Utilization Management Nurse Jobs

Opportunity Overview: We are seeking a Senior Actuarial Analyst to join our Actuarial team. In this role, you will own the models and core reporting that quantify customer outcomes, impact, and cost savings for Cohere’s prior authorization programs, and present what is driving those results to internal leadership and external customers. You’ll partner closely with clinical, customer success, and data teams to keep the numbers accurate and consistent, making this an opportunity to shape how Cohere measures and communicates the value it delivers. This is a remote-first role that may require travel to Boston, MA for new hire onboarding and occasional in-person team meetings and company events. What you’ll do: Own and maintain client-facing reporting that measures cost savings, outcomes, and performance of prior authorization programs across specialty areas (MSK, cardiology, diagnostic imaging, therapy, sleep, and others). Build, maintain, and QC the actuarial models and methodology behind that reporting, and keep them ready to scale to new clients and lines of business. Analyze and interpret authorization and claims data to identify trends, key drivers, and opportunities to improve customer value, and quantify the dollar and utilization effect of each. Design and run impact evaluations and post-implementation assessments: define intervention and comparison cohorts, baselines and benchmarks, units of measurement, and methods (pre and post, difference-in-differences, quasi-experimental), including sensitivity analyses that isolate true Cohere impact and validate savings. Reconcile authorization-based impact against realized claims, and investigate and explain month-over-month and quarter-over-quarter changes. Prepare and present clear, executive-level insights and results to external customers and internal leadership, articulating assumptions, drivers, and implications. Partner closely with customer success, clinical, and actuarial teams to align metrics, assumptio

As a Team Lead for Readiness and Response within Zoox’s Fleet Operations organization, you are at the forefront of the autonomous mobility revolution. You will be a key leader in our expansion into new markets, responsible for the end-to-end operational integrity of the Zoox Robotaxi and Mapping Vehicle Fleet. This role unifies the technical preparation of our vehicles (Readiness) with high-level oversight of live field incidents (Response), ensuring every Zoox vehicle is "service ready" and every mission is supported with operational excellence. Your leadership will bridge the gap between structured depot workflows and the dynamic environment of real-time fleet response. Rather than performing hands-on technical tasks, you will drive strategy and performance by managing a hybrid workforce of Full-Time Shift Leads and contingent associates. Serving as the primary on-site escalation path for critical field incidents and holding third-party recovery partners accountable, you will directly impact Zoox’s fleet availability, safety standards, and our ability to deliver a seamless experience to our riders. In this role, you will: Collaborate with Leadership: Work with Fleet Ops leaders in market, as well as Fleet Ops Program Teams, to ensure optimization of fleet utilization while driving market needs. Drive Unified Fleet Strategy: Oversee the execution of operational strategies for both vehicle preparation (Readiness) and incident response (Response), ensuring alignment with broader organizational uptime goals. Lead through Shift Leadership: Directly manage and mentor FTE Shift Leads & a contingent workforce, empowering them to oversee daily floor operations while you focus on high-level strategy, performance coaching, and site-wide operational health. Manage On-Site Escalations: Serve as the primary leadership escalation path for critical field incidents and service interferences, providing guidance to the team and making high-level

About Anthropic Anthropic’s mission is to create reliable, interpretable, and steerable AI systems. We want AI to be safe and beneficial for our users and for society as a whole. Our team is a quickly growing group of committed researchers, engineers, policy experts, and business leaders working together to build beneficial AI systems. Performance Engineer, Inference Engine About the Role Anthropic's inference engine is the software between the accelerator kernels and the routing layer. It manages the entire token path in between: batching requests, laying the model out across chips, managing memory for weights and activations, coordinating every forward pass, and managing model state across requests. Built in-house, it runs on all of our accelerator platforms, serving Claude to millions of users and running our research workloads. You will work on building and optimizing this system at Anthropic scale: improving throughput, cost, reliability, and latency across all accelerator and cloud platforms. You are intimately familiar with the hardware and bandwidth numbers (FLOPs, HBM, PCIe, RDMA, network links, etc.) and can model a problem quickly: where the time and bytes go, and what sets the bound. The role is deeply technical and high-impact, and suits engineers who enjoy working across accelerator programming, high-performance systems that seamlessly coordinate between host and device, and large-scale distributed systems. Familiarity with the transformer architecture is a plus. Some example recurring themes: Keep device utilization high. Accelerators should never be waiting due to other overheads. Reuse instead of recompute. Keep model state cached and reuse it whenever that is cheaper than computing it again. Measure, model, then change. We build the observability to see where the gaps are, model the impact of potential improvements, deploy them, and go around again, with Claude speeding up every turn of that loop. Tokens you can trust. Ensuring model quality matter

