Utilization Manager Jobs in Madison
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Search Results - Utilization Manager Jobs in Madison
CommunityCareMadison
to support timely utilization decisions
• Provide clinical consultation on complex medication requests and coverage determinations
• Support development and maintenance of medical drug utilization management programs
• Develop and maintain evidence-based...
Molina HealthcareMadisonappcast.io
to plan members.
• Supports plan utilization management program and accompanying action plan(s), which includes strategies to ensure high-quality member care - ensuring members receive the most appropriate care at the most effective setting.
• Evaluates...
UnitedHealth GroupMadison
Overview
In this leadership role, you steer a diverse training and quality team across multiple sites to elevate utilization management operations. You will design and deliver onboarding and ongoing education, align quality initiatives...
Madisonicims.com
about ensuring that all patients receive optimal types and levels of care?
If so, please consider joining Quartz as a Utilization Management Registered Nurse (RN) Case Manager. This role is responsible for review of prior authorization requests...
Banner HealthMadison
to drive system changes, mentor team members, and lead or participate in cross-functional initiatives. Your work enables data-driven insights that improve care quality, utilization management, and operational efficiency. This role offers remote flexibility...
Madisonicims.com
service, and the overall end-user experience.
This role partners with other IT teams and business stakeholders to streamline intake-to-resolution processes, expand knowledge management, improve customer service and implement practical automation using...
Alignment HealthcareMadison
Overview
In this Regional Medical Director role, you lead non-acute utilization management across markets to optimize clinical outcomes, quality, and total cost of care. You collaborate with regional leaders and provider networks to advance prior...
UnitedHealth GroupMadison
Overview
As Medical Director, you guide clinical coverage determinations within Enterprise Clinical Services, collaborating with leadership to ensure high-quality, cost-effective patient care. You lead utilization management activities and engage...
UnitedHealth GroupMadison
Overview
In this role you support authorization decisions for psychiatric and chemical dependency care, working within Utilization Management to ensure medical necessity and efficient care transitions. You will handle data entry, coordination...
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