Utilization Management Nurse Jobs

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Must reside in Louisiana for this role. The Behavioral Health PTA serves as the primary provider-facing resource responsible for partnering with behavioral health providers, community mental health centers, health systems, and integrated delivery organizations to improve quality performance and adoption of best practices. In addition to traditional practice transformation responsibilities, this role supports the expansion of behavioral health data exchange capabilities, including increased utilization of ADT feeds, clinical data sharing, supplemental data acquisition, and improved reporting workflows that enable more timely member intervention and performance monitoring. Strategic Value The position will: Drive improvement in behavioral health quality measures. Support provider adoption of evidence-based behavioral health workflows. Strengthen provider accountability for quality performance. Improve transition-of-care management between inpatient, ED, and o

Location: East US Region Natera is seeking an experienced Regional Director to build, lead, and develop a team of Clinical Oncology Specialists focused on Genitourinary (GU) cancers across the Eastern United States. This specialized sales team will drive adoption of Natera’s Signatera™ molecular residual disease (MRD) test , with a primary focus on Urologic Oncology. Key call points include Urologic Oncologists, GU Surgical Oncologists, Radiation Oncologists, Medical Oncologists, Pathologists, and other healthcare providers involved in the diagnosis, treatment, and ongoing management of patients with genitourinary cancers. Signatera is a personalized, tumor-informed circulating tumor DNA (ctDNA) assay designed to detect molecular residual disease and monitor disease recurrence. Across GU cancers, including bladder, renal cell carcinoma, and testicular cancers, Signatera provides highly specific molecular insights that can help clinicians better assess recurrence risk, monitor disease status, and inform individualized patient management strategies. The Regional Director will drive sales performance, ensure sales goals and management objectives are achieved or exceeded, and collaborate with cross-functional teams to develop and execute business strategies aligned with Natera Oncology's broader corporate objectives. Key Responsibilities Hire, coach, develop, and lead a team of approximately 10 Clinical Oncology Specialists focused on GU cancers, driving Signatera adoption and achieving regional sales objectives. Establish a strong field leadership presence through strategic business planning, coaching, CRM utilization, Core Oncology Sales collaboration, and regular field engagement. Develop and execute regional sales strategies targeting Urologic Oncologists, GU Surgical Oncologists, Medical Oncologists, Pathologists, and other key stakeholders across academic and community oncology settings. Build and strengthen relationships with Key Opinion Leaders (KOLs) speci

Location: West US Region Natera is seeking an experienced Regional Director to build, lead, and develop a team of Clinical Oncology Specialists focused on Genitourinary (GU) cancers across the Western United States. This specialized sales team will drive adoption of Natera’s Signatera™ molecular residual disease (MRD) test , with a primary focus on Urologic Oncology. Key call points include Urologic Oncologists, GU Surgical Oncologists, Radiation Oncologists, Medical Oncologists, Pathologists, and other healthcare providers involved in the diagnosis, treatment, and ongoing management of patients with genitourinary cancers. Signatera is a personalized, tumor-informed circulating tumor DNA (ctDNA) assay designed to detect molecular residual disease and monitor disease recurrence. Across GU cancers, including bladder, renal cell carcinoma, and testicular cancers, Signatera provides highly specific molecular insights that can help clinicians better assess recurrence risk, monitor disease status, and inform individualized patient management strategies. The Regional Director will drive sales performance, ensure sales goals and management objectives are achieved or exceeded, and collaborate with cross-functional teams to develop and execute business strategies aligned with Natera Oncology's broader corporate objectives. Key Responsibilities Hire, coach, develop, and lead a team of approximately 10 Clinical Oncology Specialists focused on GU cancers, driving Signatera adoption and achieving regional sales objectives. Establish a strong field leadership presence through strategic business planning, coaching, CRM utilization, Core Oncology Sales collaboration, and regular field engagement. Develop and execute regional sales strategies targeting Urologic Oncologists, GU Surgical Oncologists, Medical Oncologists, Pathologists, and other key stakeholders across academic and community oncology settings. Build and strengthen relationships with Key Opinion Leaders (KOLs) specializi