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. Responsibilities and tasks Leverage AI-enabled tools and data-driven insights to optimize manufacturing planning, improve operational decision-making, enhance productivity, and drive continuous improvement across module manufacturing operations." Manage and monitor key performance indicators (KPIs) for the department. Ensure accuracy of weekly plans in the 0-13 weeks’ horizon to meet demand requirements /Business Plans, in particular, within the BE Pipeline Planning Commit window. Co-ordinate site responses to build plans, changes requests and ad-hoc scenarios in the tactical 0-26 week horizon. Interface with BE Central Planning, External Mfg, FE SIC, Supply Chain and Procurement to ensure optimal tactical response to customer/supply requirements including any pull-ins, support requests as well as cross-site processing. Effectively partner with IE, Site NPI team and PE Planning for required capacity and product mix adjustments, including of support execution of new product introduction and customer samples. Manage inventory daily both at starts and manufacturing line, in accordance to supply chain design and operational goals. Partner with Site operations team and Operations Improvement team to execute production commits and to drive continuous improvement in tool utilization, cost and cycle time. Collaborate with internal and external stakeholders to build and execute strategies that are aligned to corporate objective

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. Manufacturing Operations Leadership Lead daily manufacturing operations to achieve output, cycle time, WIP, and customer delivery commitments. Own area performance and accountability for Safety, Quality, Cost, Productivity, and Factory Output. Establish effective manufacturing control strategies to maintain line balance and optimize factory pacing. Drive rapid response and recovery actions for operational excursions, equipment constraints, and business-critical events. Ensure operational readiness to support business growth, technology transitions, and strategic manufacturing initiatives. Capacity and Operational Excellence Develop and execute capacity strategies that support short-term delivery requirements and long-term business growth. Drive improvements in machine availability, utilization, loading performance, cycle time, and overall equipment effectiveness. Utilize advanced analytics to identify bottlenecks, forecast capacity constraints, and optimize manufacturing performance. Lead continuous improvement programs that improve productivity, reduce operational waste, and enhance manufacturing efficiency. AI and Digital Manufacturing Leadership Champion the adoption of Artificial Intelligence, Machine Learning, and Advanced Analytics to improve manufacturing decision-making and operational performance. Lead the integration of AI-driven solutions for capacity forecasting, bottleneck prediction,

Every day, tens of millions of people come to Roblox to explore, create, play, learn, and connect with friends in 3D immersive digital experiences– all created by our global community of developers and creators. At Roblox, we’re building the tools and platform that empower our community to bring any experience that they can imagine to life. Our vision is to reimagine the way people come together, from anywhere in the world, and on any device. We’re on a mission to connect a billion people with optimism and civility, and looking for amazing talent to help us get there. A career at Roblox means you’ll be working to shape the future of human interaction, solving unique technical challenges at scale, and helping to create safer, more civil shared experiences for everyone. We are looking for a strategic and analytical Revenue Operations Manager to join the Brands team at Roblox. In this role, you will build and own the RevOps function for our Brands advertising business, establishing the rhythm of business, forecasting infrastructure, and GTM operational backbone that enables our Sales and Ad Ops teams to scale. You will be both a systems thinker and a hands-on executor, translating data into executive-ready insights while driving alignment across Sales, Ad Ops, Product, and Finance. You Will: Revenue Planning & Forecasting Own pipeline and revenue forecasting for the Brands business, maintaining views of funnel health, pacing, and yield across ad products and verticals. Build and manage operational dashboards that surface where deals are progressing, stalling, or at risk. Define and maintain metric standards (e.g., pipeline stages, pacing benchmarks, utilization rates) to ensure consistent reporting across the team. Rhythm of Business (RoB) Design and run the Brands weekly business review (WBR), including pre-reads, pipeline and pacing commentary, and follow-up tracking. Produce executive-ready narratives that translate operational data into clear strate

