Utilization Manager Jobs in Buffalo
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Search Results - Utilization Manager Jobs in Buffalo
Health Data Movers-Buffalo
Duration: 08/31/2026 - 12/31/2026
Location: Remote
We are seeking experienced Epic Tapestry Utilization Management (UM) Workflow Configuration Consultants to support its Epic transformation initiative. The consultants will work closely with client’s...
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Florida Blue Group-Buffalo
The Utilization Management Coordinators are non-clinical positions, primarily responsible for processing prior authorization requests from providers to assure quality clinical outcomes for health plan members. These positions are held to strict...
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appcast.io -
360X Staffing-Buffalo
oversight, medical expertise, and operational support for physical health services. This position ensures high quality, evidence based medical review processes and supports organizational goals related to clinical quality, utilization management, and care...
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Florida Blue Group-Buffalo
Florida Blue Group is seeking an Utilization Management Coordinator II to support prior authorizations and referrals. You will coordinate, track and process requests, ensuring timely review and compliance with regulatory guidelines.
The role...
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appcast.io -
Voto Consulting LLC-Buffalo
Job Role: Registered Nurse
REMOTE
• Must hold an active Massachusetts Registered Nurse (RN) license.
• Requires 2–4 years of experience in Utilization Management (UM) and 2–4 years of experience within a managed care environment.
• Hands-on...
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MyStethi, LLC-Buffalo
Palm Beach Gardens Medical Center is seeking a board-certified Physician Advisor to join our on-site leadership team. You will influence utilization management, documentation integrity, and physician education to improve patient care and hospital...
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appcast.io -
Medasource-Buffalo
The pharmacist will evaluate requests across multiple service lines and collaborate with physicians, nurses, case managers, medical directors, providers, and other clinical stakeholders to ensure appropriate, safe, and cost-effective utilization of healthcare...
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Buffalo
Healthcare, Clinical Case Management, Hospital Case Management, Occupational Health, Patient Care, Utilization Management, Acute Care, Orthopedics, Rehabilitation, Rehab, CCM, Certified Case Manager, CDMS, Certified Disability Management Specialist, CRC...
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enlyte.com -
MethodHub-Buffalo
Admin Platforms is required.
• Experience with Case Management, Care Management, and Utilization Management.
• Ability to translate technical/development requirements into clear business language.
• Day-to-day collaboration with the Solutions Group...
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TALENT Software Services-Buffalo
at their company.
Description: Medical Director/ Physician Reviewer
(•Active medical state licensure required for PA, NY, or WV)
This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance...
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Infinite Computer Solutions-Buffalo
Position - Genetic Counselor Reviewer
Location - Remote
Type- Full Time
ABOUT THE ROLE
Position Summary
Our team provides this specialized expertise via multiple modalities, including utilization management, policy writing and advising, general...
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Optum-Buffalo
Additionally, performs Utilization Management reviews and directs/coordinates aspects of the utilization review staff activities, and participates in the Quality Improvement programs for the company.
The Medical Director also provides/assists in the direction...
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Luxoft-Buffalo
Prior healthcare industry experience is preferred, particularly experience with Utilization Management, Prior Authorization, Care Management, or Optum Clinical Manager. Experience leading or mentoring engineers within Agile PODs and driving enterprise AI...
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Optum-Buffalo
Expertise; Understanding of healthcare payer and/or provider operations (e.g., claims, utilization management, care delivery, revenue cycle)
Familiarity with healthcare data considerations (e.g., privacy, compliance) is a plus
Solid execution focus...
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Magnolia Market Access-Buffalo
including commercial, Medicare, and Medicaid channels, PBMs, formulary and coverage decision-making, utilization management, specialty distribution, and site-of-care dynamics.
• Demonstrated experience directly managing, coaching, and developing junior team...
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