Director of Utilization Management & Operational Excellence
Healthfirst
Healthfirst is seeking a qualified leader to provide strategic direction in Utilization Management (UM) in New York. This role involves developing policies, improving performance metrics, and ensuring compliance with healthcare regulations. The ideal candidate will have extensive experience in healthcare management, especially with Medicare and Medicaid, and demonstrate strong communication and leadership skills. This role is critical for enhancing the quality of member care and optimizing departmental operations. #J-18808-Ljbffr Healthfirst
$198.72k - $260.82k
...to the SVP, Insurance Operations, you will lead a sophisticated... ...key pillars covering Managed Services, Workforce... ...for the Operational Excellence organization,... ...leaders of Associate Directors and Directors ensuring... ...process optimization, utilizing Lean or Six Sigma methodologies...SuggestedFull timeWork at officeFlexible hours$154.6k - $236.56k
...The Director of Utilization Management is a transformational clinical operations leader responsible for delivering strategic and operational oversight for Utilization... ...thinking leader drives clinical and operational excellence across all UM functions, including prior...SuggestedTemporary workWork experience placement$90k - $125k
...uncompromising in our mission. Currently, we operate multiple elementary and middle... ...children in every community deserve excellent, equitable education. Join our... ...achieve our vision, we are searching for a Manager or Associate Director of Scaling Operational Excellence with...SuggestedPermanent employmentWork at officeImmediate startRemote workMonday to FridayFlexible hours- ...OpEx Function Establish the OpEx vision, operating model, organizational structure and... ...and mentor a high performing operational excellence team capable of driving enterprise... ...feasibility, budgeting, execution, enrollment management and closeout. Develop governance...Suggested
$140k - $160k
...and conference center management. Distinct from recruitment... ...The National Director of Conference & Hospitality Operations will serve as the point... ...system to ensure maximum utilization of the facilities.... ...success Demonstrates excellence in leading a business and...SuggestedWork experience placementWork at officeLocal areaRemote workFlexible hoursAfternoon shift$68k - $72k
...Overview The Terminal Operations Supervisor monitors and supervises... ...facilities-related contract management. The role has a special emphasis... ...sound judgment, operational excellence, and leadership.... ...brand standards are adhered to. Utilizes the terminal inspection program...Contract workFor subcontractorShift work$199.99k - $250k
...Search by Job Family Viewing: Director Utilization Mgmt (DO OR MD REQUIRED)... ...with a people first culture • Excellent career growth opportunities... ...Director of Utilization Management leads and oversees utilization... ...care delivery and achieve operational goals. Key Responsibilities...Work at office- ...Job Description Associate Director of Operations for Neurosciences oversees... ...position combines operational excellence, clinical understanding,... .... Oversee financial management responsibilities, including... ...planning, including exam room utilization, ancillary services...Temporary workTraineeship
$175k
Chief Operating Officer (COO) - Primal Bod About Primal Bod Primal... ...empowering women’ weight loss utilizing sustainable, holistic, and... ...demands relentless operational excellence, stringent regulatory... ...and employee training. ·Team Management and Training: Direct the Head...Full timeFixed term contractRemote work- Arkadium, Inc. is searching for an experienced Chief Operating Officer to elevate operations and optimize performance in line with their mission to create the world’s best games. The role requires a solid background in financial planning and strategic scaling of businesses...