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. As a Fab16S (Tainan) Track Equipment Manager, you will… Lead and manage a team of equipment engineers to track, monitor, and drive the installation, modification, upgrade, and maintenance of manufacturing equipment. Ensure equipment performance, reliability, safety, and operational readiness are continuously monitored and improved. Drive accountability for uptime, manufacturing impact resolution, and execution of improvement programs through AI-driven analytics, automation, and performance tracking systems . Partner with engineering, manufacturing, and maintenance organizations to ensure timely issue resolution and achievement of operational objectives. Responsibilities and Tasks • Track equipment maintenance budgets, operating costs, and spending trends. Drive cost reduction initiatives using AI-based cost modeling, predictive maintenance insights, and performance dashboards . • Monitor and drive Preventive Maintenance (PM) effectiveness, first-time success rates, MTTR, and spare part utilization. Ensure systematic problem solving through AI-assisted fault detection, RCA tracking, and engineering knowledge systems . • Track and review equipment constraints, OEE performance, throughput, and tool utilization with Process and Manufacturing teams. Leverage AI/ML-driven analytics to identify optimization opportunities and improve operational performance. • Establish, monitor, and review supplier performance metric

About us Sierra is the leading platform for customer-facing AI agents, working with many of the world's biggest brands — including The GAP, Rocket Mortgage, SoFi, Sutter Health, and SoftBank — to transform how they serve customers and grow their businesses. We are primarily an in-person company based in San Francisco, with growing offices across North America, Europe, and Asia. We are guided by a set of values that are at the core of our actions and define our culture: Trust, Customer Obsession, Craftsmanship, Intensity, and a commitment to balancing Family along the way. These values are the foundation of our work, and we are committed to upholding them in everything we do. Our co-founders are Bret Taylor and Clay Bavor . Bret currently serves as Board Chair of OpenAI. Previously, he was co-CEO of Salesforce (which had acquired the company he founded, Quip) and CTO of Facebook. Bret was also one of Google's earliest product managers and co-creator of Google Maps. Before founding Sierra, Clay spent 18 years at Google, where he most recently led Google Labs. Earlier, he started and led Google’s AR/VR effort, Project Starline, and Google Lens. Before that, Clay led the product and design teams for Google Workspace. What you’ll do Support the business of Agent Development: Serve as the strategy and operations partner to Agent Dev leadership, and bring the same operational rigor to Agent Dev that powers our Sales organization. Stand up the operating cadence: Partner with Agent Dev leaders to provide clear visibility into business health, including pipeline, deployment progress, utilization, expansion opportunities, and risks. Operationalize best practices for enterprise agent deployment: Help define and scale the playbook for how Sierra builds, evaluates, launches, and expands AI agents at large enterprises. Drive account expansion strategy: Work closely with account teams to identify whitespace, prioritize expansion opportunities, and build repeatable motions that conv

At Qualia, we've built the leading B2B real estate technology that transforms the home buying and selling experience into a simple, secure, and enjoyable process. Our SMB and Enterprise products bring together users from across the real estate ecosystem---homebuyers and sellers, lenders, title and escrow agents, and real estate agents---onto a single shared digital closing platform, providing greater clarity and transparency to real estate transactions. Today, through our business customers across the country, millions of consumers use Qualia to close on homes every year. WHAT YOU'LL WORK ON Settlement Agencies depend on Qualia Clear to help improve the speed and quality of a real estate closing. They also rely on Qualia Clear to do chunks of work for them, end-to-end. Qualia Clear's curative agents do this work in production today, on real transactions. As Product Manager for Curative, you will own this agent portfolio end to end — what the agents do next, how precisely they're specified, and whether customers actually use them. If you've built AI agents and want to put them to work at national scale, this is a good fit. RESPONSIBILITIES Own the curative agent portfolio end to end: roadmap, scoping, release, adoption, and iteration Scope agents with deep, precise requirements for AI systems working real title workflows across all 50 states Build rapid prototypes to pressure-test ideas before committing engineering time Partner with Engineering and Design to break ambitious goals into small, shippable milestones that deliver value fast Write tight, plain-language PRDs that frame the problem, success criteria, and context Analyze deployment and utilization data rigorously; use it to sharpen priorities every release Collect and analyze metrics on everything you ship — how well it works and how much it's used Monitor COGs per agent run and drive them down without sacrificing accuracy Report to executives on ideas, roadmap, product adoption, and agent performance Work w

