Remote Utilization Management Jobs in Connecticut

About Cedar Gate Technologies

Cedar Gate Technologies, an IQVIA business, enables payers, providers, employers, and service administrators to excel at value-based care with a unified technology and services platform delivering analytics, care, and payment technology on a single data management foundation. At Cedar Gate, you'll be part of a collaborative, innovative environment where great ideas thrive. We invest deeply in our people through ongoing training, comprehensive benefits, and a strong culture of teamwork, offering the chance to grow your skills while contributing to high impact initiatives for some of the world's most dynamic companies.

Position Summary

Cedar Gate Technologies, an IQVIA business, is seeking a clinically experienced healthcare professional who brings both deep care delivery expertise and the ability to work alongside product and engineering teams to improve technology-enabled workflows. As the Clinical Analyst, Population Health & CARE Solutions, you will partner directly with healthcare clients to operationalize CARE solutions, translating real-world clinical and value-based care requirements into practical system configuration and workflow design. You will serve as a trusted advisor to providers and care teams while also acting as a critical bridge to internal product teams, helping shape solutions that drive measurable improvements in quality, cost, and patient outcomes.

Roles & Responsibilities

Healthcare Client Enablement

• Serve as a trusted enablement partner to healthcare clients, demonstrating a deep understanding of their clinical, operational, and business objectives.
• Build strong, credibility-based relationships with physicians, nurses, and care management teams by speaking their language and understanding day-to-day workflows.
• Enable providers, MSOs, delegated care organizations, and TPAs to successfully adopt and operationalize CARE products in support of value-based care performance goals.
• Translate client business models, risk arrangements, and contract structures into practical product usage, configuration decisions, and workflow optimization.
• Facilitate strategic client conversations related to population health, care management operations, and value-based care program execution.

CARE Product Implementation & Optimization

• Lead and support the configuration, implementation, and optimization of CARE solutions across a variety of client environments.
• Train and guide clients on best practices to maximize adoption, efficiency, and ROI from CARE products.
• Identify gaps in usage or outcomes and recommend improvements aligned with quality, utilization, cost, and patient experience objectives.
• Support clients in developing workflows, identifying reporting requirements, and meeting regulatory and compliance needs.

Product Strategy, Innovation & Market Expansion

• Collaborate with Product Management, Engineering, and other internal teams to gather client feedback and translate insights into functional requirements and enhancement opportunities.
• Contribute to solution design and enhancement planning for new and existing CARE product capabilities.
• Support innovation initiatives and exploration of new market segments, particularly within delegated care, MSO-led models, and risk-bearing provider organizations.
• Act as a voice of the customer, ensuring product direction is informed by real-world clinical and operational needs.

Cross-Functional Collaboration

• Work effectively within a distributed, global organization, demonstrating flexibility across time zones while primarily supporting U.S.-based clients.
• Partner with internal teams to support performance improvement initiatives, strategic client objectives, and prospective customer engagements.
• Coordinate with cross-functional stakeholders to ensure alignment between client needs, product delivery, and organizational goals.

Job Location

United States - Remote

Work Arrangement

U.S. residents only; work must be performed within the United States.

Experience / Qualifications

• Clinical degree or certification (RN, PharmD, or related field) with significant hands-on clinical experience in care delivery, care management, or utilization management
• Deep understanding of value-based care, population health, and delegated care models, including how performance is measured (quality, cost, utilization)
• Proven experience working directly with providers, nurses, and care teams, with the ability to influence clinical workflows and operational decisions
• Experience partnering with product, engineering, or IT teams to improve tools, workflows, or system configurations
• Demonstrated ability to translate clinical workflows into system requirements, process improvements, or technology-enabled solutions
• Advanced experience with healthcare software implementation, configuration, or optimization (not just end-user experience)
• Strong working knowledge of care management, utilization management, or population health operations
• Ability to identify workflow inefficiencies and drive practical, scalable improvements in a technology-enabled environment
• Excellent communication skills, with a track record of bridging clinical and technical teams
• Comfortable operating as a trusted advisor to clinical and operational leaders
• To be eligible for this position, you must reside in the same country where the job is located.

Enhancements to Experience:

• Proficiency with EHR platforms (Epic, Oracle Health/Cerner, Meditech) is preferred, including workflow design or build exposure
• Prefer those with a background in managed care or payer environments, especially UM, prior authorization, or care management platforms
• Experience supporting risk-bearing entities, MSOs, or delegated care organizations would be nice to have
• Familiarity with clinical decision support tools, care management platforms, or population health systems will be helpful
• Contributions to product feedback loops, feature design, or solution development are preferred
• Preference for some exposure to regulatory reporting and compliance requirements in value-based programs

IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries. We create intelligent connections to accelerate the development and commercialization of innovative medical treatments to help improve patient outcomes and population health worldwide. Learn more athttps://jobs.iqvia.com

IQVIA is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by applicable law. https://jobs.iqvia.com/eoe

IQVIA is committed to integrity in our hiring process and maintains a zero tolerance policy for candidate fraud. All information and credentials submitted in your application must be truthful and complete. Any false statements, misrepresentations, or material omissions during the recruitment process will result in immediate disqualification of your application, or termination of employment if discovered later, in accordance with applicable law. We appreciate your honesty and professionalism.