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary The RPh Advisor supports the clinical operations of the Member Quality Assurance Commercial and Medicare Part D fraud, waste, and abuse program for a national client. The program's goal is to identify, prevent, and resolve inappropriate drug utilization, identify negative trends, refer potentially fraudulent activity to the MQA investigators, remain compliant with the Drug Management Program for CMS. The RPh Advisor works with a diverse departmental staff which includes Professional Investigators, Data Analysts, and Clinical Assistants. Responsibilities include clinical review of plan member profiles for FWA, managing the Overutilization Taper program, submission of specific cases to vendor for External Peer Review (EPR), assistance with program and system enhancements, securing client satisfaction and retention, and working cross functionally with client and internal partners to help identify and resolve FWA issues. The RPh communicates directly with the client on a regular basis regarding status of program. Candidate must be a licensed Pharmacist in the state of Arizona with the ability to work a hybrid (1 day/wk in office) role based out of the Phoenix, AZ office, with the ability to work remotely the remaining days. Required Qualifications This position requires excellent people skills and the ability to be innovative, proactive, reso

Lead Electrophysics Engineer Company: The Boeing Company Boeing Defense Space & Security (BDS) is seeking highly motivated Lead Electrophysics Engineer (Level 5) to support various programs located in Huntington Beach, CA, Seal Beach, CA , or El Segundo, CA . As a part of one or more Systems Engineering Integration & Test (SEIT) teams, you will provide technical engineering and program support, while serving as the core point of contact between your payload products and the broader system team. In this role you will serve as the technical owner for a range of RF related payload products, with an emphasis on system performance, integration, supplier technical management, and cross-organizational interface management. Your products will include both experimental and operational systems, extending through all lifecycle phases (early feasibility studies through operation and disposal). An ideal candidate will be highly motivated, with a strong technical background in RF and Radar systems, space environments, and RF payload integration onto air or space platforms. Position Responsibilities: Provide expertise over a broad range of radar related activities, including performance and trade studies of radar systems and architectures Oversee development and implementation of radar signal image processing techniques Perform system engineering and integration of Radar Warning Receivers (RWR) into various systems Developing Concept of Operations for the design and utilization of RF products Perform Mission Design and payload effectiveness analysis Lead technical teams, including subcontractors, to oversee hardware and processing

Job Title: Zonal Collection Manager About the Team: The Collections team is responsible for managing overdue accounts, driving recovery performance, monitoring collection agencies and in-house teams, and ensuring compliance with applicable regulatory guidelines and the Code of Conduct. The team focuses on achieving collection targets, improving recovery efficiency, and minimizing credit losses across assigned territories. About the Role: The Zonal Collection Manager will be responsible for driving collection performance across the assigned zone, managing regional and branch-level collection teams, and ensuring the achievement of business and recovery targets. The role requires strong leadership, strategic planning, stakeholder management, and expertise in managing collection agencies and field operations while maintaining regulatory compliance. Key Responsibilities: Drive and achieve zonal collection targets across assigned products, branches, and delinquency buckets. Develop and implement effective collection strategies to improve recovery rates, reduce roll-forwards, and control delinquencies. Lead, manage, and monitor regional collection managers, branch teams, field executives, and collection agencies. Review collection performance through regular MIS, productivity reports, and portfolio analysis, and take corrective actions wherever required. Monitor collection agency performance, ensure optimal resource utilization, and drive accountability for assigned targets. Ensure strict adherence to applicable RBI guidelines, regulatory requirements, internal policies, and the Code of Conduct. Identify and control fraudulent practices, operational risks, and process gaps across collection operations. Work closely with business, credit, risk, legal, and operations teams to resolve collection challenges and improve recovery outcomes. Manage escalations related to overdue accounts, customer grievances, and field collection activities. Ensure effective allocation of colle

