Top 49449 Utilization Manager Jobs

Sr. Manager of Member Engagement
Private Health Management —Remote
- $120,000 - $180,000 a year
- US work authorization
- Senior level
- Leadership
- Health insurance
- Dental insurance
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Utilization Review Manager - Remote - Faulkner
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Clinical Adjudication Manager (Weekday Evening Shift + Flexible Scheduling (Part Time or Full Time) (Part C)
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Utilization Management Clinician - CCR
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Care Manager, Concurrent Review (Remote)
EmblemHealth —New York, NY
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Market Physician Executive (MPE) - Atlanta, GA
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Program Manager - Cardiac Rehabilitation
SouthEast Alaska Regional Health Consortium —Juneau, AK
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Market Physician Executive (MPE)
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Market Physician Executive (MPE)
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Market Physician Executive (MPE) - Float
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Operations Manager
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FT Licensed Mental Health Practitioner Chico, CA
Compassion Services —Chico, CA
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Rehab Supervisor (Physical Therapist) - Home Health
NEOGREEN Solutions —Los Angeles, CA
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Supervising Pharmacist
Integrea Community Mental Health Systems —Opelika, AL
- Extended hours
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Nurse Manager - Telemetry
MountainView Regional Medical Center —Las Cruces, NM
- Full-time
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Senior Safety Manager
Wendler Inc. —Cedar Rapids, IA
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Director of Nursing
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Rehab Director
tmc —Eureka, KS
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Urgently Hiring - Radiology Manager Position in a Freestanding ER
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- From $45 an hour
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Sr. Manager of Member Engagement

Private Health Management -
Remote

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Job Details

$120,000 - $180,000 a year

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance
401(k) matching

Qualifications

Stakeholder engagement
Health data analysis
Team leadership
Coaching
Business analysis
Process design
Performance management
Team development
Professional development support
Operational excellence initiatives
Cross-functional collaboration
Research findings presentation
Customer interaction during outreach
Healthcare data reporting
Stakeholder relationship building
Cross-functional communication
Senior leadership
Team building

Full Job Description

Sr. Manager of Member Engagement

Location: Remote (U.S.)
Reports To: Jessica Thorberg

About Private Health Management

Private Health Management guides patients and families through the chaos and complexity of serious medical care, for cancer and beyond. As an independent advocate and trusted partner during healthcare's most challenging moments, our team of experts works alongside physicians to orchestrate the best treatment, advocacy, and support to deliver measurably better outcomes.

Everyone deserves great care. We make sure they get it.

About the Role

The Senior Manager of Member Engagement is responsible for leading PHM's engagement strategy, outreach execution, and optimization efforts across member populations. This role oversees the RN targeted outreach team and serves as the primary owner of engagement performance, ensuring outreach activities drive utilization growth, inbound case volume, and a consistent member experience across accounts.

This is a highly visible role with significant opportunity to build and improve. The person will create structure where it does not yet exist, establish scalable processes and reporting, and partner closely with Marketing, Account Management, Clinical, and other stakeholders to align engagement efforts with organizational priorities.

What You'll Accomplish

Establish a scalable engagement operating system with documented processes, reporting, and accountability measures.

Improve engagement performance, utilization, and inbound case volume through data-driven strategy and outreach optimization.

Build, coach, and lead a high-performing RN outreach team capable of delivering consistent member experiences across accounts.

Create visibility into engagement performance and translate insights into actionable recommendations for business leaders.

How You'll Spend Your Days

Leading Engagement Strategy and Performance

Analyze engagement performance, utilization trends, account demographics, and outreach data to identify opportunities and drive action.

Develop and optimize engagement strategies that improve utilization and member participation across accounts.

Monitor account performance and recommend targeted interventions where results are lagging.

Building Operational Excellence

Create and document workflows, processes, reporting structures, and operating rhythms for the engagement function.

Reduce key-person dependencies by standardizing outreach approaches and knowledge management practices.

Partner with teams across PHM to build scalable engagement infrastructure as membership grows.

Leading and Developing Teams

Manage, coach, and develop the RN targeted outreach team.

Provide clear accountability, performance management, and professional development support.

Foster a culture focused on meaningful member conversations, education, and engagement outcomes.

Cross-Functional Partnership

Collaborate with Marketing, Account Management, Clinical, and other stakeholders to align engagement initiatives with organizational goals.

Present recommendations and insights to senior leaders using data-driven analysis and business rationale.

What You Bring to the Table

Required

Experience in leading teams in digital health, healthcare navigation, advocacy, or member engagement environments.

Experience analyzing engagement performance, utilization trends, demographics, and outreach data to drive strategic decisions.

Proven success leading, coaching, and developing outreach, engagement, or healthcare-facing teams.

Experience creating structure, standardizing workflows, and improving operational efficiency across teams and systems.

Strong executive communication skills with the ability to present recommendations and challenge assumptions using data.

Demonstrated ability to influence stakeholders and build alignment across multiple departments.

Read what current Team Members say about working at PHM!

Compensation

The target compensation for this role is $144,000 - $180,000 annually with a $120,000-$150,000 base salary.

Cash compensation is only a part of a total package that also includes: health/dental/vision benefits, 401k with match, flexible PTO, PHM for PHM — our services for you and your dependents — and other benefits. Individual pay may vary from the target range as several factors including market forces, experience, location, disparities in market data and other relevant business considerations may all factor into final compensation.

Location

This is a remote role requiring that you live in and physically perform all work in the United States.

Next Steps

Private Health Management is a remote company with employees around the United States. We're committed to providing a thoughtful, transparent interview experience and meaningful opportunities to get to know our company, mission, and wonderful teammates through fully remote interviews. If your application is selected for interviews, you'll hear from a member of our recruiting team to schedule next steps. Interviews will also include the hiring manager, peers, and often an executive from the department. PHM uses AI-enabled tools at certain points in the recruiting process to help identify and evaluate top talent; however, all hiring decisions are made by human reviewers.

Have a quick question about the role? Email [email protected] or simply apply here.

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Refine Your Search

Utilization Manager jobs

Sr. Manager of Member Engagement

Utilization Review Manager - Remote - Faulkner

Clinical Adjudication Manager (Weekday Evening Shift + Flexible Scheduling (Part Time or Full Time) (Part C)

Utilization Management Clinician - CCR

Care Manager, Concurrent Review (Remote)

Market Physician Executive (MPE) - Atlanta, GA

PACE Medical Director, Jordan Valley Senior Care

Program Manager - Cardiac Rehabilitation

Market Physician Executive (MPE)

Market Physician Executive (MPE)

Market Physician Executive (MPE) - Float

Operations Manager

FT Licensed Mental Health Practitioner Chico, CA

Rehab Supervisor (Physical Therapist) - Home Health

Supervising Pharmacist

Nurse Manager - Telemetry

Senior Safety Manager

Director of Nursing

Rehab Director

Urgently Hiring - Radiology Manager Position in a Freestanding ER

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