Director, Utilization Management & Operational Excellence
Medical Mutual
Medical Mutual in Brooklyn, OH is seeking a Director of Managed Care Utilization Management. This hybrid role requires leadership in overseeing operations for acute and post-acute care services, ensuring adherence to regulatory standards while driving quality outcomes. Candidates must possess a Bachelor of Science in Nursing and significant experience in managed care utilization. Responsibilities include the education and training of staff, optimizing processes, and fostering strong relationships with health systems to enhance service efficiency. #J-18808-Ljbffr Medical Mutual
Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Director, Utilization Management & Operational Excellence in Cleveland, OH vacancy
- ...site. Job Summary: Directs operations related to Commercial and Medicare... .... Leads the oversight and management of key performance... ...independently identify over/under utilization patterns and/or deviation... ...Office, including Outlook, Excel, PowerPoint, Word). Demonstrated...SuggestedCasual workWork at officeRemote work
$184.87k - $324.19k
...transformation, offering excellent opportunities for individuals... ...is currently seeking a Director, SAP IS-U -Power & Utilities for our Consulting... ...workbench configurations, manages the structuring of rates,... ...Management) for front-office operations and SAP EAM (Enterprise Asset...SuggestedContract workH1bLocal area- ...Technical Operations Manager, FSW Howmet Aerospace is searching for a Technical Operations... ...organization in continuous improvement. Utilize adequate resources to meet customer... ...competing initiatives or action items. Excellent communication skills Ability to...SuggestedHourly payPermanent employmentWorldwideFlexible hoursShift work
Consolidated Aerospace Manufacturing, LLC
Cleveland, OH2 days ago - Destination Cleveland in Cleveland is seeking a Director, People & Business Operations to translate people, workplace, and operational priorities into actionable plans. You will oversee HR, facilities, and internal operations, building cross-functional alignment and driving...Suggested
- ...OperationsAs the Executive Vice President of Operations in the construction industry, you will be a key... ..., and competitive advantage.Operational Excellence: Oversee all operational functions, including project management, construction operations, supply chain management...SuggestedFor subcontractor
JRG Partners Inc
Cleveland, OH4 days ago - ...development, employee experience, change management and beyond. Visit us here to find out... ...why for each direction Design AI-enabled operating models where humans focus on judgment,... ...of 1 year of experience serving utilities clients (electric, gas, or water) or in...Full timeLive inWork at officeLocal areaShift work
- ...Chief Operating Officer (COO) About the Company A leading food service management company in the Midwest. Industry Hospitality Type Privately Held About... ...into practice, ensuring operational excellence, and maintaining the brand's promise across...Contract work
- ...business outcomes while managing risk, cost, quality,... ...transformation vision. You excel at navigating... ...Program Manager, Program Director, or Delivery Executive... ...transformation programs supporting Utilities companiesMinimum two... ...management, and operational readiness.Minimum of 2...Full timeWork experience placementLive inWork at officeLocal area
- The Animal Protective League seeks a Vice President of Operations to provide strategic leadership across shelter operations, humane law... ...& CEO, the role emphasizes regulatory compliance, operational excellence, and talent development, while overseeing facilities, information...
- Cleveland Animal Protective League seeks a Vice President of Operations to guide shelter operations, humane law enforcement, veterinary... ...strategy, ensure regulatory compliance, and drive operational excellence across facilities and IT. The role demands senior leadership experience...
$100k - $115k
...mission-driven and people-centered Chief Operating Officer to lead internal operations and... ...on hiring, onboarding, performance management, and engagement. Maintain and improve HR... ...initiatives, and employee-related matters. Excellent communication, organizational, and...Permanent employmentWork at officeLocal areaRemote work2 days per week- ...communities where we operate, review the 2025 Environmental... ..., including Word, Excel and PowerPoint.This... ...highly desiredProject Management certification or earned... ...Improvement Director at Howmet Aerospace is... ...drive waste reductions utilizing Lean principles (JIT,...Permanent employmentWork at officeLocal area
$134k - $269k
...ServiceNow Consulting Director is a member of the... ...ServiceNow delivery operations. This role partners closely... ..., and delivery managers.Support talent planning... ...through forecasting, utilization awareness, and margin... ...differentiated client solutions.Excellent communication,...Full timeWork experience placementInternshipLocal area- ...Supervisor Airport Operations Location: Cleveland, OH, US, 44135 Req ID: 58220 Category... ...collaborate and partner closely with the Manager(s) in the execution of the operational strategy... ...CRO), Ground Security Coordinator (GSC) Excellent time management and prioritization...Work at officeLocal areaImmediate startFlexible hoursShift workNight shift
$136k - $259k
...environment, rewards innovative excellence and supports our... ...seeking an Associate Director, Web Personalization... ...basic A/B testing; utilize machine learning capabilities... ...stakeholder management skills, with experience... ...and safeguard business operations and company reputation...H1bLocal areaImmediate startShift work- ...Director, Total Rewards The Director, Total Rewards... ...with strong operational execution in a large,... ...employee communications Manage vendor relationships... ...services Monitor benefit utilization, reporting, trends,... ..., operational excellence, collaboration, and continuous...Contract workWork at officeLocal area
CMSD
Cleveland, OH1 day ago - ...experienced and dynamic Director of Rehabilitation (DOR) to... ...for the strategic, operational, and clinical management of the rehabilitation department... ...requirements, drives excellent patient outcomes, manages... ...standards, and resource utilization. Recruit, hire, train,...Local area
Legacy Health Service
Cleveland, OH1 day ago - ...Health is a kidney care management company that partners... ...to you, join us! The Director, Provider Enablement... ...and advancing the operational maturity of the provider... ...driving operational excellence, customer adoption,... ...engagement, and self-service utilization. Partner with...