About Graphcore Graphcore is a globally recognized leader in Artificial Intelligence computing systems. The company designs advanced semiconductors and data center hardware that provide the specialized processing power needed to drive AI innovation, while delivering the efficiency required to support its broader adoption. As part of the SoftBank Group, Graphcore is a member of an elite family of companies responsible for some of the world’s most transformative technologies. We are opening a new AI Engineering Campus in Austin, which will play a central role in Graphcore's work building the future of AI computing. About the Role We are seeking a Principal Security Architect to design, maintain and secure scalable infrastructure solutions for cryptographic key management. In this strategic role, you will be responsible for evaluating, deploying and manage Hardware Secure Modules from the ground up, ensuring compliance with standards across different regions. You will also enable multiple teams by supporting them for control and automation. You will be expected to drive and implement policies for key and certificate creation, rotation, and revocation. Collaboration with stakeholders to analyze requirements and implement robust access controls is essential while demonstrating operational excellence. RESPONSIBILITIES Design and deploy scalable, secure infrastructure solutions from scratch, aligned with business requirements and security standards. Hardware Secure Module ownership and governance. Develop organizational standards, policies, access models, and workflows to ensure consistent, secure usage of the platform. Conduct risk and compliance assessments to support system security plans and disaster recovery strategies. Collaborate on requirement analysis, user and key story operations, and capacity planning to ensure optimal resource utilization. Advocate for best practices in secret lifecycle management, a

Our vision is to transform how the world uses information to enrich life for all. Join an inclusive team passionate about one thing: using their expertise in the relentless pursuit of innovation for customers and partners. The solutions we build help make everything from virtual reality experiences to breakthroughs in neural networks possible. We do it all while committing to integrity, sustainability, and giving back to our communities. Because doing so can fuel the very innovation we are pursuing. Key Responsibilities Carry out daily production control activities including wafer lot starts, lot monitoring, FOUP management, offload operations, and WIP management in alignment with Fab priorities and output commitments. Use data analytics and AI-enabled tools to monitor production flow, identify bottlenecks, prioritize actions, and support timely decision making on material movement Support offload send/receive operations, ensuring accurate documentation, system transactions, and compliance with established manufacturing procedures. Monitor production performance indicators including WIP levels, aging risks, cycle time impacts, carrier utilization, and capacity constraints; proactively identify abnormalities and bring up potential risks to Production Control Engineers and Manufacturing teams. Leverage AI-assisted insights and digital dashboards to analyze production trends, detect operational exceptions, and recommend actions to improve workflow efficiency and manufacturing performance

For over 20 years, Smartsheet has empowered teams to manage work seamlessly and scale solutions smarter. Now, in our most ambitious chapter yet, we are uniting human teams with AI agents. By orchestrating the work agents do best, automating manual tasks and uncovering insights at scale, we create the space for people to focus on what truly matters: judgment, creativity, and big thinking. That is magic at work, and it’s what we show up for every day. Smartsheet is hiring a Manager, Revenue Operations Analytics to lead and grow our India-based analytics team in Bangalore. This is a senior people management role at the intersection of analytical strategy and operational execution — you will own the day-to-day leadership of five Senior Revenue Operations Analysts and one Data Engineer, while serving as a key strategic partner to Go-To Market (GTM) leadership globally. You will drive the analytical agenda that informs Smartsheet's growth strategy, aligning data and analysis around pipeline health, sales productivity, retention, territory effectiveness, services utilization, and commission planning. Your team will be at the center of how the GTM organization understands its business and makes decisions. This role is designed to bring senior analytical leadership into the IST time zone, providing direct, timezone-aligned support to the India-based team while maintaining meaningful overlap with North America Pacific Time leadership. You will also be a bridge to Smartsheet's Bangalore BI and Data Engineering teams, deepening the partnership between Revenue Operations and the broader data platform organization. You will report to our Sr Manager, Revenue Operation Analytics. You Will: People Leadership & Team Development Directly manage 5 Senior Revenue Operations Analysts and 1 Data Engineer in Bangalore, providing day-to-day guidance, coaching, and operational support. Set clear priorities, hold the team accountable for high-quality and

