Associate Director leading innovation initiatives for LGBTQ+ health at Penn. Overseeing project execution and sustainability strategies to improve health outcomes.
About the role
- Director overseeing utilization management to ensure best member outcomes and compliance in healthcare organization. Leading a team to achieve effective utilization strategies and improve member experiences.
Responsibilities
- Directs the utilization management team to ensure the appropriate application of policy procedures and processes
- Oversees and manages Utilization Operations specific to daily operations of Utilization Management
- Leads utilization management team on performance, improvement, and career growth path considerations
- Reviews, analyzes, and reports on utilization trends, patterns, and impacts
- Develops utilization management strategies and influences decisions
Requirements
- Requires a Bachelor's degree and 7+ years of related experience, including prior management experience
- 4+ years management experience preferred
- Expert knowledge of industry regulations, policies, and standards preferred
- Ohio State RN license is required
Benefits
- competitive pay
- health insurance
- 401K and stock purchase plans
- tuition reimbursement
- paid time off plus holidays
- flexible approach to work with remote, hybrid, field or office work schedules
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