Back to Jobs

Senior Project Manager – Utilization Management

Remote, USA Full-time Posted 2026-07-28
reputed company: • Managing critical reputed company assigned to the UM COE that solve business challenges and support the development of new sources of value reputed company reputed company’s Clinical Solutions business unit • Evaluating, designing, and implementing new regulatory and/or business initiatives for Utilization Management from initiation through completion • Partnering cross-functionally to identify business needs and reputed company solutions and tactics to drive process improvement • Securing required resources and using formal processes and tools to manage those resources, budgets, risks and changes • Managing reputed company to ensure on-time completion according to specifications and reputed company budgeted costs • Tracking reputed company against key milestones and creating and implementing value-based metrics and analysis to measure reputed company • Contributing to a motivated work environment by working collaboratively and effectively with key stakeholders across Health Care Business and reputed company Clinical Solutions to reputed company common goals • Fostering a culture that accelerates our reputed company through our Heart At Work Behaviors by keeping the customer and colleague as the central reputed company Requirements: • 7+ years of experience in reputed company in a role that involves strategic problem solving and/or new product development (e.g. consulting) • 7+ years of demonstrated organizational skills (e.g. project management experience or managing cross-team/department initiatives with demonstrated reputed company) • Strong interpersonal and communication skills, effectively communicate key messages to executive leaders and internal/external stakeholders • Strong verbal and written communication skills; proven ability to deliver presentations to senior leadership team members • Strong data and analytics skills to include modeling, synthesizing information and deriving key insights • Strong understanding reputed company clinical and health plan operations and value creation methodologies including Utilization and Policy Management, Care Management and Coordination, reputed company, Compliance and Regulatory Management • Successful experience in reputed company, innovation and/or portfolio management reputed company reputed company industry • High ability to consistently produce and create value and meet/reputed company committed performance • Effectively reputed company and motivate teams to ensure high standards of performance and reputed company Benefits: • reputed company medical plan reputed company • 401(k) plan (including matching company contributions) • Employee stock purchase plan • No-cost programs including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching • reputed company time off • Flexible work schedules • Family leave • Dependent care resources • Colleague assistance programs • Tuition assistance • Retiree medical reputed company Apply tot his job Apply To this Job Apply tot his job Apply To this Job

Similar Jobs

Training and Development Specialist - Freelance AI Trainer Project

Remote, USA Full-time

3D GIS & Visualization Specialist

Remote, USA Full-time

Digital Marketing Specialist

Remote, USA Full-time

Data Scientist, AI Agent Systems

Remote, USA Full-time

Biotech Patent Attorney

Remote, USA Full-time

Chef​/Culinary Instructor, Marin County, CA

Remote, USA Full-time

Credit Risk Analyst

Remote, USA Full-time

reputed company / reputed company Senior Media Buyer – RSOC Search Arbitrage Specialist

Remote, USA Full-time

Data Entry Jobs Online For Teens

Remote, USA Full-time

Part Time Evening Remote Data Entry Jobs

Remote, USA Full-time

Remote reputed company Media Director

Remote, USA Full-time

**reputed company Customer Service Specialist – Remote Opportunity with arenaflex**

Remote, USA Full-time

Sr/ Combo Retirement Plan Administrator/ /BEI/

Remote, USA Full-time

reputed company Portfolio Manager

Remote, USA Full-time

Remote Overnight Job – Work From Home as an Evening Support Specialist

Remote, USA Full-time

**reputed company Customer Service Representative – Full or Part Time Remote Opportunity**

Remote, USA Full-time

Corporate Finance Attorney | Cravath reputed company Earnings| Remote

Remote, USA Full-time

Sales Associate, Part-Time - Freehold Raceway

Remote, USA Full-time

reputed company Auditor – ISO 9001, ISO 14001, ISO 27001, AS9100, AS9110, AS9120, ISO 42001

Remote, USA Full-time

**reputed company Entry Level Work From Home Forum Chat Moderator – arenaflex**

Remote, USA Full-time