Datadog’s Recruiting Operations team is on a mission to scale and optimize the Talent Acquisition organization through operational efficiency, best-in-class tooling and programs. We are looking for a Program Manager, Recruiting Operations on a 12-month contract to take ownership of our sourcing tech stack and get significantly more value out of both. This is a delivery-focused engagement with a clear mandate. Our sourcers and recruiters use our CRM as their candidate relationship management system and LinkedIn Recruiter as a major sourcing channel, and we believe we can get more of these platforms. You will become the expert on these two tools, evaluate the sourcing workflows that run through them, drive real adoption of the CRM across the team, and tell us honestly where we are leaving capability on the table. You will also work with the owner of our ATS to make sure data flows cleanly from sourcing into the hiring pipeline. At Datadog, we place value in our office culture — the relationships and collaboration it builds, and the creativity it brings to the table. We operate as a hybrid workplace to ensure our Datadogs can create a work-life harmony that best fits them. What You’ll Do: Serve as the day-to-day administrator and point of contact for the CRM and LinkedIn Recruiter — configuration, user management, seat and license allocation, permissions, and troubleshooting Run a full feature utilization audit of both platforms: what we have access to, what we actually use, and what we should be using but aren’t Review, redesign and optimize sourcing workflows end to end — prospect identification, outreach sequencing, pipeline nurture, and handoff into Greenhouse Drive CRM adoption across sourcers and recruiters through enablement, workflow design that makes the CRM the path of least resistance, and measurement of usage against defined targets Build and optimize outreach templates, sequences, and nurture campaigns in partnership with the Employer Brand Marketing team,

Our vision is to transform how the world uses information to enrich life for all . Micron Technology is a world leader in innovating memory and storage solutions that accelerate the transformation of information into intelligence, inspiring the world to learn, communicate and advance faster than ever. We’re looking for a Senior Collaboration Platform Engineer to help us design, deploy, administer, and continuously improve Zoom Workplace and Microsoft 365 platforms across our global organization. In this role, you’ll work across platform engineering, automation, identity and endpoint services, and AI-enabled technologies. We’re investing in modern capabilities that improve reliability, reduce manual work, and create better experiences for employees. You’ll also have the opportunity to contribute to technical standards and future platform roadmaps. Key Responsibilities Collaborate with engineering and technology teams on architecture, standards, technical roadmaps, and engineering practices for Zoom and Microsoft 365 collaboration services. Engineer and administer Zoom Workplace, including licensing, policy controls, managed domains, governance, reporting, utilization analysis, and capacity planning. Integrate services with Microsoft Entra ID, Active Directory, SSO, MFA, Microsoft 365, room technologies, and approved enterprise platforms. Build and maintain automation for deployment, configuration management, repor

Our vision is to transform how the world uses information to enrich life for all. Join an inclusive team passionate about one thing: using their expertise in the relentless pursuit of innovation for customers and partners. The solutions we build help make everything from virtual reality experiences to breakthroughs in neural networks possible. We do it all while committing to integrity, sustainability, and giving back to our communities. Because doing so can fuel the very innovation we are pursuing. Project Title Diffusion Capacity Optimization Through Constraint Workstation Improvement Project Description This internship provides an opportunity to work on projects focused on improving capacity and operational efficiency within the Diffusion manufacturing area. The intern will analyze manufacturing data, evaluate workstation performance, investigate recurring production constraints, and develop recommendations to improve equipment utilization, manufacturing throughput, and cycle time performance. The project will provide exposure to manufacturing engineering methodologies, capacity management, statistical analysis, and cross-functional collaboration within a semiconductor manufacturing environment. Objective of the Project Analyze Diffusion manufacturing performance and capacity utilization. Identify workstation constraints that impact throughput and cycle time performance. Investigate key sources of capacity loss and evaluate improvement opportunities. Develop data-driven recommendations to improve operational efficiency and manufacturing performance. Opportunities for Full Time Employment Successful interns who demonstrate strong analytic

