Search jobs > Philadelphia, PA > Operation management

Utilization Management Operations Lead

VirtualVocations
Philadelphia, Pennsylvania, United States
Full-time

A company is looking for a UM Operations Strategy & Implementation Lead responsible for overseeing operational and compliance activities within the Utilization Management department.

Key ResponsibilitiesDrive process improvements and ensure compliance with regulatory requirementsCollaborate with various teams to implement changes and support compliance initiativesAnalyze data to identify gaps and support continuous improvement effortsRequired Qualifications, Training, and EducationBachelor's degree in healthcare, population health, or a related field, or equivalent experienceA minimum of five years of experience in Utilization Management or a related fieldCurrent, unrestricted Registered Nurse (RN) licensure is preferredSix Sigma or project management certifications are preferredExperience with quality control and process standards is preferred

12 hours ago
Related jobs
Promoted
VirtualVocations
Philadelphia, Pennsylvania

A company is looking for a UM Operations Strategy & Implementation Lead responsible for overseeing operational and compliance activities within the Utilization Management department. ...

MCK McKesson Corporation
USA, Pennsylvania, Work at Home
Remote

As the Configuration Management Database (CMDB) Operations Lead in McKesson Information Technology you will be involved in integration of CMDB with other processes such as incident, change and problem management, creating documentation and providing training on CMDB processes and best practices and ...

Promoted
VirtualVocations
Philadelphia, Pennsylvania

A company is looking for a Utilization Management Strategy Lead. ...

Prudential Financial
PA, US

Experience with ServiceNow modules including Incident Management, Problem Management, Change Management, Asset Management, CMDB, and Service Catalog. As a Lead, Service Management Associate in the Data Management & Governance team under Prudential Chief Data Office (CDO) organization, you w...

Capital One
Philadelphia, Pennsylvania

Center 2 (19050), United States of America, McLean, VirginiaDirector, Project Management - Bank Modernization Program Operations Lead. As a Director, Program Operations Lead in Capital One’s Bank Tech Organization, you’ll lead the Bank Modernization operating structure, providing ruthless process ri...

CVS Health
Blue Bell, Pennsylvania

The Lead Director, Program Management will play a key role in the organization, focused initially on supporting the set up and overall program management of the Stop Loss initiative, a major growth priority for the Commercial business. This includes supporting the new Stop Loss leader in developing ...

Promoted
Vaco
Philadelphia, Pennsylvania

Job Title: Regional Operations Manager - Fleet Services. This leadership role focuses on managing the fleet operations at a single, high-volume location overseeing a . Lead and develop a high-performance team, ensuring smooth operations across all aspects of vehicle repair, in-fleeting, and de-fleet...

Promoted
VirtualVocations
Philadelphia, Pennsylvania

A company is looking for an IT Project Coordinator to oversee and drive projects within the IT Team. ...

Promoted
Comcast Corporation
Folcroft, Pennsylvania

Make your mark at Comcast -- a Fortune 30 global media and technology company.From the connectivity and platforms we provide, to the content and experiences we create, we reach hundreds of millions of customers, viewers, and guests worldwide.Become part of our award-winning technology team that turn...

Promoted
IPS-Integrated Project Services
Blue Bell, Pennsylvania

Process Architecture, Process Design, Engineering, Construction, Commissioning, Qualification, LEAN Project Delivery, Strategic Master Planning, Energy Conservation Management, Project Controls, Program/Project Management, Operations/Logistics Strategy and Planning, EPCMV and Staffing Services. Acts...