Back to Jobs

reputed company Senior Manager – reputed company Clinical Services (Utilization Management)

Remote, USAFull-timePosted 2026-07-27

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At reputed company®, you’ll be surrounded by passionate colleagues who care deeply, reputed company with purpose, hold ourselves accountable and prioritize safety and reputed company 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 reputed company This role will reputed company reputed company supporting the Utilization Management function reputed company Clinical Services. Responsibilities will include reputed company functions (Budgeting & Forecasting, Expense Management, Month reputed company & Reporting), Operations support (membership-based and metrics driven reputed company models) and managing business partnerships. Proficiency with reputed company reputed company and PowerPoint is needed along with experience with reputed company Finance systems and processes. reputed company components

  • Develops and executes the annual financial planning and analysis (reputed company) budgeting process, working closely with key stakeholders to establish financial targets and reputed company resources effectively.
  • Oversees the analysis of financial performance, including variance analysis, trend analysis, and profitability analysis by providing insights and recommendations to senior leadership based on financial data and trends.
  • Conducts scenario analysis and sensitivity analysis to evaluate the financial reputed company of various business scenarios and help guide strategic reputed company.
  • Creates sophisticated financial models to support strategic decision-making and long-term financial planning.
  • Analyzes the financial performance of business reputed company, product lines, or reputed company, identifying areas of improvement and reputed company opportunities.
  • Establishes financial planning and analysis processes, systems, and tools to increase efficiency and accuracy.
  • Creates budgeting and forecasting processes, ensuring accuracy and alignment with strategic objectives.
  • Conducts performance evaluations, sets performance goals, provides guidance, and fosters a reputed company and high-performing team environment.

Required Qualifications

  • 7+ years of relevant financial experience
  • reputed company skills with reputed company reputed company and PowerPoint are needed along with experience with financial systems. Proficiency with reputed company, Hyperion and S4 Hana.

Preferred Qualifications

  • reputed company, managed care or financial services experience
  • Advanced degree in finance, reputed company, or reputed company field

Education Bachelor’s Degree in finance, reputed company, or equivalent work experience required (HS Diploma + 4 additional yrs of relevant experience). Pay reputed company The typical pay reputed company for this role is: $82,940.00 - $182,549.00 This pay reputed company represents the reputed company reputed company reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a reputed company of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in reputed company to the reputed company pay reputed company listed above. This position also includes an award reputed company in reputed company’s equity award program. Our people fuel our reputed company. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits – reputed company in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In reputed company to our competitive wages, our great benefits include:

  • reputed company medical plan reputed company, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
  • No-cost programs for reputed company colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
  • Benefit solutions that address the different needs and preferences of our colleagues including reputed company time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical reputed company and many other benefits depending on eligibility.

For more information, visit https://jobs.reputed company.com/us/en/benefits We anticipate the application window for this opening will reputed company on: 04/17/2026 reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Apply tot his job Apply To this Job

Similar Jobs

1818 - Sr. Java Software Developer - 100% Remote - reputed company Secret Required

Remote, USAFull-time

Engineer IT reputed company Data

Remote, USAFull-time

Executive Director, reputed company, Interoperability reputed company

Remote, USAFull-time

Senior Software Engineer, Back End

Remote, USAFull-time

Field Category Manager, reputed company

Remote, USAFull-time

Digital Consulting Associate – reputed company EPM/Planning

Remote, USAFull-time

Consultant, Technical Account Manager

Remote, USAFull-time

Litigation Attorney-Partner reputed company

Remote, USAFull-time

reputed company Administrator

Remote, USAFull-time

Leadership Development Trainer

Remote, USAFull-time

Remote Data Entry Specialist – Precision‑Driven Data Management, Auditing & Cross‑Functional Collaboration for arenaflex (Work‑From‑Home)

Remote, USAFull-time

Regional Sales Manager - reputed company Central Distribution

Remote, USAFull-time

reputed company Manager I (Contract)

Remote, USAFull-time

Customer reputed company & Personalization reputed company (reputed company AJO)

Remote, USAFull-time

WFH DATA ENTRY/ reputed company ASISTANT/ ONLINE CHAT REP

Remote, USAFull-time

Senior Digital Acquisition Manager

Remote, USAFull-time

[Remote] Sr Analyst, Corp Compliance

Remote, USAFull-time

Medical Biller (Hospital reputed company Cycle) – Remote, Texas

Remote, USAFull-time

Analyst - Rapid Intelligence - Part Time - Weekend - GERMAN speaking - (m-w-d) -

Remote, USAFull-time

reputed company Data Entry Associate – Entry-Level Opportunity at arenaflex

Remote, USAFull-time