The exchange team develops and maintain a cutting-edge trading platform. With a global presence across APAC, EMEA and North America, the team has since grown with the goal to provide a seamless and secure trading experience for our clients. We are looking for a quantitative Risk Manager to join our global exchange team, with a primary focus on the models: you will own the design, calibration, and validation of the margin, pricing, and liquidation frameworks that our FCM and clearing businesses run on. Alongside that, you will take part in the daily risk monitoring, escalation, and reporting that the whole team carries. You will be contributing to the building of a fast-growth trading platform with innovative, multi-asset products bridging traditional finance (TradFi) and digital markets. For all roles, we look for people who are passionate about financial market innovation, equipped with energy, act as owners, and have exemplary work ethics. Responsibilities Own margin methodology across the group, including SPAN, VaR, and portfolio-margining approaches, and benchmark our models against those used by the clearing houses and exchanges we face. Develop, implement, and validate derivatives pricing models for new and existing products across various asset classes (e.g., equities, commodities, futures, perpetuals, options). Backtest margin coverage and document model performance, assumptions, and limitations to a standard that withstands regulatory and audit review. Build and maintain the data pipelines and automated reporting behind the risk models, working in SQL, Python, and relational databases. Monitor and analyze real-time and historical portfolio risk, including exposure, leverage, margin utilization, concentration, and liquidation. Design optimal automated liquidation logic and algorithms to balance market risk with market impact during extreme volatility. Perform scenario analysis and stress testi

About the Role We are seeking a Strategic Finance Lead for our GPU compute fleet. In this role, you will be a key partner to our inference and infrastructure teams, providing financial expertise to optimize our compute investments and drive capacity decisions. In this role, you'll develop deep expertise in the economics of AI compute, from token-level serving cost to the long-range financial planning of our GPU fleet. You'll build the models that inform Perplexity's capacity and make-versus-buy decisions, own the internal-cost analysis that underpins internal and external token pricing, and translate complex infrastructure dynamics into clear financial narratives for leadership. This is a high-impact role for someone who thrives at the intersection of finance and infrastructure, and who is energized by building frameworks from scratch in a fast-moving environment. This position is based in San Francisco and requires in-person attendance 2-3 days per week. Key Responsibilities Finance lead for GPU compute spend, including budgeting, monthly forecasting, variance analysis, and financial plan maintenance Build and maintain detailed bottoms-up financial models for the GPU fleet, including capacity forecasts, cost driver analyses, and investment scenario modeling Develop deep expertise in GPU vendor contracts, pricing structures, and cost drivers, and surface optimization opportunities across the fleet Serve as subject matter expert for Perplexity's compute capacity plan, owning source of truth on utilization, committed-versus-consumed spend, and capacity by vendor and cluster Build internal token-cost curves distinguishing marginal from fully loaded serving cost, and translate them into internal and external token pricing Analyze the ROI of in-house inference and training, including opportunity cost across chip types, cluster configurations, and workloads, distilled into a framework for capacity deployment Partner closely with inference and infrastructure engineering to

About Anthropic Anthropic’s mission is to create reliable, interpretable, and steerable AI systems. We want AI to be safe and beneficial for our users and for society as a whole. Our team is a quickly growing group of committed researchers, engineers, policy experts, and business leaders working together to build beneficial AI systems. About the role Anthropic's compute fleet is one of the largest and most varied in the world, and everything we do from training frontier models to serving Claude depends on getting the right work onto the right hardware at the right time. Our Scheduler team owns that problem. We build the scheduling layer for Anthropic's Kubernetes fleet, the tools researchers and engineers use to launch and manage their jobs, and the systems that make sure the fleet is used as efficiently as possible. When a researcher starts a run, the scheduler decides where it lands and how quickly; when demand outstrips supply, it decides who waits. This team provides the paved path that lets everyone at Anthropic get compute when they need it without becoming an expert in the infrastructure underneath. We're looking for an engineering manager to lead this team. The scheduler is on the critical path for nearly all of Anthropic's compute, and the mandate is expanding quickly: making scheduling work seamlessly across a growing, heterogeneous fleet; raising utilization while keeping jobs starting fast; making the system's decisions predictable and explainable to the people who depend on it; and making the job-launch experience something researchers rarely have to think about. You'll lead a team building infrastructure that the entire research and product organization depends on, and you'll partner closely with capacity planning, research, inference, and product teams to make efficient use of the fleet. Key responsibilities Lead and grow a team of engineers building Anthropic's scheduling platform, job-launch tooling, and fleet-efficiency systems, owning planning, ex

