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Director of Utilization Review
Job Summary
A company is looking for a Director of Enterprise Utilization Review.
Key Responsibilities
- Oversee utilization review functions, ensuring compliance and process improvements across the health system
- Act as administrative chair for the Utilization Review committee, implementing policies and coordinating initiatives
- Provide communication and analysis to senior leadership regarding utilization review metrics and improvements
Required Qualifications
- Bachelor's Degree in Finance, Business Administration, or Nursing
- Five years of healthcare management experience in utilization, finance, or case management
- Master's Degree in Business Administration or Public Health is preferred
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COMPLETE JOB DESCRIPTION
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