCT6156Vendor Rate: 58.00Contract duration: 12Target Start Date: 01 Jul 2026Does this position require Visa independent candidates only YES**hybrid work set-up**Job Details:Must Have SkillsQA Strate...