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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