Healthcare Services Program Manager

Job Summary

A company is looking for a Program Manager, Healthcare Services (Utilization Management).

Key Responsibilities

• Plan and execute healthcare services projects and programs, ensuring compliance with protocols
• Conduct data analysis for Utilization Management and oversee external vendors as needed
• Implement quality initiatives and create necessary business documentation for healthcare services

Required Qualifications

• Minimum of 5 years of healthcare experience, including 3 years in utilization management or related fields
• Active and unrestricted clinical licensure or certification as required by state regulations
• Experience with state, federal, and third-party regulations
• Proficiency in Microsoft Office and ability to navigate online portals
• Experience in a cross-functional professional environment