$71.04k - $89.87k
...package that includes excellent healthcare, retirement... ...POSITION OBJECTIVEThe Director provides senior leadership... ...6 student staff) by managing employee performance... ...civic engagement. (18%) Utilize institutional... ...process. Develop the operating budget and trouble-shoot...Full timeWork at officeLocal area$52.71k - $66.67k
...benefits package that includes excellent healthcare, retirement... ...OBJECTIVE The Associate Director of Programs and Operations serves as the operational... ...engagement, operational management, and resource stewardship... ...adopt and effectively utilize emerging technologies including...Temporary workFor contractorsCasual workWork at officeLocal areaRemote workAfternoon shift2 days per week- Medical Service Company in Cleveland seeks a Director, Contact Center Operations to lead revenue cycle contact center functions, drive standardization, and elevate patient experience. The role focuses on implementing AI, virtual agents, and analytics to improve responsiveness...
- ...OhioAbout This Role: The Talent Director develops and executes... ...talent acquisition and talent management, overseeing the full talent... ...effective use of technology, operational discipline, and data driven... ...technology, we celebrate our team's excellence and ensure we grow together....Immediate start
- ...Marine HR ManagerResponsible for the management of marine human capital to support operations in a 24-hour-a-day, seven-day-a-... ...term planning to ensure optimum utilization and cost efficiency. Manage... ...and NS softwareConcur travelWord, Excel, PowerPoint and OutlookMust have...Contract work
Mormac Marine Group Inc Defunct
Cleveland, OH3 days ago - The Cleveland Animal Protective League (APL) seeks an experienced operational leader to serve as its next Vice President of Operations. This senior executive role guides shelter operations, veterinary services, community initiatives, humane law enforcement, facilities,...
- ...OREGON --Vivo HealthStaff is actively recruiting for a Chief Operating Officer (COO) position in a prominent healthcare facility located... ...in assigned departments/service lines.* Optimize resource utilization, including people, capital, and knowledge, to achieve organizational...Permanent employmentTemporary workWork at officeRelocation
$120.6k - $171.8k
...you be working with?The Plant Manager role for the Cleveland, OH... ...supervisory role/or equivalent operational experienceWhat will your... ...compliance, and sustainability.Utilize lean and continuous... ...compliance, and operational excellence with both hourly and exempt...Hourly payWork experience placementWorldwideRelocation packageFlexible hours$114k - $132k
...leveraging team member’s unique strengths, and managing performance to deliver on client... ...technology solutions that enable operational excellence and business agility. Our teams apply... ...our Advisory practice, where you will utilize your skills in software development, project...Full timeWork experience placementH1b- The Center for Community Solutions seeks a highly organized, mission-driven Chief Operating Officer to lead internal operations and support organizational effectiveness across a staff of up to 25. Reporting to the President and CEO, this senior leadership role ensures the...
- ...environment. As stewards of the UH legacy for excellence in patient care, our physicians are... ....A Brief OverviewProvides and manages direct medical evaluation, diagnosis, procedures... ...procedures, as appropriate.May manage the daily operations of a specific medical program, patient...Work experience placementRelocation
- ...environment, rewards innovative excellence and supports our communities... ...KPMG is currently seeking a Director, Growth Ecosystems to join... ...the strategy, roadmap, and operating model for the firm's revenue... ..., or a related product management field, with a proven track record...H1bLocal area
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Director, Utilization Management & Operational Excellence. Be the first to apply!
Related searches
- ai director Cleveland, OH
- residence director Cleveland, OH
- academic director Cleveland, OH
- director of scheduling Cleveland, OH
- industrial director Cleveland, OH
- director of information management Cleveland, OH
- director estimating Cleveland, OH
- director total rewards Cleveland, OH
- director of credit Cleveland, OH
- director of mental health Cleveland, OH