For over 20 years, Smartsheet has empowered teams to manage work seamlessly and scale solutions smarter. Now, in our most ambitious chapter yet, we are uniting human teams with AI agents. By orchestrating the work agents do best, automating manual tasks and uncovering insights at scale, we create the space for people to focus on what truly matters: judgment, creativity, and big thinking. That is magic at work, and it’s what we show up for every day. Job Description/ Responsibilities: Designing, developing and maintaining stable and reliable AI/ML Ops platforms / pipelines Minimum experience of 4-6 Years required in AI ML Ops Model Deployment: Package and deploy AI/ML services to production, ensuring they are reproducible and interpretable CI/CD Pipeline Development: Design and implement automated CI/CD (Continuous Integration/Continuous Deployment) pipelines to accelerate model deployment using tools Infrastructure Management: Provision and optimize infrastructure for training and serving, utilizing Docker, Kubernetes, or serverless platforms Monitoring & Observability : Implement post-deployment monitoring for model performance, data drift, and latency using tools. Experience in Monte Carlo is preferable Automation: Automate retraining and data pipeline workflows to ensure models stay accurate over time. Manage the deployment of foundation models, fine-tuning workflows, and Retrieval-Augmented Generation (RAG) stacks (Vector DBs, Knowledge Graph. Experience with AWS Bedrock is preferable Resource Optimization: Manage GPU/CPU utilization to minimize cloud costs while maintaining low-latency inference for users Collaboration: Work closely with data scientists, data engineers, and software engineers to bridge the gap between model development and production. Version Control & Governance: Manage versioning for data, code, and models using tools like MLflow. Security & Compliance: Implementing data security measures, ensuring compliance with data governance

Leidos has an exciting opportunity for Cyber Security Engineer—Technical Lead in our Intel Security Sector's Analysis Solutions Business Area . Our talented team is at the forefront in Security Engineering, Computer Network Operations (CNO), Mission Software, Analytical Methods and Modeling, Signals Intelligence (SIGINT), and Cryptographic Key Management. At Leidos , we offer competitive benefits , including Paid Time Off, 11 paid Holidays, 401K with a 6% company match and immediate vesting, Flexible Schedules, Discounted Stock Purchase Plans, Technical Upskilling, Education and Training Support, Parental Paid Leave, and much more. Join us and make a difference in National Security! Job Summary This role is responsible for protecting the customer’s information systems and networks from potential cyber-attacks. The Cyber Security Engineer– Technical Lead will serve in a hands-on “player-coach" capacity, dedicating approximately 75% of time to direct technical engineering, troubleshooting, and implementation work, while providing technical leadership and coordination across the security team. The candidate must display an excellent understanding of technology and utilization of Firewalls (Security Groups), VPNs, Data Loss Prevention (DPS), IDS/IPS, Web-Proxy, Security tools, and Security Audits. Candidate will work directly with Team leads, developers, operations personnel, and other Technical Leads throughout a DevSecOps life cycle both on policy and technical implementation of technologies. This is not a supervisory management role. Success in this position is measured by individual technical contribution and resolution of complex security issues, in addition to technical leadership impact. Primary Responsibilities: Plan, implement, manage, monitor, and upgrade security controls and tools used to protect enterprise systems and networks, while identifying opportunitie

Who We Are Addepar is a global data and AI platform empowering investment professionals to turn complex financial information into actionable intelligence. Addepar unifies portfolio, market and client data in a total portfolio view and delivers AI-powered insights within investment and client workflows. More than 1,400 firms in nearly 60 countries use Addepar to manage and advise on nearly $9 trillion in assets. Its open platform integrates with nearly 650 software, data and consulting partners to power end-to-end investment operations across firms of all sizes and complexity. Addepar supports clients worldwide with offices in New York City, Salt Lake City, London, Edinburgh, Pune, Dubai, Geneva, Singapore and São Paulo. The Role The Client Success Management (CSM) team at Addepar is responsible for the complete post-sales lifecycle of a client. Through strategic guidance and partnership, CSM ensures clients derive maximum value from the platform, leading to overall adoption success, retention, and renewal. Few roles provide such a direct impact on the growth of the company. The CSM Team manages some of Addepar’s largest and most sophisticated clients, including Single Family Offices, Multi-Family Offices and traditional Wealth Management Firms. You will become a trusted partner, deeply understanding and advising on their business, including their strategy, clients, services, team, and technology, and helping them increase the value they get from Addepar. This role works closely with the Account Executive, cross-functional R&D, and Services teams to effect change management and drive standard methodologies and utilization of the platform. You will be the client’s internal advocate, helping ensure an excellent experience, and capturing feedback on ways that Addepar can build the next generation of client-centric solutions. Applicants must be legally authorized to work in the United States for any employer without requiring current or future visa spons