Celonis is the trusted platform to industrialize Enterprise AI. At our core is the Celonis Context Model — which combines process data, business knowledge, and intelligence into a living digital twin of the enterprise that AI can actually understand, turning AI's operational blind spots into operational clarity. World's leading companies trust Celonis and its global ecosystem of partners to make their AI agents, people, systems, and processes work together, achieving transformational outcomes. We believe there's a massive opportunity to unlock global productivity and sustainability by giving AI the context to understand how every business process really works. Join our mission to make processes work for people, companies, and the planet. The Team: The Data Analytics and Transformation team encompasses the Data Engineering, Semantics, Data Science, Strategic Intelligence and Business Transformation functions. The team provides analytic support and a strategic perspective to the different business functions within Celonis to enable them to make evidence-based decisions. We deliver actionable insights by collecting, organizing and interpreting data about user journeys, product telemetry, incidents, infrastructure utilization, sales motions, and everything else happening in Celonis. We transform data into analytic assets by conducting exploratory analysis, identifying outliers, validating hypotheses, building statistical models, quantifying risk; communicating findings through well crafted stories and critical recommendations. The Role: As a Staff Data Engineer in the Data Analytics and Transformation team, you will play a key role in defining and building the analytic infrastructure that will enable strategic and tactical decision making in a hyper growth environment. As one of the most senior technical experts on the team, you will provide technical leadership to design, build and maintain a data ecosystem for analytic needs. You will spearhed the implementation of th

About the Team At OpenAI, our Trust, Safety & Risk Operations teams safeguard our products, users, and the company from abuse, fraud, scams, regulatory non-compliance, and other emerging risks. We operate at the intersection of operations, compliance, user trust, and safety working closely with Legal, Policy, Engineering, Product, Go-To-Market, and external partners to ensure our platforms are safe, compliant, and trusted by a diverse, global user base. The Global Safety Response Operations team provides 24/7 coverage for user safety, risk, and regulatory escalations across OpenAI’s products, handling the highest-priority cases that require human judgment and rapid response. The team operates as the core escalation and delivery arm of OpenAI’s safety operations, ensuring that our products remain safe and aligned with policy while enabling timely, empathetic, and consistent user support. About the Role The Global Safety Response Operations Lead is a hands-on team lead who both manages a regional Safety Response team and personally handles high-risk safety cases. This role combines frontline safety work with people leadership, operational ownership, and cross-functional coordination. You will lead a team of Safety Response Analysts who handle OpenAI’s most sensitive and high-impact cases, while also personally contributing to casework for complex, high-risk, or high-visibility issues. You will own the execution of high severity escalations in your region and ensure proper execution and communication to cross functional stakeholders You will be accountable for ensuring your region consistently meets utilization, quality, and SLA targets while serving as the operational interface with Product, Policy, Legal, Investigations, and regional stakeholders. This is a 24/7 global operation that requires flexibility to support rotating shifts, including nights, weekends, and holidays, as part of a leadership on-call model. In This Role, You Will: Lead and coach a regional te

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. Strategic Manufacturing & Supplier Leadership • Develop and drive long-term manufacturing and equipment capability roadmaps to support future technology requirements, capacity expansion, and factory competitiveness. • Partner with strategic equipment suppliers to define and influence next-generation hardware, software, automation, and process capability improvements. • Translate Micron manufacturing challenges and future business needs into supplier development priorities and technology roadmaps. • Establish strategic partnerships with suppliers to accelerate deployment of innovative solutions that improve productivity, reliability, sustainability, and cost of ownership. • Evaluate emerging manufacturing technologies and assess their applicability to future Micron manufacturing needs. Global Manufacturing Strategy • Influence manufacturing strategy across Micron's global network by identifying and driving opportunities that improve output, cycle time, equipment utilization, and cost competitiveness. • Lead cross-site initiatives focused on equipment productivity, capacity optimization, cost reduction, and operational excellence. • </span