$223.25k - $325k
...improve productivity, and enhance risk management effectively and responsibly.... ...profoundly transform how the bank operates. As a Machine Learning Director, you will have the opportunity to... ...community. We are looking for someone who excels in a highly collaborative...Work at office$100k - $145k
...our mission. Currently, we operate multiple elementary and... ...in every community deserve excellent, equitable education. Join our... ...searching for a stellar Associate Director or Director of Operational... ...operations, in schools and/or managing projects for a schooling organization...Permanent employmentWork at officeRemote workMonday to FridayFlexible hours$130k - $184k
...we’d love to talk. Our Ethos Operating at the epicenter of stablecoin... ...and proactive HR Operations Manager to build and scale the processes... ...audits, and data integrity. Excellent organizational skills with... ...issue a card for our team to utilize the card for testing. Health...For contractorsWork at officeWork from homeFlexible hours- ...home staffing and care management. Founded in 1999, our... ...to administration & operational staff, there is a... ...Summary: The Associate Director of Operations for Outpatient... .... Ensure proper utilization of Electronic Health... ...management skills. Excellent communication and interpersonal...Temporary workWork at office
$133.35k - $155k
Associate Director, Reliance and IRB Operations Grade: 32 Salary: $133,353 - $155,000... ...NYSPI IRB Office, including managing the IRB Office staff and... ...IRB reliance agreements. Excellent written and verbal... ...and skills are valued and utilized to support the mission of...Work at office- The Technical Operations Manager, Demand will focus on Magnite’s ClearLine product and play a lead... .... A core component of the role is utilizing emerging AI technologies and advanced... ...automation, and workflow development Excellent verbal and written communication skills...Summer workImmediate start
$110k - $140k
...CBT) and a deep commitment to clinical excellence, operational rigor, and thoughtful growth. With 5... ...clients. Our operational team manages and optimizes the rest, including administrative... ...using visualization tools to monitor utilization metrics and optimize operational...Full timePrivate practiceRemote workFlexible hours- ...and foremost mission. Position Summary: The Terminal Operations Supervisor is responsible for managing the terminal employees and Enterprise Resource... ...degree preferred; High School Diploma, GED equivalent Excellent verbal and written communications and organizational...Temporary workFlexible hoursShift work
- ...clients. Leverage coding skills: Utilize SAS, Python, VBA to... .... Monitor project progress, manage risks, and keep stakeholders... ...including data management, sales operations, commercial analytics, and BI... ...PowerPoint, Word) with advanced Excel skills. Analytical skills:...Work at officeRelocationFlexible hours
$85k - $115k
The Program Manager, Technical Operations Position Summary The Program Manager, Technical Operations reports... ...is desirable. Experience in utilization of project management tools is a must... ...Talent Innovation & Creativity Process Excellence Result Orientation Stakeholder...$220k - $229k
Chief of Operations and Senior Associate Dean for Strategic Initiatives... ...and Advising to ensure excellence in the student experience. Position... ...a proactive approach to managing facilities issues on the... ...through external events and space utilization Renovation and Capital...Full timeTemporary workWork at officeLocal areaRelocation- ...deepfakes and AI-generated media. Utilizing a patented multi-model... ...Innovative Startup The Director of People Operations Role (Part-Time). We are... ...including onboarding, performance management, and employee lifecycle... ...from the ground up Excellent interpersonal and communication...Full timeTemporary workPart timeWork at officeLocal areaRemote work
$120k - $130k
...leader in AI‑powered practice management software for accounting... ...Role We are looking for an operations leader who is AI‑native to their... ...eligibility tracking, and surface utilization insights that inform future... ...and the Philippines. Excellent benefits package including:...Contract workTemporary workWork from homeFlexible hours$118.14k - $132.9k
...Job Description Job Description Position: Director of Utilization Management Location: Hybrid (Must Reside in NY/NJ/CT) Work Schedule... ...of a critical role in advancing patient care and operational excellence within New York's competitive health care landscape....Full timeRemote workMonday to Friday$175k
...The Opportunity TCS is seeking a Chief Operating Officer (COO) to serve as the strategic... ...right hand to the CEO—driving operational excellence, financial performance, and cross‑... ...oversee operations, finance, and people management while identifying opportunities to expand...Full timeRemote workMonday to Friday$112k - $223k
Business Development Operations Department Overview The Business Development... ...study projects as Resource Manager Engage as Subject Matter... ...and assess ongoing budget utilization and revenue recognition with... ...and service‑oriented, with excellent management and supervision...Remote jobWorldwide$150k - $180k
...ReflexAI, we are building the operating system for conversation... ...where empathy, quality, and excellence matter in every interaction.... ...Partner closely with hiring managers to source, attract, and close... ...Experience owning (not just utilizing) the core platforms used in...Full timeRemote work- ...the Opportunity A premier global wealth management institution is seeking a Director of Mutual Fund and Alternative Investment Operations to lead all aspects of its Mutual Fund... ...responsibility for both day-to-day operational excellence and the multi-year strategic expansion...
- ...nationwide, we are searching for an exceptional Operating Director to lead this branch’s growth. Supported... ...salary & profit sharing On the ground, utilize a company‑provided car, paid gas, and... ...the director, you will independently manage and lead this branch, along with...Work at officeAll shifts
- ...Chief Operating Officer (COO), Wealth About the Company Leading wealth management team focused on operational excellence and scalable client service. Industry Investment Management Type Privately Held About the Role The Company is seeking a Chief...
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