Refine Reset All
Sort by
Employer/Recruiter

You refined by

Contract

Utilization Management Jobs - 67,735 Job Positions Available

1 – 20 of 67,735 jobs
Cleveland Clinic jobs

At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day. We

Cleveland Clinic  22 days ago
Prime Healthcare jobs

Overview Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Paradise Valley Hospital, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part

Prime Healthcare  22 days ago
ScionHealth jobs

Description At ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we

ScionHealth  29 days ago
Peak Health jobs

Welcome! We’re excited you’re considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you’ll find other important

Peak Health  27 days ago
WVU Medicine jobs

Welcome! We’re excited you’re considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you’ll find other important

WVU Medicine  28 days ago
Applied Underwriters jobs

Embark on a rewarding career journey at Applied Underwriters, where employees have been at the heart of our success story for more than 30 years. Headquartered in Omaha, NE, our company thrives on innovation and empowers

Applied Underwriters  27 days ago
GlobalHealth jobs

Job DetailsJob Location: GlobalHealth Oklahoma - Oklahoma City, OK 73102Position Type: Full TimeEducation Level: 4 Year DegreeTravel Percentage: OccasionalJob Shift: DayJob Category: NurseWHO WE ARE: GlobalHealth is a fast-growing Medicare Advantage HMO health insurer. We aspire

GlobalHealth  28 days ago
Corewell Health jobs

Corewell Health is expanding its Utilization Management team and is seeking a collaborative and clinically driven Physician Advisor to support our East Region. Position Overview The Physician Advisor serves at the intersection of clinical operations and utilization management. Physician Advisors

Corewell Health  27 days ago
Virginia.gov jobs

Title: Utilization Management Analyst State Role Title: 49171 Hiring Range: up to $70,700/yr. (DOE) Pay Band: 4 Agency: Dept Behavioral Health/Develop Location: Northern VA Mental Health Inst Agency Website: https://dbhds.virginia.gov/facilities/nvmhi/careers/ Recruitment Type: General Public - G Job Duties

Virginia.gov  27 days ago
Mount Sinai Health System jobs

Utilization Management Specialist MSH Case Management FT Days EOW This position is responsible for coordinating requests for clinical information from third party payers and providing support to a broad client base, both internal and external to the institution. Position

Mount Sinai Health System  26 days ago
Blue Shield of California jobs

Your Role The Healthcare Quality Affordability (HQA) Analytics team plays a key role in discovering information hidden in vast amounts of data that can lead to smarter decisions and deliver better service for our customers and

Blue Shield Of California  26 days ago
Hill Physicians Medical Group jobs

We’re delighted you’re considering joining us! At Hill Physicians Medical Group, we’re shaping the healthcare of the future: actively managed care that prevents disease, supports those with chronic conditions and anticipates the needs of our members.

Hill Physicians Medical Group  22 days ago
University of Utah Health jobs

Overview As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and

University Of Utah Health  22 days ago
Blue Cross Blue Shield of Massachusetts jobs

Ready to help us transform healthcare? Bring your true colors to blue. The Role We are seeking a dynamic leader to join our team as the Manager, Clinical Review. This role directs the utilization review clinical team

Blue Cross Blue Shield Of Massachusetts  22 days ago
Brighton Health Plan Solutions jobs

About The Role BHPS provides Utilization Management services to its clients. The Utilization Management Nurse performs medical necessity and benefit review requests in accordance with national standards, contractual requirements, and a member’s benefit coverage while working remotely. Primary Responsibilities •

Brighton Health Plan Solutions  22 days ago
Clever Care Health Plan jobs

Job DetailsJob Location: Huntington Beach Office - Huntington Beach, CA 92647Position Type: Full TimeSalary Range: $34.98 - $42.85 HourlyRemote in California onlyAre you ready to make a lasting impact and transform the healthcare space? We are

Clever Care Health Plan  22 days ago
Elevance Health jobs

Anticipated End Date:2026-08-07 Position Title:Utilization Management Representative II Job Description: Utilization Management Representative II Location: This role requires associates to work from the posted locations full-time, enabling consistent face-to-face collaboration, teamwork, and direct engagement. This policy promotes an environment built

Elevance Health  21 days ago
Guidehealth jobs

Company Description WHO IS GUIDEHEALTH? Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable, improve the health of patients, and restore the fulfillment of practicing medicine

Guidehealth  21 days ago
Blue Shield of California jobs

Your Role The Utilization Management team independently manages complex utilization and retrospective clinical reviews across multiple lines of business, assessing medical necessity, coding accuracy, treatment plans, discharge planning, and compliance requirements while supporting clinical consistency, process improvement, quality, timeliness,

Blue Shield Of California  22 days ago
Medical Review Institute of America jobs

Description Who We Are - Motivated by Purpose. Powered by Clinical Expertise. Founded in 1983, we’re a clinically driven, tech-enabled utilization management company offering expert clinical reviews, regulatory guidance, and actionable insights to healthcare organizations. Excellence starts with

Medical Review Institute Of America  21 days ago

Subscribe for job alerts and resources to make your job search easier!

Confirmation email sent to

Check your email and click on the link to start receiving your job alerts

Receive the latest job openings for:

utilization management

You also might be interested in:

Microsoft Office

Continuous Improvement

Wellness

Fostering

Decision-Making

Human Resources

Hybrid

Geographic

Readiness

Case Management

Confirmation email sent to

Check your email and click on the link to start receiving your job alerts

All Filters Apply
Sort by
Employer/Recruiter